Inflatable Penile Prosthesis Implantation in Low Lithotomy Position

A. E. Eren, M. S. Boga, B. F. Berk, M. Atespare

Inflatable penile prosthesis, Penile prosthesis implantation, Low lithotomy position, Erectile dysfunction, Surgical positioning, Prosthetic urology

Erectile dysfunction (ED) is a common condition that significantly affects patients’ quality of life, particularly when refractory to medical therapy. Penile prosthesis implantation remains the gold-standard surgical treatment for patients who do not respond to pharmacological or less invasive options. Proper patient positioning plays a crucial role in ensuring optimal surgical exposure, minimizing complications, and improving operative ergonomics. The low lithotomy position offers several advantages during penile prosthesis implantation, including improved access to the perineal and scrotal regions, better visualization, and enhanced comfort for the surgical team. In this presentation, we demonstrate the penile prosthesis implantation technique performed in the low lithotomy position, emphasizing key anatomical considerations, surgical steps, and technical nuances that contribute to procedural safety and efficiency.

The authors would like to thank the surgical team and operating room staff of Antalya Training and Research Hospital for their valuable assistance and collaboration during the procedure. We also acknowledge the contributions of all healthcare professionals involved in the perioperative care of the patient.

None. 

Zugail AS, Abdessater M, Althobity A, et al. Management of proximal penile prosthetic cylindrical complications: a novel direct crural approach. Basic Clin Androl. 2020;30(1):17. Published 2020 Nov 3. doi:10.1186/s12610-020-00115-3