AB023. Scrotal exploration and microsurgical vasoepididymostomy in azoospermic patients due to non-vasectomy, non-traumatic etiologies

Inflatable penile prostheses (IPP) have been utilized reliably as a definitive treatment for medically refractory erectile dysfunction (ED) over the last four decades. The device consists of two intra-corporal penile cylinders, a pump placed in the scrotum, and a fluidcontaining reservoir. However, placement of an IPP reservoir in a patient with multiple lower abdominal/ pelvic surgeries is technique challenge. The Conceal low profile reservoir and Cloverleaf are designs to allow ectopic placement and to avoid potential bladder, bowel or vascular injury. Another rare but potentially devastating complication of IPP implantation is infection of the implant. In the event that an implant becomes infected, all components of the IPP need to be removed. Removal of reservoir has also been surgically challenging due to its location; either deep in the space of Retzius of the pelvis or high in the abdomen between the muscular fascia. This presentation will discuss new strategy for IPP reservoir placement and removal.