Removal of a detached head of the Brooks dilator from the corpora cavernosa during penile prosthesis implantation.
BACKGROUND
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.


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


METHODS
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.


RESULTS
The patient instructed to inflate the prosthesis and use it for sexual intercourse after 6 weeks. Follow-up was 14 months and the patient is using properly the prosthesis.


CONCLUSIONS
Although this is a very rare complication not previously described, we recommend examination of the dilators before use.
Hatzimouratidis
Konstantinos
K
Aristotle University of Thessaloniki--2nd Department of Urology and Center for Sexual and Reproductive Health, Thessaloniki, Greece.
Koliakos
Nikolaos
N
Koutsogiannis
Ioannis
I
Moisidis
Kyriakos
K
Giakoumelos
Alexandros
A
Hatzichristou
Dimitrios
D
D020878:Device Removal / Q000379:methods*; D007172:Erectile Dysfunction / Q000601:surgery*; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019935:Penile Implantation / Q000009:adverse effects* / Q000379:methods; D015917:Penile Prosthesis / Q000009:adverse effects*; D010413:Penis / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome