[Three-piece inflatable penile prosthesis implantation in clinical practice].

BACKGROUND

Three-piece inflatable penile prosthesis (IPP) implantation is the gold standard for refractory erectile dysfunction.

OBJECTIVE

This work provides a practical overview of indications, perioperative management, surgical techniques, and complication management.

METHODS

The article comprises a narrative review based on European Association of Urology (EAU) guidelines and relevant literature.

RESULTS

An IPP is indicated after failure of conservative therapies and in Peyronie's disease, priapism, or after gender-affirming surgery. A penoscrotal approach offers advantages. Modern implants and infection prevention reduce complications. Ectopic reservoir placement is safe, especially in pre-operated patients.

CONCLUSION

Inflatable penile prosthesis implantation is safe, effective, and highly satisfactory when performed with standardized techniques and structured perioperative management.