Late Complication of Penile Prosthesis, penile hematoma with cavernous origin: a case report

Öz

Corporal perforation is a rare complication after penile prostheses. Here we present the case in which organised intracavernosal hematoma associated with the penile prosthesis. An 63 year old male patient who has been using flexible penile prostheses with the complaint of swelling of the penis. An ultrasound also revealed the mass as an organized hematoma.The patient was operated for the purpose of evacuation of the hematoma. When the liquid was discharged, there was  a gap between hematoma and the left crus and was found to be associated with the prosthesis. Before removing the prothesis, inside of the crus was washed with serum antibiotic. Daily dressings were done. On 10th day control of the wound, it was completely closed. Late complications due to  penile prosthesis occur mostly due to mechanical problems and hematoma associated with cavernous may also occur and can be treated without removing the penile prosthesis.

Anahtar Kelimeler

• Penile prosthese; Complication; Corporal perforation; Penile hematoma

Penil Protez Geç Dönem Komplikasyonu Organize Olmuş İntrakavernozal Hematom: Olgu Sunumu

Öz

Penil protez implantasyonu (PPI)  sonrası korporal perforasyon/erozyon nadir görülen bir komplikasyondur. Bu çalışmada PPI sonrası geç dönemde oluşan kavernöz kaynaklı penil hematom olgusunu sunduk. Bükülebilir penil protezi bulunan 63 yaşında erkek hastada 3 ay önce başlayan peniste şişlik şikayeti ile kliniğimize başvurdu.Yapılan tetkikler sonucu penil hematom tespit edildi. Hematom boşaltılması planlandı. Peroperatif hematomun kavernöz kaynaklı olduğu gözlendi. Hematom boşaltılması sonrası protez çıkartılmadan korpus kavernozum  içi antibiyotikli serum ile yıkandı ve primer tamir edildi. Ampirik antibiyoterapi ve günlük pansuman ile enfeksiyon oluşmadan yara yerinin 10.günde iyiliştiği gözlendi. PPI sonrası geç dönemde ençok mekanik sorunlar görülmekte olup kavernöz kaynaklı hematom da olabilir ve penil protez çıkarılmadan tedavi edilebilir.

Anahtar Kelimeler

• Penil protez; Komplikasyon; Korporal perforasyon; Penil hematom

Kaynakça

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