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Explants can be done via a circumcising incision and degloving, however we recommend a penile inversion approach to best access the distal implant tacking sutures.31 Although some authors report good results following explant and penile rehab,27,29 our group has described a case of significant curvature and penile retraction leading to loss of function (“penile cripple”) following the removal of an infected Penuma implant. Access is via penile inversion either through an infrapubic incision or by a “concealed” lateral scrotal incision near the penoscrotal junction.27 The Penuma implant (rebranded as the Himplant) is a tailorable soft silicone sleeve penile implant that has received FDA clearance for its use in the correction of soft tissue deformities.25,26 However, there are no absolute indications for Penuma. 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