ArticleSexual medicine2026
Scrotal Size Index: a novel anatomical classification of scrotal morphology in inflatable penile prosthesis surgery.
Article in Sexual medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Pump-related complications remain a significant cause of dissatisfaction and reoperation following inflatable penile prosthesis (IPP) implantation. Despite their clinical importance, scrotal anatomy is currently assessed subjectively, without a standardized method to guide pump placement and surgical decision-making. This study aimed to develop a simple, objective classification system for scrotal morphology and to evaluate its association with intraoperative surgical decisions and pump-related outcomes following IPP surgery. Methods: A retrospective cohort study was conducted including patients who underwent primary 3-piece IPP implantation via a penoscrotal approach between 2018 and 2024. Dependent scrotal length was measured intraoperatively using a ruler from the penoscrotal junction to the most dependent point of the empty scrotum and recorded for all patients. Based on these measurements, patients were categorized according to the proposed Scrotal Size Index (SSI). Associations between SSI categories, intraoperative surgical variables, and pump-related outcomes were analyzed. Primary outcomes included the relationship between SSI categories and operative variables, including cylinder length, rear tip extender (RTE) utilization, and the need for intraoperative pump- or tubing-related adjustments. Secondary outcomes included pump-related complications within 12 months, including malposition, migration, patient-reported accessibility difficulties, and revision surgery. Results: A total of 210 patients were included. The mean dependent scrotal length was 7.25 ± 1.56 cm. Distribution analysis demonstrated distinct clustering of measurements ( Conclusion: Scrotal morphology appears to be associated with prosthesis-related operative variables during IPP implantation. The proposed SSI offers a simple and reproducible framework for objective anatomical assessment and may assist intraoperative planning. Further prospective studies are required to determine its utility in predicting pump-related outcomes and to establish its clinical validity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.