Replacement of Inflatable Penile Prosthesis in a Patient With Excessive Penile Filling Volume

J. Borges Cabral Junior, R. José Lisboa Lyra, F. Tenório Lira Neto, L. Augusto Irineu Aguar Ramos, C. Fontan, M. Santos de Queiroz

Inflatable penile prosthesis, Inflatable penile prosthesis replacement, Penile filling, Genital aesthetics

A 45-year-old man with no comorbidities who underwent an inflatable penile prosthesis implant 8 years ago for the treatment of premature ejaculation presented with mechanical failure of the prosthesis a few months ago, unable to inflate it. One year ago, he underwent penile filler with hyaluronic acid for aesthetic purposes, presenting with a penis with a large volume of filler material and nodules, but with a free scrotum and an easily palpable pump. The surgical approach was performed through a transverse penoscrotal incision, providing easy access to the pump and connections. We promptly identified the site of mechanical failure of the prosthesis, which corresponded to a ruptured connection between the pump and one of the cylinders. Despite the anatomical changes observed in the penile shaft, the inflatable penile prosthesis was replaced uneventfully.

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