The article reflects the history of treatment of benign prostatic hyperplasia from the age of antiquity to the present day. Approaches to surgical treatment have undergone significant changes in the last century – from traumatic open operations to minimally invasive surgical interventions using innovative endoscopic technologies. However, some issues in the treatment of benign prostatic hyperplasia remain unresolved which leads to the search for new, safer and more effective methods of surgical treatment of the disease.

The case report presents a clinical observation of urethral erosion that developed after a long-term presence of a urethral catheter in a patient after implantation of an artificial bladder sphincter. The stages of the patients surgical treatment are described. The frequency of such complications in patients with an established artificial bladder sphincter according to literature data is presented.

This case comprised treatment of a patient with penile injury involving damage to the urethra. Revision of the penis, suturing defects of the tunica cavernous membrane, and primary suture of the urethra were performed. The postoperative period was complicated by necrosis of the skin of the penis, requiring repeated surgical intervention. Replacement plasty of the skin of the penis, using skin from the outer surface of the thigh, was performed with a satisfactory result.