(452) Glans Necrosis is Not a Risk for Simple Inflatable Penile Prosthesis Insertion Performed via Subcoronal Incision

Abstract Introduction Some studies have questioned subcoronal incision via IPP as a risk factor for glans ischemia or necrosis. We analyzed the largest ever reported series of incision. Objective To report complications related with placement Methods studied 898 men who had from 5/2015-3/2022 by single surgeon. 817 were first-time patients under local anesthesia, 81 revisions spinal anesthesia including 707 circumcised and 181 uncircumcised subjects. Most (76%) underwent coincident circumcision; remainder refused. Implants Coloplast Titan (489) AMS 700 (329) in 329 (36.6%) diabetics 38 (4%) Peyronie’s. postoperative occurrence device infections glans/penile skin problems. Results Mean follow up was 47.3 months (3-81 months). Modeling (64%) corporal relaxing incisions (36%) straightened Peyronie’s patients. Transient distal penile edema which resolved within 2 to 4 noted 673 cases (74.9%). Edema developed 68.3% previously patients, 100% concomitant 96.2% refused circumcision. One patient experienced prolonged 7 months. Five (0.5%) partial necrosis on proximal side (Figure-1) all but one healing without grafting. The other sustained necrotic wound dehiscence led infection removal. There zero Only became infected (0.2%). Conclusions Subcoronal simple revision is not an independent do experience transient involvement heals sequelae regardless circumcision status. Very rarely loss may occur. Disclosure Any authors act consultant, employee shareholder industry for: Coloplast, International Medical Devices, Rigicon, Uramix.