Inflatable penile prosthesis implantation into scarred corporal bodies: timing may decrease postoperative problems

BJU Int. 2020 Jan;125(1):168-172. doi: 10.1111/bju.14859. Epub 2019 Jul 29.

Abstract

Objectives: To compare the rates of intra- and postoperative complications between early (<4 months) or delayed (>4 months) inflatable penile prosthesis (IPP) re-implantation performed after a fibrosis-inducing event.

Patients and methods: Cases of IPP re-implantation were performed by a single, high-volume prosthetic surgeon in hospitals domestically and abroad over a 15-year period (2001-2016). The time interval from the precipitating event to operation, intra-operative complications and postoperative complications for up to 1 year after implantation, were recorded.

Results: A total of 72 cases of IPP re-implantation were recorded. There were 16 (53%) intraoperative complications in patients who had surgery at <4 months (Group 1) and 23 (55%) in patients operated at >4 months (Group 2). There were four (13%) postoperative complications in Group 1 and 14 (33%) in Group 2.

Conclusion: Re-implantation of an IPP into fibrotic corporal bodies is associated with less serious postoperative complications when performed within 4 months of the fibrosis-inducing event.

Keywords: #Andrology; corporal fibrosis; erosion; perforation; priapism; prosthesis.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Cicatrix / complications*
  • Erectile Dysfunction / complications*
  • Erectile Dysfunction / surgery*
  • Fibrosis / complications
  • Humans
  • Intraoperative Complications / epidemiology*
  • Male
  • Penile Diseases / complications*
  • Penile Implantation / methods*
  • Penile Prosthesis*
  • Penis / pathology*
  • Penis / surgery*
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / prevention & control*
  • Prosthesis Design
  • Reoperation
  • Retrospective Studies
  • Time Factors