Bladder herniation through suprapubic incision for penile prosthesis.
To our knowledge, we present the first case of bladder herniation after insertion of an inflatable penile prosthesis. A 65-year-old man presented with a suprapubic bulge. He had his third inflatable penile prosthesis placed 1 year earlier. He had no voiding complaints but requested surgical intervention because the hernia was cosmetically undesirable. After the hernia sac was opened the majority of the bladder was found within it. The defect was repaired with Gore-Tex mesh and the reservoir replaced. One must consider bladder involvement in ventral hernias after penile prosthesis insertion, and a preoperative cystogram might assist in identifying hernia contents.
Ministrelli Program for Urologic Research and Education, Department of Urology, William Beaumont Hospital, Royal Oak, Michigan 48073, USA. IngberMD@aol.com
Michael S
MS
Ingber
Marianne M
MM
Franco
Mario R
MR
Villalba
Jose A
JA
Gonzalez
D000368:Aged; D006555:Hernia, Ventral / Q000209:etiology*; D006801:Humans; D008297:Male; D019935:Penile Implantation / Q000009:adverse effects*; D001745:Urinary Bladder Diseases / Q000209:etiology*