Open AccessIsolated nerve palsy following insertion of a three-piece inflatable penile prosthesis
Author(s) -
Paulina Kosk,
Alastair McKay,
Arthur McPhee,
David M. J. Cowell,
Michael Fraser
Publication year - 2022
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20210158
Subject(s) - medicine , surgery , obturator nerve , inflatable , prosthesis , implant , erectile dysfunction , palsy , penile prosthesis , mechanical engineering , alternative medicine , pathology , engineering
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 2 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 ongoing symptoms.