Novel J-Shaped Pump Repositioning Approach in Penile Prosthesis Revision Surgery

A. Al Saeedi, O. Canguven, A. Al Malki, K. Al Kubaisi

Penile prosthesis implantation, Malpositioned pumps, Scrotal erosion, Exploration, Tubing, Scrotum

Penile prosthesis implantation is the gold standard for refractory erectile dysfunction, yet pump malposition remains a significant complication. Malposition can lead to pain, functional difficulty, and potential scrotal erosion with infection risk. We present a novel revision technique using a J-shaped tubing configuration to stabilize the pump. In the reported case, surgical exploration with capsule excision allowed full pump mobilization. Instead of trimming redundant tubing, a smooth J-loop was created and secured with absorbable suture, relieving tension and preventing kinking. The pump was anchored in a dependent, accessible scrotal position. Outcomes included uncomplicated recovery, restored device function, and improved patient satisfaction. This simple, safe, and durable technique offers an effective solution for complex pump malposition in prosthetic urology.

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