Two-Piece Inflatable Penile Prosthesis After Kidney Transplant: Step-By-Step Penoscrotal Technique, Pearls, and Early Pathway

J P Chambino, M Castilho, F Quintas, R Duarte, P Oliveira, A Sandul, J Palma Reis

erectile dysfunction, penile prosthesis, two-piece IPP, penoscrotal approach, transplantation, surgical video

Two-piece IPP is a reservoir-free option for patients in whom abdominal placement is undesirable, such as renal-transplant recipients. This 4-minute video shows a standardized penoscrotal technique with high-yield pearls: lateral corporal dilation with the Furlow introducer, precise distal/proximal sizing, creation of a dependent sub-Dartos pump pocket, and pressurized intraoperative cycling to verify symmetry and hemostasis. Bilateral corporotomy closure with buried knots and partial inflation minimizes hematoma. The early pathway is pragmatic and reproducible: catheter removal on day 1, discharge on day 2, gentle pump mobilization at weeks 2–3, and activation with home cycling at week 8. Take-home message: in selected post-transplant patients, a two-piece IPP enables efficient implantation and early functional recovery when a reservoir is undesirable.

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