Senthooran Kalidoss, David Fenton, Alfredo Suarez-Sarmiento, Omer Raheem, Paul Perito

No-Scalpel, Penile Implant, Vasectomy, Surgical Technique, Erectile Dysfunction

Patients who desire concomitant sterilization and treatment for erectile dysfunction may undergo vasectomy and inflatable penile prosthesis (IPP) placement. While multiple surgical approaches may be considered, this video demonstrates a no-scalpel vasectomy approach with a concurrent 3-piece IPP. The minimally invasive approach uses a midline infrapubic incision superior to the penopubic junction. With this incision, the vas deferens may be adequately isolated and a standard vasectomy can be performed through the same incision where the IPP cylinders and pump are implanted. The major advantage to this approach is minimization of dedicated incision points used for the IPP and vasectomy. This patient is an otherwise healthy 50 year old male, presenting with extensive history of medically refractory erectile dysfunction and penile vascular disease requesting sterilization and IPP implantation. We demonstrate the surgical approach for concomitant vasectomy at the time of 3-piece IPP placement.

1. Perito, P., Mulcahy, J., Wen, L., & Wilson, S. K. (2022). Nuances of infrapubic incision for inflatable penile prosthesis. International journal of impotence research, 34(6), 524–533. https://doi.org/10.1038/s41443-020-00370-y

2. Vollstedt, A., Gross, M. S., Antonini, G., & Perito, P. E. (2017). The infrapubic surgical approach for inflatable penile prosthesis placement. Translational andrology and urology, 6(4), 620–627. https://doi.org/10.21037/tau.2017.07.14

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