PHANTOM Penile Prosthesis Technique: Explanations, Advantages and Clinical Results

What is the PHANTOM Technique?

 The PHANTOM technique is a modern surgical approach for penile prosthesis implantation, based on an infrapubic incision (under the lower abdominal fold).

• Incision: made above the base of the penis.
• Goal: avoid a large scrotal incision and improve cosmetic appearance.
• Background: known for years among urologists, but recently refined and popularized by specialized surgeons and manufacturers.

Potential Advantages of the PHANTOM Technique

• More discreet scar, hidden in the pubic fold.
• Less scrotal dissection and tissue handling.
• Direct access to the corpora cavernosa and prosthesis tubing.
• Faster recovery according to some clinical series.

Clinical Outcomes

• Infection & safety: the key factor remains the surgeon’s experience and infection-prevention methods (no-touch technique, antibiotic-coated implants). The infrapubic approach alone does not reduce infection risk.
• Patient satisfaction: similar to traditional approaches, sometimes with better cosmetic feedback.
• Operative time: some surgeons report shorter procedures, depending on learning curve.
• Specific cases: beneficial for obese patients with large pubic fat pads, as it provides better exposure.

Medical Conferences & Consensus

• The PHANTOM technique has been presented in several international events:
  • APSSM 2019 – International Penile Prosthesis Implant Consensus Forum.
  • ISSM, EAU, AUA Congresses – surgical video sessions and technical presentations.
  • Recent publications in urology and andrology journals.

ConclusionThe PHANTOM technique offers a modern alternative to the classic penoscrotal approach. It provides cosmetic benefits and potential comfort, but has not yet shown major clinical superiority in comparative studies. The choice depends on the surgeon’s expertise and patient profile.

FAQ (Frequently Asked Questions)

1. What is the PHANTOM technique?
   It is an infrapubic incision approach for penile prosthesis implantation, providing a less visible scar.
2. Is it completely new?
   No, the infrapubic incision has existed for years but was modernized and popularized as "Phantom".
3. What are the main benefits?
   Less visible scar, reduced scrotal dissection, and sometimes faster recovery.
4. Does it reduce infection risk?
   Not specifically. Infection prevention depends mainly on the no-touch technique and coated implants.
5. Is it suitable for all patients?
   Yes, but especially useful in obese patients with a large pubic fat pad.