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Imaging review of male genitourinary devices and augmentations
Journal article   Open access   Peer reviewed

Imaging review of male genitourinary devices and augmentations

Andrew D. Chung, Yashant Aswani and Leo L. Tsai
European journal of radiology, Vol.199, 112829
06/2026
DOI: 10.1016/j.ejrad.2026.112829
PMID: 41932104
url
https://doi.org/10.1016/j.ejrad.2026.112829View
Published (Version of record) Open Access

Abstract

•Malleable penile prostheses are less common but may be preferable in patients with neurologic impairments or pelvic organ transplant.•Cosmetic enhancements may include both medical (Himplant™) and non-medical (penile pearls, free silicone injection) procedures.•Nonsurgical devices for treatment of male urinary incontinence include the Contino® urethral insert and penile clamps. Numerous male genitourinary devices exist to improve sexual function, for cosmetic enhancement, or for the treatment of incontinence. Familiarity with these devices is critical for accurate radiological interpretation, particularly as their utilization continues to increase with an aging population. Penile prostheses are implanted for the treatment of erectile dysfunction. Inflatable penile prostheses account for the majority of implantable devices and consist of paired cylinders within the corpora cavernosa that can be inflated to produce erection. Malleable penile prostheses are less common and cosmetically appealing but have lower rates of mechanical failure and may be preferable in patients with reduced dexterity. Cosmetic enhancements include medically placed devices to augment the appearance of the penile shaft such as the Himplant™ and non-medical modifications including placement of penile pearls or injection of free silicone. Treatments for male urinary incontinence may be both non-invasive, such as the Contino urethral insert or penile clamp, or surgically implanted, such as the artificial urinary sphincter. Prostatic urethral lifts may be used to treat symptoms of urinary retention related to benign prostatic hyperplasia. Miscellaneous devices may include SpaceOAR™ hydrogel, which is implanted between the prostate and rectum to reduce rectal dose during prostate radiotherapy.
 Artificial urinary sphincter Male Penile prosthesis Prostatic urethral lift SpaceOAR Urinary incontinence

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