Operative approach for secondary placement of penile prosthesis

Secondary placement of penile prosthesis was done in 8 patients following removal of the primarily placed prosthesis for extrusion and infection. Exposure of the corpora cavernosum along its entire length facilitated placement of semirigid prosthesis in each of these patients. The postoperative result was functional in all cases with a normal size in girth and parallel alignment of the distal tip of the prosthesis. In each case the secondarily placed prosthesis was shorter than the primarily placed prosthesis, and the amount of decrease in length appeared to be dependent on the severity of the complication that led to the removal of the primarily placed prosthesis.