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A simple technique for removal of eroded penile prostheses
1Department of Urology, Johns Hopkins University School of Medicine, James Buchanan Brady Urological Institute, Baltimore, Maryland.
The Journal of Urology
|December 1, 1989
Summary
Penile prosthesis erosion into the urethra, though rare, can occur. A novel, incisionless bedside technique effectively removes eroded penile prostheses using only intravenous sedation.
Area of Science:
- Urology
- Medical Devices
- Surgical Complications
Background:
- Penile prosthesis erosion into the urethra is an uncommon but serious complication following implantation surgery.
- Factors contributing to erosion include oversized prostheses, surgical trauma, and postoperative infections leading to urethritis.
Purpose of the Study:
- To report a simple, minimally invasive technique for the removal of penile prostheses eroded into the urethra.
- To offer a bedside procedure that avoids the need for surgical incision.
Main Methods:
- A straightforward technique for removing eroded penile prostheses (malleable, self-contained inflatable, or mechanical) is described.
- The procedure is performed without any surgical incision.
- Intravenous sedation is the sole anesthetic requirement, allowing for bedside administration.
Main Results:
- The described technique facilitates the removal of eroded penile prostheses.
- The procedure's minimally invasive nature and bedside applicability are highlighted.
Conclusions:
- A simple, incisionless bedside technique using intravenous sedation is effective for removing urethral-eroded penile prostheses.
- This method offers a less invasive alternative for managing this specific prosthetic complication.