Rajih Emad S
Urology Division, General and Specialized Surgery Department, College of Medicine, Taibah University, Madinah, Saudi Arabia.
Urology Section, Department of Surgery, King Faisal Specialist Hospital and Research Center, Madinah, Saudi Arabia.
Basic Clin Androl. 2025 Aug 1;35(1):29. doi: 10.1186/s12610-025-00276-z.
The tunica albuginea is a key anatomical structure supporting penile implants. Several factors can lead to anatomical penile defects, contributing to penile prosthesis malfunction.The aim is to describe the consequences of malleable penile implant fractures, their contribution to tunica albuginea defects, and management outcomes.
All patients underwent malleable device surgery were reviwed retrospectively in our center. We included three patients with malleable penile implant disruption. Two patients underwent concomitant plication corporoplasty (PC) with device replacemen and one patient with device replacement only that showed intact tunica albuginea. The mean age at revision was 71.3 years. All patients achieved device stability and reported successful vaginal penetartion after PC and device replacement, with a median follow-up of 28 months.
Malleable penile device fractures are extremely rare findings. They can cause tunica albuginea disruption and tears, compromising penile penetration and device stability. Device replacement combined with PC is an essential component of successful vaginal pentration.
白膜是支撑阴茎假体的关键解剖结构。多种因素可导致阴茎解剖结构缺陷，进而导致阴茎假体功能障碍。目的是描述可屈性阴茎假体骨折的后果、其对白膜缺陷的影响以及治疗结果。
我们中心对所有接受可屈性阴茎假体手术的患者进行了回顾性研究。我们纳入了3例可屈性阴茎假体破裂患者。2例患者在更换假体时同时进行了白膜折叠成形术（PC），1例仅更换假体的患者白膜完整。翻修时的平均年龄为71.3岁。所有患者在接受PC和假体更换后均实现了假体稳定，并报告能够成功进行阴道性交，中位随访时间为28个月。
可屈性阴茎假体骨折极为罕见。它们可导致白膜破裂和撕裂，影响阴茎插入和假体稳定性。假体更换联合PC是成功进行阴道性交的重要组成部分。
