Surgical Management of Proximal and Distal Corporal Perforation in Inflatable Penile Prosthesis Revision: A Video Presentation

A. Majzoub

Revision surgery, Proximal corporal perforation, Distal corporal perforation

Revision inflatable penile prosthesis (IPP) surgery after infection is technically demanding due to dense corporal fibrosis, which increases the risk of intraoperative complications. This video case highlights the intraoperative recognition and management of both proximal and distal corporal perforations during revision surgery. Proximal perforation was managed with careful redirection of dilation and the placement of a sling suture to reinforce the tunica. Distal perforation was corrected by extending the incision and performing an additional distal corporotomy to secure cylinder positioning. These maneuvers were successfully performed in the same operative setting, resulting in stable device function with no malposition at closure. The presentation emphasizes practical surgical techniques for identifying and managing corporal perforations, underscoring the importance of ensuring safe surgical practices and preparedness in challenging revision prosthetic cases.

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