Corporal perforation as a late complication of penile prosthesis

Abstract

Background and Design.- The true incidence of corporal perforation of penile prosthesis is unknown, but it is believed to be relatively rare. Here we report 2 cases with penile perforation out of 29 who under¬went penile prosthesis. Results.-Between 1991-1993, 21 semirigid and 8 inflatable penile prosthesis were implanted in 29 patients with organic erectile dysfunction. Infection and other early post-operative complications were not noticed. However, we experienced corporal per¬foration in two of our patients in 7th and 9th months after operation. These two patients had semirigid penile prostheses. In the first patient the rupture was intraurethral and in the second one below coronal sulcus. Conclusion.- Multiple urethral catheterization and urethritis, in the patient with urethral perfora¬tion, and erosion of fibrotic plaque during operation, in the other patient with Peyronie disease are possi¬ble causes of corporal perforation. As a result, corpo¬ral perforation should be recognized as a late com¬plication in patients who have corporal and urethral problems.