Moayid Fallatah1, Manerh Bin Mosa2, Ahmed Aljuhayman3, Naif Alhathal4. 1. Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. Electronic address: moayidomar@gmail.com. 2. Division of Urology, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia. Electronic address: Binmosa.m@gmail.com. 3. Division of Urology, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia. Electronic address: ah.aljuhayman@gmail.com. 4. Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. Electronic address: nalhathal@kfshrc.edu.sa.
Abstract
INTRODUCTION: Erectile dysfunction (ED) is a common health problem affecting 30% of young men worldwide. Despite the availability of non-invasive lines of management, penile prosthesis insertion is considered as a definite solution for ED. Despite strict perioperative measures, infection still complicates around 3% of penile prosthesis surgeries. PRESENTATION OF CASE: This is a case of a 36-year-old male who had an infected scrotal hematoma that led to prosthesis malfunction due to the inability to locate the pump to activate and deactivate the device. Intraoperatively, the prosthesis was salvaged after hematoma evacuation and ensuring a good device functionality. DISCUSSION AND CONCLUSION: Infected penile prostheses are usually either removed completely with a new device insertion a few months later or exchanged at the same setting with vigorous wound washout. We suggest salvaging penile implants which are surrounded by infected hematomas in selected patients who don't manifest systemic signs of infection. This approach will help in cost reduction and avoiding further intraoperative complications.
INTRODUCTION:Erectile dysfunction (ED) is a common health problem affecting 30% of young men worldwide. Despite the availability of non-invasive lines of management, penile prosthesis insertion is considered as a definite solution for ED. Despite strict perioperative measures, infection still complicates around 3% of penile prosthesis surgeries. PRESENTATION OF CASE: This is a case of a 36-year-old male who had an infected scrotal hematoma that led to prosthesis malfunction due to the inability to locate the pump to activate and deactivate the device. Intraoperatively, the prosthesis was salvaged after hematoma evacuation and ensuring a good device functionality. DISCUSSION AND CONCLUSION:Infected penile prostheses are usually either removed completely with a new device insertion a few months later or exchanged at the same setting with vigorous wound washout. We suggest salvaging penile implants which are surrounded by infected hematomas in selected patients who don't manifest systemic signs of infection. This approach will help in cost reduction and avoiding further intraoperative complications.
Authors: Riaz A Agha; Mimi R Borrelli; Reem Farwana; Kiron Koshy; Alexander J Fowler; Dennis P Orgill Journal: Int J Surg Date: 2018-10-18 Impact factor: 6.071
Authors: Rabih O Darouiche; Anthony J Bella; Timothy B Boone; Gerry Brock; Gregory A Broderick; Arthur L Burnett; Raphael Carrion; Culley Carson; Brian Christine; Chipriya B Dhabuwala; Lawrence S Hakim; Gerard Henry; LeRoy A Jones; Mohit Khera; Drogo K Montague; Ajay Nehra Journal: Urology Date: 2013-08-16 Impact factor: 2.649
Authors: E Muñoz-Mahamud; S García; G Bori; J C Martínez-Pastor; J A Zumbado; J Riba; J Mensa; A Soriano Journal: Arch Orthop Trauma Surg Date: 2011-03-09 Impact factor: 3.067
Authors: Laurence A Levine; Edgardo F Becher; Anthony J Bella; William O Brant; Tobias S Kohler; Juan Ignacio Martinez-Salamanca; Landon Trost; Allen F Morey Journal: J Sex Med Date: 2016-03-25 Impact factor: 3.802