Penile Prosthesis Implantation: Penoscrotal Approach

  • Hussain M. Alnajjar
  • David J. RalphEmail author


Erectile dysfunction (ED) is the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity. ED has implications for healthcare provision, particularly as men are living longer with higher expectations with regard to sexual health.

The management of ED has been transformed with the introduction of Phosphodiesterase-5-inhibitors (PDE-5i) and Prostaglandins (PGE-1) in the last two decades. However, men with end-stage ED who do not respond to conservative measures may necessitate surgical intervention. This chapter aims to review the indications, patient selection and counselling, types of penile prostheses and describe the surgical technique of penoscrotal approach in penile prosthesis surgery.


Erectile dysfunction Penile prosthesis Penoscrotal 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.The Institute of Andrology, Department of UrologyUniversity College London Hospitals NHS Foundation TrustLondonUK

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