MP48-15 TESTOSTERONE PELLET IMPLANTATION PRACTICES AMONG MEMBERS OF THE SEXUAL MEDICINE SOCIETY OF NORTH AMERICA (SMSNA)

study, IPP placement was conducted in fresh-frozen cadaveric male pelvises; subcoronal approach was used for one corpus cavernosum and compared to infrapubic or penoscrotal approach contralaterally. Procedures were conducted by two experienced surgeons blinded to the contralateral measurement. RESULTS: A total of 370 men underwent IPP placement (170 infrapubic, 200 subcoronal). Mean corporal length was 20.4 0.9 cm for infrapubic approach and 22.1 2.2 cm for subcoronal (p<0.0001, D1.7cm, 95% CI 1.3-2.1cm). IPP cylinder size was median 20 (IQR 1820) for infrapubic approach and median 20 (IQR 20-22) for subcoronal approach, with significant differences in distribution (Figure 1; p<0.0001). RTE use increased significantly from 70% via infrapubic approach to 86% via subcoronal approach (p1⁄40.0003). In male cadavers (n1⁄46) subcoronal corporal measurement resulted in mean D1.5cm over infrapubic and mean D1.1cm over penoscrotal. CONCLUSIONS: In a single high-volume surgeon cohort, adoption of a new surgical approach resulted in a significant 1.7cm increase in mean corporal length measurement. This may be due to optimized angle for corporal dilation and/or uninhibited corporal elasticity obtained by penile degloving. Further studies in multi-surgeon, multi-institutional cohorts will be necessary to validate initial findings.