Safety of large reservoirs in inflatable penile prosthesis surgery

Introduction: The use of inflatable penile prostheses (IPP) has become a well-established treatment for erectile dysfunction, offering significant improvements in the quality of life for many patients. The reservoir site and size in IPP surgery are areas of ongoing research and debate. This study aims to evaluate the outcomes associated with the use of large reservoirs in IPP, focusing on both the surgical techniques and postoperative complications. Materials and methods: Our study is a retrospective study of 60 patients who underwent inflatable penile prosthesis (IPP) with large reservoir irrespective of the size of the prosthesis in Al Wakra Hospital from the period of 1st of January 2022 to 30th of August 2024. Result: Successful insertion of the large reservoir was carried out in all patients from the same penoscrotal incision. There was no recorded migration, urethral injury, infection, device failure, pain, erosion or LUTS in our patients. Revision was done in one patient. Conclusions: The use of large-volume reservoirs in inflatable penile prosthesis (IPP) surgery demonstrates a favorable safety profile, with no significant increase in complication rates compared to standard reservoir sizes.