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Complex penile prosthesis reservoir extraction: a case series

International Journal of Impotence Research volume 32, pages 122–125 (2020)Cite this article

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Abstract

Explantation of an inflatable penile prosthesis (IPP) reservoir in the setting of acute infection can be challenging. We identified three such cases of infection and simultaneous extraction of multiple reservoirs among patients with the most recent prosthetic surgeries performed between March 2016 and November 2018. These cases were reviewed with particular emphasis on preoperative and operative management. All three patients underwent successful simultaneous explantation of all retained hardware with subsequent clinical improvement in their clinical status. Prior to surgery, none of the patients were aware of the presence of more than one reservoir. All three patients recovered well post operatively. A subset of prosthetics patients have undergone multiple implant procedures at various sites. Due to the importance of retrieving all foreign material in the setting of acute infection, the authors advocate for a low threshold to obtain cross-sectional imaging to identify the tissue plane and laterality of any retained components, with particular emphasis on creating an operative plan for reservoir retrieval.

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Authors and Affiliations

  1. Department of Urology, Tulane University Medical Center, New Orleans, LA, 70112, USA

    Amit G. Reddy, Peter N. Tsambarlis, Christopher R. Koller & Wayne J. G. Hellstrom

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  1. Amit G. Reddy
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  2. Peter N. Tsambarlis
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  3. Christopher R. Koller
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  4. Wayne J. G. Hellstrom
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Correspondence to Wayne J. G. Hellstrom.

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Reddy, A.G., Tsambarlis, P.N., Koller, C.R. et al. Complex penile prosthesis reservoir extraction: a case series. Int J Impot Res 32, 122–125 (2020). https://doi.org/10.1038/s41443-019-0145-8

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