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

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. To report a rare intraoperative complication during dilatation of the corpora and its management. During di...

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Bibliographic Details
Published in:Journal of sexual medicine 2007-07, Vol.4 (4), p.1179-1181
Main Authors: Hatzimouratidis, Konstantinos, Koliakos, Nikolaos, Koutsogiannis, Ioannis, Moisidis, Kyriakos, Giakoumelos, Alexandros, Hatzichristou, Dimitrios
Format: Article
Language:English
Subjects:
Device Removal - methods
Dilatation
Erectile Dysfunction
Erectile Dysfunction - surgery
Fibrosis
Foreign-Body Migration - surgery
Humans
Male
Middle Aged
Penile Implantation - adverse effects
Penile Implantation - methods
Penile Prosthesis
Penile Prosthesis - adverse effects
Penis - pathology
Penis - surgery
Treatment Outcome
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Summary: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. To report a rare intraoperative complication during dilatation of the corpora and its management. 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. The patient instructed to inflate the prosthesis and use it for sexual intercourse after 6weeks. Follow-up was 14months and the patient is using properly the prosthesis. Although this is a very rare complication not previously described, we recommend examination of the dilators before use. Hatzimouratidis K, Koliakos N, Koutsogiannis I, Moisidis K, Giakoumelos A, and Hatzichristou D. Removal of a detached head of the Brooks dilator from the corpora cavernosa during penile prosthesis implantation.
ISSN:1743-6095
1743-6109
DOI:10.1111/j.1743-6109.2007.00506.x