Alternative Reservoir and Balloon Placement in Complex Patients Undergoing Urologic Prostheses

  • Travis J. Pagliara
  • Daniel W. Smith
  • Boyd R. Viers
  • Allen F. Morey
Surgery (J Simhan, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Surgery


Purpose of Review

To evaluate contemporary rationale and techniques for ectopic reservoir/balloon placement in complex urologic prosthetics patients.

Recent Findings

Recent studies have demonstrated that ectopic reservoir placement is safe and durable when compared to traditional space of Retzius placement. Complex patients exist on a spectrum from those with a previously violated retropubic space, to those with bilaterally obscured external inguinal rings and/or multiple prior prosthetic reservoirs. Ectopic placement has become more commonplace and accepted as a viable alternative strategy over the past 7 years. Concerns relating to reservoir palpability and long-term outcomes have been allayed. The risk of deep pelvic complications appears to be negligible after both placement or removal of ectopic reservoirs when performed by experienced implanters even in the most complex patient.


Ectopic placement of prosthetic balloons and reservoirs offers unique advantages and has become commonplace in contemporary prosthetic urology practice.


Inflatable penile prosthesis Reservoir Pressure regulating balloon Ectopic 


Compliance with Ethical Standards

Conflict of Interest

Travis J. Pagliara reports consultancies for Coloplast and Boston Scientific.

Daniel W. Smith declares no potential conflicts of interest.

Boyd R. Viers reports honoraria from Coloplast and consultancy for Boston Scientific.

Allen F. Morey reports honoraria from Coloplast and Boston Scientific.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Travis J. Pagliara
    • 1
    • 2
  • Daniel W. Smith
    • 2
  • Boyd R. Viers
    • 3
  • Allen F. Morey
    • 4
  1. 1.Hennepin County Medical CenterMinneapolisUSA
  2. 2.University of Minnesota Medical CenterMinneapolisUSA
  3. 3.The Mayo ClinicRochesterUSA
  4. 4.Department of UrologyUniversity of Texas Southwestern Medical CenterDallasUSA

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