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Published on: June 6, 2018
Inflatable penile prosthesis (IPP): diagnosis of complications
Robert P Hartman1, Akira Kawashima2, Naoki Takahashi2
1Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. hartman.robert@mayo.edu.
Inflatable penile prostheses are used for erectile dysfunction. MRI is the best imaging method for detecting complications like mechanical failure or infection in these devices.
Area of Science:
- Urology
- Medical Imaging
Background:
- Inflatable penile prostheses are a standard treatment for erectile dysfunction (ED) when other methods fail.
- Complications can occur during or after surgery, including infection or mechanical issues.
Purpose of the Study:
- To highlight the common complications associated with inflatable penile prostheses.
- To emphasize the role of MRI in diagnosing these complications.
Main Methods:
- Review of potential complications related to inflatable penile prosthesis components (cylinder, reservoir, pump, tubing).
- Discussion of mechanical failures such as kinking, migration, aneurysmal dilation, erosion, and disconnection.
- Highlighting Magnetic Resonance Imaging (MRI) as the optimal diagnostic tool.
Main Results:
- Complications include infection and mechanical failures like kinking, migration, and erosion.
- Specific mechanical failures involve cylinder issues, tubing disconnection, and reservoir migration.
- MRI effectively visualizes all components in both flaccid and inflated states.
Conclusions:
- Inflatable penile prostheses can lead to various complications.
- MRI is the superior imaging modality for evaluating suspected inflatable penile prosthesis complications.
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