World J Mens Health.  2016 Aug;34(2):145-147. 10.5534/wjmh.2016.34.2.145.

Pararectal Migration of a Malleable Rod: An Unusual Late Complication

• Kucukturkmen I
• Topcu YK
• Degirmenci T
• Aydogdu O
• Bozkurt IH
• Yarimoglu
• Polat S

• KMID: 2349851
• DOI: http://doi.org/10.5534/wjmh.2016.34.2.145

Abstract

A 75-year-old male had failed to respond conservative therapy for erectile dysfunction and had undergone insertion of a malleable penile prosthesis in 1995. Twenty years after the initial implant he presented with right-sided prosthesis localized in the buttock. There was no infection. The prosthesis was extracted through an incision in the right hip. As in the recent case, mechanical failures in malleable penile prosthesis models, can occur. Penile implant migration back to the buttock without a curve deformity is an extremely rare complication. Clinicians should be alert about possible late complications of penile prosthesis.

Keyword

Extrusion; Penile prosthesis; Prosthesis migration

MeSH Terms

Aged
Buttocks
Congenital Abnormalities
Erectile Dysfunction
Hip
Humans
Male
Penile Prosthesis
Prostheses and Implants
Prosthesis Failure

Figure

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  Fig. 1 A photograph showing the malleable penile prosthesis, which migrated posteriorly, passed close to the rectum wall and reached the skin of the right buttock.

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  Fig. 2 The extraction of the malleable penile prosthesis with a simple surgical procedure.

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  Fig. 3 A photograph of the 20-cm straight malleable penile prosthesis which was extracted from the patient's buttock.

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