Rachid Moussaab, Lazrak Omar, Rais Hamza, El Omri Ghassane, Houry Younes, Heddat Abdeljalil
Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco.
Pan Afr Med J. 2024 Dec 20;49:131. doi: 10.11604/pamj.2024.49.131.45236. eCollection 2024.
A 58-year-old man, initially treated for erectile dysfunction, presented with erosion of a penile prosthesis through the urethra one year after his surgical intervention. Clinical examination revealed the extrusion of the left penile prosthesis through the urethral meatus, associated with mild local inflammation and a fever of 39°C. The patient underwent manual extraction of the prosthesis, careful and delicate urethral catheterization, and antibiotic therapy. Two months later, he was readmitted for the insertion of a new penile prosthesis in the left corpora cavernosa and was discharged on the second postoperative day without complications. Thus, erosion of a penile prosthesis is a serious complication requiring prompt removal of the prosthesis, effective antibiotic treatment, and proper urethral healing.
一名58岁男性，最初因勃起功能障碍接受治疗，在手术干预一年后出现阴茎假体经尿道侵蚀。临床检查发现左侧阴茎假体经尿道口挤出，伴有轻度局部炎症和39°C发热。患者接受了假体手动取出、仔细轻柔的尿道插管及抗生素治疗。两个月后，他再次入院，在左侧海绵体植入新的阴茎假体，术后第二天出院，无并发症。因此，阴茎假体侵蚀是一种严重并发症，需要及时取出假体、进行有效的抗生素治疗以及促进尿道妥善愈合。
