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Complex penile prosthesis reservoir extraction: a case series.

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Simultaneous removal of multiple infected inflatable penile prosthesis (IPP) reservoirs is feasible. Preoperative imaging is crucial for identifying all retained components to ensure complete explantation and patient recovery.

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Area of Science:

  • Urology
  • Surgical Innovation
  • Infectious Disease Management

Background:

  • Infection following inflatable penile prosthesis (IPP) implantation necessitates device explantation.
  • Identifying and removing all prosthetic components, especially multiple reservoirs, can be complex during acute infection.

Observation:

  • Three cases of acute infection requiring simultaneous explantation of multiple IPP reservoirs were identified.
  • Patients were unaware of the presence of more than one reservoir prior to surgery.
  • All explantations were performed successfully, with subsequent patient clinical improvement.

Findings:

  • Successful simultaneous removal of all retained IPP reservoir components is feasible.
  • Preoperative cross-sectional imaging is vital for identifying all hardware, including overlooked reservoirs.
  • A comprehensive operative plan is essential for complete foreign material retrieval.

Implications:

  • Advocates for a low threshold for cross-sectional imaging in infected IPP cases with multiple procedures.
  • Highlights the importance of thorough preoperative assessment to prevent retained surgical items.
  • Emphasizes the need for meticulous surgical planning to ensure complete explantation and improve patient outcomes in complex IPP infections.