Removal of a Detached Head of the Brooks Dilator from the Corpora Cavernosa During Penile Prosthesis Implantation

Abstract

Introduction Several complications during and after penile implantation have been reported. The most difficult part of the procedure seems to be the dilatation of the corpora, especially in fibrotic cases. Aim To report a rare intraoperative complication during dilatation of the corpora and its management. Methods During dilation of the corpora cavernosa with Brooks dilators for the implantation of penile prosthesis, its head was detached and stuck at the tip of the corpus cavernosum. Several trials to remove the head of the dilator using different kinds of clamps were unsuccessful. Finally, an incision was performed to the distal lateral part of the corpora cavernosa and the head of the dilator was removed. Implantation was completed uneventfully. Results The patient instructed to inflate the prosthesis and use it for sexual intercourse after 6 weeks. Follow-up was 14 months and the patient is using properly the prosthesis. Conclusions Although this is a very rare complication not previously described, we recommend examination of the dilators before use.

Safety and Efficacy Outcomes of ZSI 475 Penile Prosthesis

“…The major intraoperative complications with three components penile implants are urethral perforation (unusual), perforations of the corpus cavernosum (1-11%) or crosses of cavernous prostheses during the procedure ( 7 , 8 ). None of these complications arose in our group of 28 patients.…”

Endoscopic Retrieval of a Penile Prosthesis' Rear-Tip Extender

“…During dilation of the corpora cavernosa with Brooks dilators while implanting a penile prosthesis, it may also occur that its head was detached and unable to be removed by using different kinds of clamps until a corporotomy was performed. Afterwards, the implantation of a penile prosthesis was completed uneventfully [6]. If the surgeon had supposed, moreover, that no second rear‐tip extender had been implanted, there might have been further postoperative complications such as pain, an immune reaction to foreign material, or infections [3].…”

Complications after penile implant surgery

“…В случае выраженных повреждений меатуса рекомендуется прекратить операцию ЭФП. При необходимости деривацию мочи можно осуществ-лять посредством эпицистостомического дренажа до момента заживления поврежденной уретры, а затем выполнить ЭФП надувными цилиндрами [8].…”