{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T23:53:58Z","timestamp":1788825238747,"version":"build-2803163510"},"reference-count":131,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T00:00:00Z","timestamp":1681430400000},"content-version":"vor","delay-in-days":1227,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T00:00:00Z","timestamp":1575417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100003946","name":"European Society for Sexual Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003946","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>To date, several aspects of inflatable penile prosthesis (IPP) surgical procedure have been poorly studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to review the evidence associated with IPP implantation and provide clinical recommendations on behalf of the European Society for Sexual Medicine (ESSM). Overall, 130 peer-reviewed studies and systematic reviews, which were published from 2007\u22122018 in the English language, were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>MEDLINE and EMBASE were searched for randomized clinical trials, meta-analyses, and open-label prospective and retrospective studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure<\/jats:title><jats:p>The panel provided statements exploring patients and partner expectations, satisfaction in male and phalloplasty cohorts, the impact of penile length, girth and implant type, reservoir placement, the influence of comorbidities, and social circumstances. Levels of evidence were provided according to the Oxford 2011 criteria and graded as for the Oxford Centre for Evidence-Based Medicine recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the preoperative setting, it is fundamental to identify and interact with difficult patients with the intention of enhancing the surgeon\u2019s ability to establish the surgeon-patient relationship, reduce physical and legal risk, as well as enhancing patient satisfaction. To address this need, the mnemonic Compulsive, Unrealistic, Revision, Surgeon Shopping, Entitled, Denial, and Psychiatric (\u201cCURSED\u201d) has been suggested to identify patients who are at high risk of dissatisfaction. The current recommendations suggest improving glycemic control in patients with diabetes. Available evidence suggests evaluating transplant recipients with the criteria of Barry, consisting of stable graft function for &amp;gt;6 months, avoidance of intra-abdominal reservoir placement, and low-dose immunosuppression. HIV status does not represent a contraindication for surgery. Smoking, peripheral vascular disease, and hypertension may be associated with an increased risk of revision surgery. Patients with spinal cord injury may receive IPP. Patients aged \u226570 years, as well as obese patients, can be offered IPP. The IPP implantation can be performed in patients with stable Peyronie\u2019s disease. Ectopic high submuscular reservoir placement can be considered as an alternative method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>There is a relevant lack of high-level data and definite conclusions in certain areas remain difficult to draw.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strength &amp; Limitations<\/jats:title><jats:p>All studies have been evaluated by a panel of experts providing recommendations for clinical practice. Because of lack of sufficient prospective data, some of the included studies are retrospective and this could be stated as a limitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This ESSM position statement provides recommendations on optimization of patient outcome by patient selection, and individualized peri- and intra-operative management. ESSM encourages centers to collaborate and to create prospective, multicenter registries in order to address this topic of increasing importance.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2019.10.016","type":"journal-article","created":{"date-parts":[[2019,12,5]],"date-time":"2019-12-05T00:00:51Z","timestamp":1575504051000},"page":"210-237","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":30,"title":["Clinical Recommendations From the European Society for Sexual Medicine Exploring Partner Expectations, Satisfaction in Male and Phalloplasty Cohorts, the Impact of Penile Length, Girth and Implant Type, Reservoir Placement, and the Influence of Comorbidities and Social Circumstances"],"prefix":"10.1093","volume":"17","author":[{"given":"Daniar","family":"Osmonov","sequence":"first","affiliation":[{"name":"Department of Urology and Pediatric Urology , Kiel Germany"},{"name":"University Hospital Schleswig-Holstein , Kiel Germany"},{"name":"Campus Kiel , Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew Nim","family":"Christopher","sequence":"additional","affiliation":[{"name":"Department of Urology , London UK"},{"name":"University College London Hospitals & St Peters Andrology Centre , London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gideon A.","family":"Blecher","sequence":"additional","affiliation":[{"name":"Department of Urology , Melbourne Australia"},{"name":"The Alfred Hospital , Melbourne Australia"},{"name":"Melbourne, Australia; Monash Health , Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Falcone","sequence":"additional","affiliation":[{"name":"Department of Urology , Turin Italy"},{"name":"University of Turin \u2013 Citt\u00e0della Salute e della Scienza , Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armin","family":"Soave","sequence":"additional","affiliation":[{"name":"Department of Urology , Hamburg Germany"},{"name":"University Medical Center Hamburg-Eppendorf , Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Dahlem","sequence":"additional","affiliation":[{"name":"Department of Urology , Hamburg Germany"},{"name":"University Medical Center Hamburg-Eppendorf , Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Czeloth","sequence":"additional","affiliation":[{"name":"Vitus Prostata Center Offenbach , Germany"},{"name":"Prof. Stehling Institut f\u00fcr bildgebende Diagnostik , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Bannowsky","sequence":"additional","affiliation":[{"name":"Department of Urology , Rendsburg Germany"},{"name":"ImlandKlinik GmbH , Rendsburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad","family":"Matanes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Haifa Israel"},{"name":"Rambam Health Care Campus , Haifa Israel"},{"name":"Haifa, Israel and Ruth and Bruce Rappaport Faculty of Medicine , Haifa Israel"},{"name":"Technion , Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Urology , Woluwe Belgium"},{"name":"Clinique Saint Jean , Woluwe Belgium"},{"name":"Brussels; 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