Intraoperative and postoperative complications of penile implant surgery. Diagnosis and treatment

Actas Urol Esp (Engl Ed). 2020 Jun;44(5):357-366. doi: 10.1016/j.acuro.2020.01.014. Epub 2020 May 11.
[Article in English, Spanish]

Abstract

We describe the most frequent complications associated with penile implant surgery, paying special attention to their practical management. We have analyzed preoperative complications and postoperative complications separately. The intraoperative include perforation of the corpora cavernosa during dilation, cylinder cross-over or cross-placement and urethral injury during implantation. The most frequent postoperative complications are mechanical failure, cylinder erosion and prosthesis infection. We emphasize on rescue surgery and reimplantation techniques in cavernous tissue fibrosis.

Keywords: Complicaciones intraoperatorias; Complicaciones postoperatorias; Intraoperative complications; Management of penile implant complications; Manejo de las complicaciones de las protesis de pene; Penile prosthesis; Postoperative complications; Prótesis de pene.

Publication types

  • Review

MeSH terms

  • Humans
  • Intraoperative Complications / diagnosis*
  • Intraoperative Complications / etiology
  • Intraoperative Complications / surgery*
  • Male
  • Penile Implantation* / adverse effects
  • Penile Prosthesis* / adverse effects
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*
  • Prosthesis Failure
  • Urologic Surgical Procedures, Male / instrumentation
  • Urologic Surgical Procedures, Male / methods