Protrusion of the penile implant reservoir into the urinary bladder. A clinical case and literature review

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Resumo

The placement of penile implants is recognized as an effective method of treating severe erectile dysfunction (ED), with high satisfaction rates among patients and their partners. However, like any surgical procedure, it is not without the risk of complications.

A rare clinical case of protrusion of the reservoir of a penile implant into the bladder is presented in the article. This complication carries the risk of losing all components of the implant, as well as serious consequences for the patient's health. A brief review of the literature devoted to this complication is also provided.

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Sobre autores

Magomed Asadulaev

FGAOU I. M. Sechenov First Moscow State Medical University

Autor responsável pela correspondência
Email: asadulaev007@mail.ru
ORCID ID: 0009-0002-3159-692X

Ph.D. student at the Institute for Urology and Human Reproductive Health

Rússia, 119435, Moscow, B. Pirogovskaya st. 2, building 1

Mikhail Enikeev

FGAOU I. M. Sechenov First Moscow State Medical University

Email: asadulaev007@mail.ru
ORCID ID: 0000-0002-3007-1315

Ph.D., MD, professor at the Institute for Urology and Human Reproductive Health

Rússia, 119435, Moscow, B. Pirogovskaya st. 2, building 1

Dmitry Korolev

FGAOU I. M. Sechenov First Moscow State Medical University

Email: korolevdmitryo@gmail.com
ORCID ID: 0000-0001-8861-8187

Ph.D., associate professor at the Institute for Urology and Human Reproductive Health 

Rússia, 119435, Moscow, B. Pirogovskaya st. 2, building 1

Leonid Rapoport

FGAOU I. M. Sechenov First Moscow State Medical University

Email: leonidrapoport@yandex.ru
ORCID ID: 0000-0001-7787-1240

Ph.D., MD, professor at the Institute for Urology and Human Reproductive Health 

Rússia, 119435, Moscow, B. Pirogovskaya st. 2, building 1

Khaled Mahdy

FGAOU I. M. Sechenov First Moscow State Medical University

Email: khaledhisham112@outlook.com
ORCID ID: 0009-0008-5578-0485

5-year student, Institute for Urology and Human Reproductive Health 

Rússia, 119435, Moscow, B. Pirogovskaya st. 2, building 1

Bibliografia

  1. Salonia A., Bettocchi C., Boeri L., Capogrosso P., Carvalho J., Cilesiz N.C. et al. European Association of Urology Guidelines on Sexual and Reproductive Health–2021 Update: Male Sexual Dysfunction[Formula presented]. Eur Urol. 2021. https://doi.org/10.1016/j.eururo.2021.06.007.
  2. Minervini A., Ralph D.J., Pryor J.P. Outcome of penile prosthesis implantation for treating erectile dysfunction: Experience with 504 procedures. BJU Int 2006. https://doi.org/10.1111/j.1464-410X.2005.05907.x.
  3. Narang G.L., Figler B.D., Coward R.M. Preoperative counseling and expectation management for inflatable penile prosthesis implantation. Transl Androl Urol 2017. https://doi.org/10.21037/tau.2017.07.04.
  4. Cayetano-Alcaraz A.A., Yassin M., Desai A., Tharakan T., Tsampoukas G., Zurli M. et al. Penile implant surgery-managing complications. Fac Rev 2021. https://doi.org/10.12703/r/10-73.
  5. Garber B.B., Morris A. Intravesical penile implant reservoir: Case report, literature review, and strategies for prevention. Int J Impot Res 2013. https://doi.org/10.1038/ijir.2012.31.
  6. Izol V., Deger M., Kizilgok B., Aridogan I.A., Tansug M.Z. Management of erosion of inflatable penile prosthesis reservoir into bladder. A different approach. Arch Ital Di Urol e Androl 2019. https://doi.org/10.4081/aiua.2019.1.43.
  7. Leach G.E., Shapiro C.E., Hadley R., Raz S. Erosion of inflatable penile prosthesis reservoir into bladder and bowel. J Urol 1984. https://doi.org/10.1016/S0022-5347(17)50862-9.
  8. Fitch W.P., Roddy T. Erosion of inflatable penile prosthesis reservoir into bladder. J Urol 1986. https://doi.org/10.1016/S0022-5347(17)45218-9.
  9. Godiwalla S.Y., Beres J., Jacobs S.C. Erosion of an inflatable penile prosthesis reservoir into an ileal conduit. J Urol 1987. https://doi.org/10.1016/S0022-5347(17)43986-3.
  10. Dupont M.C., Hochman H.I. Erosion of an inflatable penile prosthesis reservoir into the bladder, presenting as bladder calculi. J Urol 1988. https://doi.org/10.1016/S0022-5347(17)42418-9.
  11. Munoz J.J., Ellsworth P.I. The retained penile prosthesis reservoir: A risk. Urology 2000. https://doi.org/10.1016/S0090-4295(99)00601-9.
  12. Brusky J., Dikranin A., Aboseif S. Retrieval of inflatable penile prosthesis reservoir from the bladder. Int J Impot Res 2005. https://doi.org/10.1038/sj.ijir.3901303.
  13. Park J.K., Jang S.W., Lee S.W., Cui Y. Rare Complication of Multiple Revision Surgeries of Penile Prosthesis. J Sex Med 2005. https://doi.org/10.1111/j.1743-6109.2005.00100.x.
  14. Eldefrawy A., Kava B.R. An unusual complication during inflatable penile prosthesis implantation. Urology 2010. https://doi.org/10.1016/j.urology.2009.11.034.
  15. Kramer A.C., Chason J., Kusakabe A. Report of two cases of bladder perforation caused by reservoir of inflatable penile prosthesis. J Sex Med 2009. https://doi.org/10.1111/j.1743-6109.2009.01277.x.
  16. Tran C.N., Boncher N., Montague D.K., Angermeier K.W. Erosion of inflatable penile prosthesis reservoir into neobladder. J Sex Med 2013. https://doi.org/10.1111/jsm.12239.
  17. Rajpurkar A., Bianco F.F., Al-Omar O., Terlecki R., Dhabuwala C. Fate of the retained reservoir after replacement of 3-piece penile prosthesis. J Urol 2004. https://doi.org/10.1097/01.ju.0000131454.51640.a3.
  18. Perito P.E. Ectopic reservoir placement – no longer in the space of Retzius. J Sex Med 2011. https://doi.org/10.1111/j.1743-6109.2011.02430.x.
  19. Jones L., Ryan R., Ghobriel A., Wilson S.K. The retained reservoir in inflatable penile prosthesis explantation. J Urol 2002; 167(4 Suppl): 150, abstract 601.
  20. Kotov S.V., Pavlov I.S., Denschikov M.B., Osadchinskiy A.E. A clinical case of severe vascular complication during implantation of three-piece inflatable penile prosthesis. Urologiia. 2022;6:106–110. doi: 10.18565/urology.2022.6.106-110. Russian (Котов С.В., Павлов И.С., Денщиков М.Б., Осадчинский А.Е. Клиническое наблюдение травмы магистрального сосуда при имплантации трехкомпонентного фаллопротеза. Урология. 2022;6:106–110. doi: 10.18565/urology.2022.6.106-110).

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2. Fig. 1. Data from the study of the abdominal organs (excretory phase) and pelvic organs, as well as the GPI reservoir, a) according to CT data; b) according to MRI data

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3. Fig. 2. Intraoperative picture: a – extraction of the penile implant reservoir; b – bladder wall defect (marked with arrow)

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