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Management of Non-infectious complications during and after Inflatable Penile Prosthesis Placement

  • Jonathan Clavell-Hernández
  • Rafael Carrion
  • Run WangEmail author
Chapter
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Abstract

Penile prosthesis implantation is an effective treatment option for patients with medically refractory erectile dysfunction (ED). In the hands of an experienced surgeon, complication rate remains low. Although uncommon, non-infectious complications can be detrimental for patient satisfaction, quality of life and in rare cases, can even threaten the patient’s life. This chapter aims to discuss non-infectious complications during and after penile prosthesis placement. Corporal dilation, when difficult, may lead to complications such as proximal and distal perforations, crossover, erosion and floppy glans syndrome. Postoperatively, hematoma may delay device cycling and increase the risk for infection. Upgrades on the available devices have decreased the incidence of auto-inflation and pump-related complications. Depending on where the prosthetic reservoir is placed, this may lead to other issues which may include leakage, discomfort, torsion of the tubing and injury to bladder, bowel, and pelvic vasculature. The current literature gives us a historical perspective of overall low rates of complications especially with adherence to standard precautions and protocols.

Keywords

Penile prosthesis Erectile dysfunction Surgical complications Corporal crossover Corporal perforation Cylinder erosion Floppy glans Auto-inflation Glans hypermobility Reservoir complication 
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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Jonathan Clavell-Hernández
    • 1
  • Rafael Carrion
    • 2
  • Run Wang
    • 3
    • 4
    Email author
  1. 1.St Joseph Medical CenterHoustonUSA
  2. 2.University of South FloridaTampaUSA
  3. 3.Division of UrologyUniversity of Texas Health Science Center-McGovern Medical SchoolHoustonUSA
  4. 4.Department of UrologyUniversity of Texas MD Anderson Cancer CenterHoustonUSA

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