Endoscopic retrieval of a penile prosthesis' rear-tip extender.
BACKGROUND
The renewal of penile prosthesis is a foreseeable intervention because of the limited survival time of the different implants. It usually becomes necessary simply for material fatigue after long-term regular use; in some cases, premature intervention might be necessary because of infection or other perioperative complications.


OBJECTIVE
In the case presented here, the removal of a Dynaflex penile prosthesis showed a missing rear-tip extender on the right-hand tube.


METHODS
A cavernoscopy of the right cavernous body was performed by using a conventional urethrocystoscope. The found rear-tip extender was extracted by using alligator forceps via the cystoscopic device.


RESULTS
A new AMS CX hydraulic cavernous body prosthesis was successfully implanted. It has proven fully functional up to the current follow-up control.


CONCLUSIONS
This case shows that cavernoscopy is a gentle intraoperative procedure for diagnosing and removing material in penile prosthesis surgery.
Department of Urology, University Clinic Schleswig-Holstein, Campus Kiel, Kiel, Germany. annemunk@uksh-kiel.de
Anne-Kathrin
AK
Munk-Hartig
Sven Henrik
SH
Stübinger
Klaus-Peter
KP
Jünemann
Christof
C
van der Horst
D000368:Aged; D003558:Cystoscopy; D020878:Device Removal / Q000295:instrumentation*; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D015917:Penile Prosthesis / Q000009:adverse effects*; D010413:Penis / Q000293:injuries / Q000601:surgery*