We have evaluated the data of patients who underwent ectopic high submuscular reservoir placement during implantation of inflatable penile prostheses and compared them to those of patients who underwent to traditional reservoir placement in the space of Retzius (SR). The main focus was on evaluating complications and patient satisfaction rates in both methods of RP. One hundred and forty-two patients underwent implantation of the Coloplast Titan OTR prosthesis with exclusive use of the "Clover Leaf" reservoir. We performed a retrospective evaluation, analyzing the treatment-associated complications by means of the Clavien-Dindo classification. All patients as well as their partners received questionnaires with validated scores. Group I: 70 (49.3%) patients who underwent HSM RP. Group II: 72 (50.7%) patients who underwent SR RP. Neither grade IV nor grade V Clavien-Dindo complications were documented. In total, we observed 4 (3.3%) cases grade III b complications, which resulted in revision. Distribution was as follows: infected device (n = 4), scrotal hematoma (n = 2), scrotal seroma (n = 1), and scrotal skin fistula (n = 1). 88% of the patients with ectopic HSM RP and 81% with traditional SR RP were satisfied with their implant. Of the patients with HSM RP, 64.3% (n = 45; BMI range: 18.5-28.8) reported that they were able to feel their reservoir by palpation immediately after surgery. Palpability disappeared in 80% of the patients in this group (BMI > 26.5) after capsule formation at 3 months post-surgery. Only one patient (1.4%; BMI 20.5) reported that he was able to see the reservoir. Our findings suggest that the novel reservoir placement is safe, efficient and results in excellent patient satisfaction, even if the reservoir is initially palpable or visible.

中文翻译：

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充气式阴茎植入物植入过程中Retzius储库放置的高肌肉下vs.

我们评估了在充气式阴茎假体植入过程中进行异位高肌下储库放置的患者的数据，并将其与在Retzius（SR）空间中进行传统储库放置的患者的数据进行了比较。主要重点是评估两种RP方法的并发症和患者满意度。142例患者仅使用“三叶草”储液槽植入了Coloplast Titan OTR假体。我们进行了回顾性评估，通过Clavien-Dindo分类分析了与治疗相关的并发症。所有患者及其伴侣均收到具有有效分数的问卷。第一组：70例（49.3％）接受了HSM RP的患者。第II组：72例（50.7％）接受SR RP的患者。IV级和V级Clavien-Dindo并发症均未记录。我们总共观察到4例（3.3％）IIIb级并发症，导致了修订。分布如下：受感染的设备（n = 4），阴囊血肿（n = 2），阴囊血清肿（n = 1）和阴囊皮肤瘘（n = 1）。88％的异位HSM RP患者和81％的传统SR RP患者对其植入物感到满意。在HSM RP患者中，有64.3％（n = 45； BMI范围：18.5-28.8）报告说，他们能够在手术后立即通过触诊感觉到自己的储层。该组患者中有80％（BMI> 26.5）在术后3个月形成胶囊后，可触及性消失。只有一名患者（1.4％； BMI 20.5）报告说他能够看到水库。我们的发现表明，新颖的储层布置是安全的，