Management of complications in penile prosthesis reimplantation: A case report

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...

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Main Authors: Camilla Capretti, Antonio Avolio, Alberto Florio, Silvia Giovannozzi, Domenico De Carolis
Format: Article
Language:English
Published: PAGEPress Publications 2020-10-01
Series:Archivio Italiano di Urologia e Andrologia
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/aiua/article/view/9003
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author Camilla Capretti
Antonio Avolio
Alberto Florio
Silvia Giovannozzi
Domenico De Carolis
author_facet Camilla Capretti
Antonio Avolio
Alberto Florio
Silvia Giovannozzi
Domenico De Carolis
author_sort Camilla Capretti
collection DOAJ
description 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.
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spelling doaj.art-b984738d7c674cc28c9ae06277311dbf2022-12-22T01:23:16ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972020-10-0192310.4081/aiua.2020.3.215Management of complications in penile prosthesis reimplantation: A case reportCamilla Capretti0Antonio Avolio1Alberto Florio2Silvia Giovannozzi3Domenico De Carolis4Department of Urology, "Ospedali Riuniti" University Hospital and Marche Polythecnic University, AnconaDepartment of Urology, Mazzoni Hospital, Ascoli PicenoDepartment of Urology, Mazzoni Hospital, Ascoli PicenoDepartment of Urology, Mazzoni Hospital, Ascoli PicenoDepartment of Urology, Mazzoni Hospital, Ascoli PicenoA 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.https://www.pagepressjournals.org/index.php/aiua/article/view/9003Erectile dysfunction; Penile prosthesis complications; Reimplantation
spellingShingle Camilla Capretti
Antonio Avolio
Alberto Florio
Silvia Giovannozzi
Domenico De Carolis
Management of complications in penile prosthesis reimplantation: A case report
Archivio Italiano di Urologia e Andrologia
Erectile dysfunction; Penile prosthesis complications; Reimplantation
title Management of complications in penile prosthesis reimplantation: A case report
title_full Management of complications in penile prosthesis reimplantation: A case report
title_fullStr Management of complications in penile prosthesis reimplantation: A case report
title_full_unstemmed Management of complications in penile prosthesis reimplantation: A case report
title_short Management of complications in penile prosthesis reimplantation: A case report
title_sort management of complications in penile prosthesis reimplantation a case report
topic Erectile dysfunction; Penile prosthesis complications; Reimplantation
url https://www.pagepressjournals.org/index.php/aiua/article/view/9003
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