(PNM-34) Subcoronal approach for inflatable penile prosthesis: a narrative review of indications and outcomes

Abstract

Abstract The subcoronal (SC) approach for inflatable penile prosthesis (IPP) placement has gained attention as an alternative to traditional penoscrotal or infrapubic methods. This review aimed to summarize the current evidence regarding surgical technique, patient selection, and clinical outcomes. A narrative review was conducted through PubMed, Scopus, and Cochrane data bases using the terms: “penileprosthesis,” “coronal approach,” and “outcomes.” Articles in English orSpanishreportingon SC IPP were included. Eleven studies were selected. The SC approach allows for full degloving of the penis, offering excellent exposure for concurrent procedures such as Peyronie’s repair or circumcision. Reported advantages include improved cosmesis, potential for reduced urethral injury, and suitability for outpatient surgery under local anesthesia. Challenges include longer operative time, a steeper learning curve, and potential forglans-related complications in high-risk patients. Clinical outcomes are comparable to other techniques, with infection rates between 0.7% and 4.8%, and patient satisfaction over 85%. Most reported complications were minor and technique-related. The SC approach represents a safe and effective alternative for appropriately selected patients. Its adoption may benefit surgeons treating complex cases, although further prospective studies are needed to define its long-term outcomes and compare it directly to traditional approaches. Financing No conflict.