Reimplant After Removal of Infected Inflatable Penile Implant

Van Renterghem, K.

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..

Educational grant from Coloplast.

Consultant for Coloplast, Boston Scientific.

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.