Emir AKINCIOĞLU, Yusuf Özlem İLBEY, Orçun ÇELİK, Uygar MİÇOOĞULLARI, Furkan Umut KILIÇ

Malleabl penil protezin iki taraflı komplet fraktürü

GIRIŞ: Penis protezi implantasyonu, birinci ve ikinci basamak tedavi seçenekleri başarısız olan hastalarda erektil disfonksiyon için altın stan- dart tedavidir. Malleabl bir penil protez ile mekanik arıza çok nadirdir. Literatürde bilgilerimize göre sadece bir olguda çift taraflı malleable pe- nil protezin komplet fraktürü bildirilmiştir. OLGU: Bu, literatürde malleabl penil protezin iki taraflı komplet fraktü- rü bildiren ikinci vakadır. Aynı seansta önceki parçaları çıkardık ve yeni bir malleabl cihaz yerleştirdik. SONUÇ: Bu vakadan çok önemli dersler çıkardık; malleabl penil protez fraktürü ameliyatın geç bir komplikasyonu olarak görülebilir. Cinsel iliş- ki sırasında rahat olmayan hastalarda protez fraktürü akılda tutulmalıdır

Bilateral complete rod fracture of malleable penile prosthesis

OBJECTIVES: Penile prosthesis implantation is the gold standard treatment for erectile dysfunction in patients whose first and second- line treatment options gave unsuccessful results. Mechanical failure with a malleable penile prosthesis is very rare. To our knowledge in the literature only one case was reported a bilateral complete rod fracture of malleable penile prosthesis. CASE PRESENTATION: This is the second case in literature reporting a bilateral complete rod fracture of malleable penile prosthesis. We removed the previous pieces and implanted a new malleable device during the same session. CONCLUSIONS: We learned very important lessons with this case; mechanical failure of the malleable penile prosthesis can be seen as a late complication of the surgery. Rod fracture should be kept in mind in the patients who are not comfortable during sexual intercourse.

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