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Erosion of IPP components into bladder lumen and prostatic urethra
Aaron Bloch1, Logan Buchanan2, Lucille Cox1
1From the Department of Urology, University of Tennessee Health Science Center, Memphis, TN, USA.
Urology Case Reports
|July 23, 2024
Summary
Erosion of inflatable penile prosthesis (IPP) tubing into the prostate during a prostate surgery is a rare complication. This case details the first instance of IPP tubing eroding into the prostate, requiring explantation and cystotomy.
Area of Science:
- Urology
- Medical Device Complications
- Prosthetic Surgery
Background:
- Inflatable penile prostheses (IPPs) are used to treat erectile dysfunction.
- Erosion of IPP components into adjacent organs is a rare complication, occurring in less than 0.1% of cases.
- Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
Observation:
- During a TURP, IPP tubing was found to have eroded into the prostate.
- The IPP pump and cylinders were subsequently removed via a penoscrotal approach.
- The IPP reservoir was drained and retained for planned follow-up cystoscopy.
Findings:
- Follow-up cystoscopy revealed erosion of the IPP reservoir into the bladder lumen.
- An open cystotomy was performed to retrieve the bladder-eroded reservoir.
- This represents the first documented case of IPP tubing eroding into the prostate.
Implications:
- This case highlights a rare but significant complication of IPP placement in patients undergoing prostate surgery.
- It underscores the importance of careful surgical planning and awareness of potential device migration.
- Further investigation into risk factors and preventative strategies for IPP erosion may be warranted.
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