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Abstract
Early experience with the inflatable penile prosthesis has been plagued with high
failure rates. With improvements in design and surgical technique, the relative incidence
of mechanical failures has decreased from 69.9% of all complications to 38.2%, increasing
the relative importance of pathologic failures (from 27.3% to 56.4%). The overall
complication rate has decreased from an initial 32.5% to 9.0% in recent series. A
unique case of small-bowel obstruction caused by intraluminal migration of the reservoir
of an inflatable penile prosthesis is described. It was successfully managed by resection
of the affected bowel loop and extraperitoneal reimplantation of the reservoir. Although
general surgeons are not involved in the placement of these devices, it is important
for us to be aware of the possibility of erosion and migration of the component parts,
which may result in potentially lethal gastrointestinal and other complications that
we may be called on to assess.
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References
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Article info
Publication history
Accepted:
October 11,
1988
Identification
Copyright
© 1989 Published by Elsevier Inc.
