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The retained penile prosthesis reservoir: a risk
1Section of Urology, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
Urology
|June 7, 2000
Summary
A rare complication of penile prostheses involves a retained abdominal reservoir eroding into the bladder, causing urinary symptoms years after device removal. This case highlights a unique long-term risk associated with inflatable penile prostheses.
Area of Science:
- Urology
- Medical Device Technology
- Surgical Complications
Background:
- Penile prostheses are used to treat erectile dysfunction.
- Common complications include mechanical failure, infection, and patient dissatisfaction.
- Rare complications require careful consideration for long-term patient management.
Observation:
- A patient experienced irritative voiding symptoms years after penile prosthesis removal.
- Imaging revealed erosion of a retained abdominal reservoir into the urinary bladder.
- This occurred following the removal of the penile components of a three-piece inflatable penile prosthesis.
Findings:
- The retained abdominal reservoir, a component of the inflatable penile prosthesis system, eroded into the bladder.
- This erosion led to significant irritative voiding symptoms.
- This represents a rare late complication, distinct from typical prosthesis issues.
Implications:
- Highlights the potential for rare, delayed complications from retained penile prosthesis components.
- Suggests the need for vigilance regarding long-term reservoir integrity and potential bladder interaction.
- Underscores the importance of complete device removal and follow-up in penile prosthesis surgery.