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Updated: Jul 15, 2026
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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Long-term delayed extrusion of a penile prosthesis
Mauro Gacci1, Gianni Vittori, Gianluca Giubilei
1Department of Urology, University of Florence, Italy. maurogacci@yahoo.it
Summary
A rare case of penile prosthesis extrusion occurred in an 84-year-old man 20 years after implantation. The eroded prosthesis rod was successfully removed under local anesthesia.
Area of Science:
- Urology
- Medical Device Complications
Background:
- Erectile dysfunction (ED) management often involves penile prosthesis implantation.
- Semirigid prostheses are a long-term solution for ED.
- Complications can arise years after implantation.
Observation:
- An 84-year-old male presented with lower urinary tract symptoms and fever.
- The patient had a history of ED, iliac obliterans arteriopathy, and chronic renal failure.
- Partial extrusion of a semirigid penile prosthesis rod through urethral erosion was observed.
Findings:
- Spontaneous partial extrusion of a penile prosthesis rod occurred 20 years post-implantation.
- The extrusion was associated with urethral erosion and infection (fever).
- Manual removal of the eroded cylinder was successfully performed under local anesthesia.
Implications:
- This case highlights a late-onset complication of penile prosthesis surgery.
- Urethral erosion and extrusion require prompt diagnosis and management.
- Long-term surveillance for penile prosthesis complications is crucial.
