Management of S-shaped deformity after inflatable penile prosthesis implantation without device exchange

D. K. Osmonov, A. M. Ragheb, A. S. Merseburger, B. Hazir

Inflatable, prosthesis, penile deformity, oversizing, S-shaped

Introduction

S-shaped penile deformity following inflatable penile prosthesis (IPP) implantation is an uncommon but distressing complication, often attributed to improper sizing. While device exchange is a conventional solution, conservative correction strategies may preserve the existing implant and reduce morbidity.

Objective

In this surgical video, we demonstrate a step-by-step correction of an S-shaped deformity caused by prosthesis oversizing, managed successfully without the need for device replacement.

Methods

A 24-year-old male with a Coloplast Titan Touch IPP implanted two years prior presented with pain and an S-shaped deformity of the left cylinder. MRI excluded erosion. Surgical exploration revealed no rear tip extender and confirmed prosthesis oversizing by 2 cm. The proximal cylinder was trimmed distal to the tubing junction, beveled to prevent erosion, and reinserted.

Results

Device inflation confirmed straight alignment and resolution of the deformity. The procedure was completed without replacing the prosthesis, and standard closure was performed.

Conclusions

This case highlights that selected IPP deformities due to oversizing may be corrected by careful intraoperative assessment and modification of the existing implant. Preserving the original prosthesis can be safe and effective, avoiding more invasive revision strategies.

None.

The authors have nothing to disclose