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Related Experiment Video

Updated: Dec 4, 2025

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

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Inflatable penile prosthesis malfunction after prostatic urethral lift.

Brian F Dinerman¹, J Francois Eid^1,2

¹Department of Urology, Lenox Hill Hospital, Zucker School of Medicine at Hofstra/Northwell, USA.

Urology Case Reports

|October 26, 2020

Summary

This summary is machine-generated.

Prostatic urethral lift (PUL) can cause inflatable penile prosthesis (IPP) malfunction due to needle injury. This case highlights the risk of PUL after IPP implantation, suggesting PUL should precede IPP placement.

Keywords:

Benign prostatic hyperplasia Inflatable penile prosthesis Malfunction of genitourinary device Prostatic urethral lift

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Published on: October 18, 2024

Area of Science:

Urology
Medical Devices
Surgical Complications

Background:

Benign prostatic hyperplasia (BPH) is common in older men.
Organic erectile dysfunction (ED) often requires treatment with inflatable penile prostheses (IPPs).
Prostatic urethral lift (PUL) is a minimally invasive BPH treatment.

Observation:

A 70-year-old male with a history of IPP implantation for ED underwent PUL for BPH.
Following PUL, the patient experienced a malfunction of his IPP.
Surgical intervention was required for IPP removal and replacement.

Findings:

A pinhole defect was discovered in the IPP reservoir during explantation.
The defect was attributed to iatrogenic injury from the PUL procedure.
This suggests a potential complication of performing PUL after IPP implantation.

Implications:

The findings suggest a need to reconsider the surgical sequence of PUL and IPP implantation.
Performing PUL before IPP placement may mitigate the risk of reservoir injury.
This case underscores the importance of considering device interactions in urological procedures.