Troubleshooting intraoperative complications of penile prosthesis placement

Placement of a penile prosthesis is an excellent option for the motivated and well-informed patient with medically refractory erectile dysfunction. The surgery offers high patient satisfaction and has a low rate of complications, especially in the hands of an experienced surgeon. Yet, urologists who perform fewer than five implants per year are responsible for 75% of the penile prostheses in the United States (1). In the United Kingdom, 80% of surgeons who perform the procedure only place one or two penile prostheses per year (2). The placement of penile prostheses is thus a low volume operation for most urologists who perform the procedure