Reimplant After Removal of Infected Inflatable Penile Implant

VJPU 2017; 2: 103

Title: Reimplant After Removal of Infected Inflatable Penile Implant

Author(s): Koenraad van Renterghem

Key words: revision implant, severe fibrosis implant

This video demonstrates the case of a patient with an extensive history of previous implant and explant surgery of penile prosthesis. At the age of 30 years he was operated by a plastic surgeon because of an obscure erectile dysfunction (ED). Since that time he suffered from severe ED for which he underwent an Inflatable Penile Prosthesis 6 years later. Another 6 years later a revision due to mechanical dysfunction was necessary, this procedure resulted in an infection and explantation. One year later a Ambicor prosthesis was implanted with a corporplasty 2 months later, which ended unfortunately again with a new infection and new explant. One year after this explant a new implant seemed impossible. 12 Years later, at the age of 58,  after a previous resection of an old suture 5 months before, he underwent a successful new implant with a malleable prosthesis (Genesis, 13 cm). In this video we demonstrate how to handle severe fibrosis making a new implant possible. It is obvious that this kind of surgery should be taken care of by experienced high volume implant surgeons..

Acknowledgements: Educational grant from Coloplast.

Disclosures: Consultant for Coloplast, Boston Scientific.

References:

1. Trost et al. Critical appraisal and review of management strategies for severe fibrosis during penile implant surgery. J Sex Med 2015 Nov; 12 Suppl 7: 439-47.

2. Sansalone et al. Simultaneous total corporal reconstruction and implantation of a penile prosthesis in patients with erectile dysfunction and severe fibrosis of the corpora cavernosa. J Sex Med 2012 Jul; 9 (7): 1937-44

3. Yafi et al. Strategies for penile prosthesis placement in Peyronie’s disease and corporal fibrosis. Curr Urol Rep 2015 Apr; 16 (4): 21.