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. 2017 Nov;6(Suppl 5):S869–S880. doi: 10.21037/tau.2017.07.04

Table 2. Patient factors impact on device selection.

Patient factors Preoperative considerations Device selection
Limited manual dexterity (28,35) (I) Difficulty with device inflation/deflation (I) Malleable: (i) AMS Spectra; (ii) Coloplast Genesis
(II) Pump: (i) AMS Momentary Squeeze; (ii) Coloplast Titan
Spinal cord injured (12,37) (I) Limited upper extremity movement
(II) Higher incidence of CIC/condom cath use
(III) Higher risk of prosthesis complication (infection/erosion/malfunction)
Malleable: (i) AMS Spectra; (ii) Coloplast Genesis
Peyronie’s disease (28,30) (I) Curvature exacerbated by length expansion
(II) Benefit from modeling after device implantation
Three-piece IPP: (i) AMS 700 CX; (ii) Coloplast Titan
Prior pelvic surgery (35,46,47) (I) Obliteration of the space of Retzius from robotic prostatectomy, laparoscopic hernia, or renal transplant
(II) Consider ectopic reservoir placement
(I) Two-piece IPP: AMS Ambicor
(II) Reservoirs: (i) AMS Conceal; (ii) Coloplast Cloverleaf
Corporal fibrosis (1,35,46) (I) Increased risk of infection, corporal perforation, and urethral injury
(II) Difficulty with corporal dilation
Narrow cylinder three-piece IPP: (i) AMS 700 CXR; (ii) Coloplast Titan Narrow
Prior explant or salvage (35,47) (I) Increased risk of infection
(II) If explanted, risk of fibrosis and penile shortening
(I) Malleable: (i) AMS Spectra; (ii) Coloplast Genesis
(II) Coated implants: (i) AMS Inhibizone available on 700 series only; (ii) Coloplast hydrophilic coating available on Titan and Genesis