title: Retained rear-tip extenders in redo penile prosthesis surgery: a case for heightened suspicion and thorough physical examination.
abstract: BACKGROUND
  Penile Prosthesis infection is a dreaded complication that can occur after primary inflatable penile implants. Redo prosthesis operations and salvage procedures have become increasingly popular after these inflections. These operations, however, have higher rates of re-infection as compared to primary implants.
  
  
  OBJECTIVE
  We describe a patient who was referred for repeat redo penile prosthesis surgery in whom retained rear-tip extenders harboring purulent fluid was discovered during physical examination.
  
  
  RESULTS
  The patient underwent exploration and two rear-tip extenders were removed. He later underwent redo prosthesis insertion and the device remains fully functional and infection free at follow-up.
  
  
  CONCLUSIONS
  This case conveys the importance of a thorough physical examination and raises the index of suspicion for retained prosthesis fragments in patients with recurrent penile prosthesis infections.
authors.affiliation: UMDNJ New Jersey Medical School, Surgery, Division of Urology, Newark, NJ, USA. illbeigido@yahoo.com
authors.forename: Pedram
authors.initials: P
authors.lastname: Ilbeigi
authors.forename: Hossein
authors.initials: H
authors.lastname: Sadeghi-Nejad
authors.forename: Michelle
authors.initials: M
authors.lastname: Kim
mesh_terms: D000368:Aged; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D015917:Penile Prosthesis; D010808:Physical Examination; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed