Endoscopic retrieval of a penile prosthesis' rear-tip extender.

INTRODUCTION

The renewal of penile prosthesis is a foreseeable intervention because of the limited survival time of the different implants. It usually becomes necessary simply for material fatigue after long-term regular use; in some cases, premature intervention might be necessary because of infection or other perioperative complications.

AIM

In the case presented here, the removal of a Dynaflex penile prosthesis showed a missing rear-tip extender on the right-hand tube.

MAIN OUTCOME MEASURES AND METHODS

A cavernoscopy of the right cavernous body was performed by using a conventional urethrocystoscope. The found rear-tip extender was extracted by using alligator forceps via the cystoscopic device.

RESULTS

A new AMS CX hydraulic cavernous body prosthesis was successfully implanted. It has proven fully functional up to the current follow-up control.

CONCLUSIONS

This case shows that cavernoscopy is a gentle intraoperative procedure for diagnosing and removing material in penile prosthesis surgery.