INFRA PUBIC IPP

An inflatable penile prosthesis (IPP) is a surgically implanted device designed to help men with erectile dysfunction (ED) achieve and maintain an erection. It consists of three main components:

• Two inflatable cylinders placed inside the penis
• A pump positioned in the scrotum
• A fluid reservoir placed in the lower abdomen

By squeezing the pump, fluid is transferred from the reservoir to the cylinders, creating a natural-feeling erection.

The infrapubic approach is one of the surgical techniques used to implant an IPP. It involves making a small incision just above the base of the penis (in the lower abdomen, near the pubic bone) to place the device. This approach differs from the penoscrotal approach, where the incision is made in the scrotum.

• Faster recovery: The surgical site is away from the scrotum, reducing swelling and discomfort.
• No scrotal incision: Some patients prefer this approach because the incision is hidden in the pubic area.
• Potentially quicker activation: Since the pump is placed without direct manipulation of the scrotum, it may be activated sooner postoperatively.
• Direct reservoir placement: Allows for easier placement of the fluid reservoir in the lower abdomen.

Men with severe or treatment-resistant ED may be good candidates for an IPP. Ideal candidates include those who:

• Have not responded to oral medications (Viagra, Cialis, etc.)
• Do not benefit from penile injections or vacuum devices
• Have Peyronie’s disease with severe penile curvature and ED
• Have undergone prostate cancer treatment or pelvic surgery that led to ED

• Procedure duration: Typically under an hour.
• Anesthesia: Performed under general or spinal anesthesia.
• Hospital stay: Usually same-day discharge or overnight stay.

• First few days: Some swelling, bruising, and mild discomfort.
• First week: Avoid strenuous activity, heavy lifting, and sexual activity.
• 4-6 weeks: Full recovery, and the device is typically ready for use.

• Infection (though rare due to antibiotic-coated implants)
• Device malfunction (modern designs have high success rates)
• Pain or discomfort (usually temporary)
• Erosion or mechanical failure (rare but possible over long-term use)

• Reliable, on-demand erections
• Natural appearance and function
• Discreet and completely internal
• Long-term satisfaction rates over 90%