https://doi.org/10.4081/aiua.2020.3.215

Management of complications in penile prosthesis reimplantation: A case report

Vol. 92 No. 3 (2020)
Submitted: April 2, 2020
Accepted: April 27, 2020
Published: October 2, 2020
Erectile dysfunction; Penile prosthesis complications; Reimplantation
Abstract Views: 787
PDF: 517
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Camilla Capretti
camilla.capretti2@gmail.com
Department of Urology, "Ospedali Riuniti" University Hospital and Marche Polythecnic University, Ancona, Italy.
Antonio Avolio
Department of Urology, Mazzoni Hospital, Ascoli Piceno, Italy.
Alberto Florio
Department of Urology, Mazzoni Hospital, Ascoli Piceno, Italy.
Silvia Giovannozzi
Department of Urology, Mazzoni Hospital, Ascoli Piceno, Italy.
Domenico De Carolis
Department of Urology, Mazzoni Hospital, Ascoli Piceno, Italy.

A 74-years-old patient, without comorbidity, underwent malleable penile prosthesis (MPP) implantation in 2007. In 2015, after a perineal trauma, he experienced stress urinary incontinence, medial extrusion of the left prosthetic cylinder and an urethrocavernous fistula. The cylinder was removed and an artificial urinary sphincter (AUS) implanted, together with a three-component inflatable penile prosthesis (IPP). The left corpus cavernosum (CC) was significantly shorter than the right one due to fibrosis. After 8 months, partial lateral extrusion of the right prosthetic cylinder prompted a replacement with a shorter extensor. Six months after, a new diastasis of the ruptured area occurred due to a further CC shortening. The extensor was removed and the cylinder shortened, with a dermal graft applied to the area. Long-term patient satisfaction was high.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Wilson SK: Reimplantation of inflatable penile prosthesis into scarred corporeal bodies. Int. J. Impot. Res. 2003; 15 DOI: https://doi.org/10.1038/sj.ijir.3901086
Boysen WR, Cohen AJ, Kuchta K, et al: Combined Placement of Artificial Urinary Sphincter and Inflatable Penile Prosthesis Does Not Increase Risk of Perioperative Complications or Impact Long-term Device Survival. Urology 2019; 124: 264–270. Available at: https://doi.org/10.1016/j.urology.2018.10.033. DOI: https://doi.org/10.1016/j.urology.2018.10.033
Lledó-García E, Jara-Rascón J, Moncada Iribarren I, et al: Penile Prosthesis First and Replacement Surgeries: Analysis of Patient and Partner Satisfaction. J. Sex. Med. 2015; 12: 1646–1653. Available at: http://dx.doi.org/10.1111/jsm.12932. DOI: https://doi.org/10.1111/jsm.12932

How to Cite

Capretti, C., Avolio, A., Florio, A., Giovannozzi, S., & De Carolis, D. (2020). Management of complications in penile prosthesis reimplantation: A case report. Archivio Italiano Di Urologia E Andrologia, 92(3). https://doi.org/10.4081/aiua.2020.3.215

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.