Inflatable penile prosthesis (IPP) is an effective treatment for erectile dysfunction refractory to nonsurgical management. The infrapubic approach for IPP placement is less frequently employed than the penoscrotal approach, with only about 25% of IPPs placed via this method. Underutilization of the infrapubic method may be due to fear of injuring the penile dorsal neurovascular bundle, perceived difficulties of scrotal pump placement through a distant location, or insufficient distal corporal exposure. However, this approach appears to result in favorable operative times, faster time to device activation, equivalent postoperative satisfaction and quality of life, and similar complication rates. We provide a contemporary review of literature published before May 2019 regarding the infrapubic approach for IPP placement, technical considerations, and postoperative expectations.

中文翻译：

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耻骨下入路放置可充气的阴茎假体：技术及其含义的当代评论。

充气式阴茎假体（IPP）是治疗因非手术治疗难治的勃起功能障碍的有效方法。与耻骨阴囊入路相比，耻骨下放置IPP的方法较少使用，仅约25％的IPP通过该方法放置。耻骨下方法的未充分利用可能是由于担心会损伤阴茎背神经血管束，通过较远的位置放置阴囊泵的困难或远端体腔暴露不足引起的。然而，这种方法似乎导致了良好的手术时间，更快的设备激活时间，等效的术后满意度和生活质量以及相似的并发症发生率。我们对2019年5月之前发表的文献进行了当代回顾，内容涉及采用耻骨下放置IPP的方法，技术考虑因素，