Meeting the growing demand: an operational blueprint for a 1500-case-per-year penile implant center of excellence

Abstract

The global demand for inflatable penile prosthesis (IPP) surgery continues to rise, yet little guidance exists on how mature, ultra-high-volume centers sustain efficiency, safety, and workflow at scale. Drawing on the experience of a single-surgeon center that performed more than 1500 primary inflatable penile prosthesis (IPP) implantations, this perspective outlines the operational philosophy and practical architecture that enabled such volume. The model relies on extreme task specialization within a 13-member team, a streamlined triage and consultation pathway, strict pre-operative standardization, and tightly choreographed surgical logistics using two dedicated operating rooms. Long-standing collaboration among team members enables procedure times of approximately 40 min and supports a daily schedule of 7–15 cases. Prospective patient tracking and consistent postoperative protocols contribute to exceptionally low infection and mechanical revision rates. By describing the elements that enable this level of surgical throughput, rather than presenting these practices as a rigid template, this Perspective aims to stimulate discussion on how high-volume principles can be adapted to diverse clinical environments and how procedural specialization may shape the future of prosthetic urology.