(471) The Transfacial Fixation of an Ectopic Low Submuscular Reservoir: A Novel Approach to Inflatable Penile Prosthesis Reservoir Placement

Abstract Introduction Ectopic reservoir placement has become a more routine practice among high-volume penile prosthesis implanters. In particular, the low submuscular approach gained considerable popularity given its safe location away from structures of concern such as iliac vein or bowel, which can frequently be in proximity reservoirs placed traditional Space Retzius position patients with prior pelvic procedures radical prostatectomy. However, is not without own risks, most notably, herniation to an unintended location. order maximize benefits and minimize risk for herniation, we describe novel placement. Objective The objective this study present outcomes data on inflatable who underwent (LSM) transfascial fixation (TFF). Methods A retrospective review was conducted IPP using LSM TFF technique between June 2019 March 2022 by single, surgeon at tertiary medical center. Preoperative patient characteristics were collected, then telephone interview modified questionnaire assess satisfaction concealment. Results total 34 surgery 29 completed (85.2%). average age 68.3 years, 61.5% had undergone Overall implant 4.1 (out 5). Eight (26%) able palpate reservoir, four (15.4%) visualize impression below abdominal skin. overall concealment 4.6 5) (Table 1). No surgical revisions required there no complications bowel obstruction, herniations, bladder erosion, vascular injuries. Conclusions Low alternative high degree satisfaction, decreased significant ease compared methods literature. Disclosure Any authors act consultant, employee shareholder industry for: Boston Scientific