Isolated nerve palsy following insertion of a three-piece inflatable penile prosthesis

Case report of a 57 year-old male who underwent insertion of an inflatable penile prosthesis due to erectile dysfunction, secondary to poorly controlled Type two diabetes and Peyronie’s disease. The surgical procedure was uneventful and there were no immediate post-operative complications. During a routine follow up the patient described problems with the deflation of the implant and severe lower back and leg pain. Diagnostic MRI scans revealed reservoir migration, impingement of the obturator nerve and oedema in the adductor muscle group. The reservoir was initially repositioned, and later on removed due to on-going symptoms.

A Penile prosthesis in an organ transplanted diabetic: a challenging case

Most patients with erectile dysfunction have various comorbidities. These may lead to an increase in postoperative complications after penile prosthesis implantation especially with regard to prosthesis infection. This case study reports on the outcome of a penile prosthesis implantation in an immunocompromised patient with underlying comorbidities of diabetes and post kidney transplantation. A literature review regarding surgical site infection after this procedure reinforce the finding that the incidence of infection need be no greater than a non-immunocompromised patient.