Raheem Omer A, Cohen Seth D, Chandrasekaran Bindupriya, Goldstein Irwin
Urology Service, VA San Diego Healthcare System, San Diego, CA, USA.
J Sex Med. 2015 Jan;12(1):270-3. doi: 10.1111/jsm.12733. Epub 2014 Oct 29.
The development of a penile hydrocele following the placement of an inflatable penile prosthesis (IPP) for erectile dysfunction has never been documented. We herein report an unusual complication of penile hydrocele formation that developed following placement of an IPP for erectile dysfunction.
The penile hydrocele was successfully repaired by excision of the hydrocele sac.
Successful surgical repair of a penile hydrocele was accomplished following placement of an IPP without removal of any implant components. The penile implant was functional at the end of the procedure as well as at all scheduled follow-up appointments.
With advances in both surgical techniques and improved devise technology, high volume penile implanters encounter fewer IPP-related complications such as infectious or mechanical complications. We herein report for the first time a rare complication of penile hydrocele development after IPP placement that was treated successfully with surgical excision of the hydrocele sac. Urologists who perform these types of procedures should be aware of this unusual complication and know that it is curable with prompt diagnosis and meticulous surgical repair.
阴茎勃起功能障碍患者植入可膨胀阴茎假体（IPP）后发生阴茎鞘膜积液的情况此前从未有过记录。我们在此报告一例因植入 IPP 治疗勃起功能障碍后发生阴茎鞘膜积液的罕见并发症。
通过切除鞘膜成功修复阴茎鞘膜积液。
植入 IPP 后成功进行了阴茎鞘膜积液的手术修复，且未移除任何植入部件。阴茎假体在手术结束时以及所有预定的随访中均功能正常。
随着手术技术的进步和设备技术的改进，大量进行阴茎假体植入的医生遇到的与 IPP 相关的并发症（如感染或机械并发症）越来越少。我们在此首次报告 IPP 植入后发生阴茎鞘膜积液这一罕见并发症，并通过手术切除鞘膜成功治愈。进行此类手术的泌尿外科医生应意识到这一罕见并发症，并知道通过及时诊断和细致的手术修复是可以治愈的。
