Corporoplasty using pseudocapsule for repair of penile implant erosion

Abstract

This is a case of a patient who presented to our clinic for evaluation of erosion of his IPP. He has had erectile dysfunction since 2012. He initially had a malleable placed in 2014 followed by a three piece inflatable penile prosthesis in 2015. Over time, the right side of his penis began to appear deformed. He then moved and was seen by a different provider for evaluation of gross hematuria. After noting the corporal defect on the right side, the patient was referred to us for further evaluation and management. After workup revealed no urethral erosion and no underlying abscess, we took him to the operating room for repair. Once we dissected down to the corporal body, we noticed thinning in the proximal-mid corpora with an obvious defect and erosion of the cylinder. Due to the thinning of the tissue, we used the pseudocapsule to provide for an additional coverage layer for our repair. We were able to replace the cylinder in the correct anatomic position and once closed, there was no longer any deformity present.

Complex reimplantation of an inflatable penile prosthesis with scar tissue excision and distal corporal defect repair with Tutoplast® pericardium allograft

“…Cadaveric allograft materials such as skin and dura mater have also been described [4,5] . In some cases, a plication of excess tunica albuginea or pseudo capsule can be used to reinforce the repair [6] . The use of the pseudo capsule, if reliable tissue, can be a simple and effective technique.…”