Preface to “Complex Penile Prosthesis Surgery”
Penile prosthesis surgery offers a definitive treatment for men with erectile dysfunction who are refractory to medical management. Over the last five years, there have been almost 1,000 papers indexed in PubMed on penile prosthetics. This large volume of literature makes it challenging for prosthetic urologists to stay abreast of the most up-to-date findings. Additionally, prosthetic urologists are often faced with challenging cases and patients where there is insufficient research for decision-making. This Special Series on Complex Penile Prosthesis Surgery aims to highlight some of the recent advances in prosthetic urology and provide expert opinions on some of the most challenging problems we face. Each article is authored by premier experts within prosthetic urology.
This special series covers preoperative patient selection and optimization for the medically complex patient, as well as assessing psychiatric risk factors to optimize patient satisfaction. These review articles also cover the use of inflatable penile prostheses in Peyronie’s disease and concomitant lengthening procedures. Some of the most challenging cases prosthetic urologists will face are patients with corporal fibrosis and patients with a history of priapism, both of which are eloquently covered in this series. Additionally included is a review article to help prosthetic urologists overcome barriers to penile implant salvage in the setting of device infection. Readers are also able to learn and stay up to date with the rapidly evolving area of prosthetics in gender affirmative surgery. Also covered is a review of treatment of concomitant stress urinary incontinence at the time of penile prosthesis placement. Rounding out this edition is a thorough surgical technique article regarding infrapubic approach to anatomically complex patients.
We appreciate the hard work of the eminent authors who have contributed to this special series and we hope you will find their articles helpful in your approach to penile implant surgery.
Acknowledgments
The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Defense Health Agency, Brooke Army Medical Center, Wilford Hall Ambulatory Surgical Center, the Department of Defense, or any agency under the U.S. Government.
Funding: None.
Footnote
Provenance and Peer Review: This article was commissioned by the editorial office, Translational Andrology and Urology, for the series “Complex Penile Prosthesis Surgery”. The article did not undergo external peer review.
Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tau.amegroups.com/article/view/10.21037/tau-24-355/coif). The series “Complex Penile Prosthesis Surgery” was commissioned by the editorial office without any funding or sponsorship. D.W.B., J.S., and M.S.G. served as the unpaid Guest Editors of the series. J.S. serves as an unpaid editorial board member of Translational Andrology and Urology from June 2016 to July 2026. J.S. received consulting fees from Boston Scientific and Coloplast. M.S.G. received consulting fees from Coloplast and MenMD. The authors have no other conflicts of interest to declare.
Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.
