Reservoir repositioning and successful thrombectomy for deep venous thrombosis secondary to compression of pelvic veins by an inflatable penile prosthesis reservoir.
BACKGROUND
We describe a 51-year-old man with a history of radiation therapy and large bowel diversion for rectal cancer who underwent an uneventful penile implant surgery for erectile dysfunction that was refractory to conservative therapy. The patient presented with acute left lower extremity swelling and pain a few days after surgery. Workup revealed compression of the pelvic veins by the prosthesis reservoir.


OBJECTIVE
To highlight an avoidable, adverse event related to penile prosthesis reservoirs.


METHODS
Retrospective review of a clinical case.


RESULTS
The patient underwent repositioning of the reservoir followed by venous thrombectomy and Greenfield filter placement.


CONCLUSIONS
To the best of our knowledge, this is the first report of an early diagnosis and successful thrombectomy of the external iliac and common femoral vein thrombosis secondary to reservoir compression. Awareness of this possible adverse event and the management strategy are helpful to surgeons who perform penile prosthesis surgery.
Brison
Daniel
D
UMDNJ New Jersey Medical School, Department of Surgery, Division of Urology, Newark, NJ 07103-2714, USA.
Ilbeigi
Pedram
P
Sadeghi-Nejad
Hossein
H
D003251:Constriction, Pathologic / Q000209:etiology; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015917:Penile Prosthesis / Q000009:adverse effects*; D011475:Prosthesis Failure; D011859:Radiography; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000209:etiology* / Q000601:surgery*