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We appreciate the insightful commentary by Wilson et al. regarding our publication [1], “Meeting the Growing Demand: An Operational Blueprint for a 1500-Case-per-Year Penile Implant Center of Excellence” [2]. We are honored by their recognition of our surgical volume and efficiency. Below, we address the specific inquiries regarding our surgical techniques, patient selection, and center logistics. Wilson et al.
Abstract Inflatable penile prosthesis (IPP) implantation is the standard treatment for refractory erectile dysfunction, but traditional reservoir placement in the space of Retzius risks injury. Ectopic and submuscular alternatives were developed to mitigate these potential complications. We evaluated the safety, feasibility, and outcomes of the Hamdan Extrainguinal Sub-Oblique technique, which uses direct visualization to avoid the space of Retzius.
Abstract The global demand for inflatable penile prosthesis (IPP) surgery continues to rise, yet little guidance exists on how mature, ultra-high-volume centers sustain efficiency, safety, and workflow at scale. Drawing on the experience of a single-surgeon center that performed more than 1500 primary inflatable penile prosthesis (IPP) implantations, this perspective outlines the operational philosophy and practical architecture that enabled such volume.
As a journalist, you can create a free Muck Rack account to customize your profile, list your contact preferences, and upload a portfolio of your best work.