# Reimplantation of a malleable penile prosthesis in a patient with urethral erosion: a case report

## TL;DR

A man experienced a rare complication where his penile prosthesis eroded into the urethra and required removal and reimplantation.

## Contribution

This case report highlights the management of a rare complication involving penile prosthesis erosion and successful reimplantation.

## Key findings

- Penile prosthesis erosion through the urethra occurred one year after surgery.
- Manual extraction, catheterization, and antibiotics resolved the issue.
- Successful reimplantation was performed after urethral healing.

## Abstract

A 58-year-old man, initially treated for erectile dysfunction, presented with erosion of a penile prosthesis through the urethra one year after his surgical intervention. Clinical examination revealed the extrusion of the left penile prosthesis through the urethral meatus, associated with mild local inflammation and a fever of 39°C. The patient underwent manual extraction of the prosthesis, careful and delicate urethral catheterization, and antibiotic therapy. Two months later, he was readmitted for the insertion of a new penile prosthesis in the left corpora cavernosa and was discharged on the second postoperative day without complications. Thus, erosion of a penile prosthesis is a serious complication requiring prompt removal of the prosthesis, effective antibiotic treatment, and proper urethral healing.