Abstract:
A 47-year-old male patient was admitted to our clinic after the
sudden loss of penile rigidity 6 months earlier and because of pain
radiating from his right groin to the rectal region and the beginnings of
tenesmus. He had undergone the implantation of a penile prosthesis
only onto his right corpus cavernosum secondary to a penile fracture.
The patient had no comorbid diseases, and his physical examination
and blood work were normal. Skin erosion secondary to the pressure
from the prosthesis was present inferior to the femoral triangle and
medial to the anterior thigh in the right groin region, and a hard object
was palpated. The other edge of the prosthesis was angled towards the
rectal region. After X-rays had been taken, a 14–15 cm-length radioopaque material was detected to have one edge pointed towards the
right femoral corpus and the other, towards the rectum (Figure 1). A
tubular operation material with a thickness of 1 cm started from the
area lateral to the anal canal under the skin and followed a path
through a long segment ending at the medial thigh region, according
to superficial tissue ultrasonography. His urine culture was sterile, and
his laboratory tests were normal. No fistula formations were found.
The migrated prosthesis was removed under spinal anaesthesia with
the help of a clamp and a dissector via an incision in the region of the
medial thigh. The location of the prosthesis was irrigated with a dilute
povidone iodine and gentamicin solution after the extraction of the
prosthesis. No complications were observed perioperatively. The
patient was discharged on postoperative day 1 with oral antibiotherapy. He had no complications at the first week, first month or third
month follow-ups after the operation.