ABSTRACT

Inflatable penile prostheses can be subdivided into two-piece and three-piece devices. In two-piece devices, the reservoir is incorporated into the scrotal pump (Coloplast Excel) or into the base of the cavernosal cylinders (AMS Ambicor). Thus, intra-abdominal placement of the reservoir is circumvented. These devices can be especially useful in patients with previous complicated pelvic or abdominal surgeries, such as kidney transplant patients, or when adhesions or synthetic mesh may preclude easy placement of the reservoir (11). Two-piece prostheses are preconnected and generally placed through a penoscrotal approach.