Autoinflation Leading to Failure of Two-Piece Ambicor Implantable Penile Prosthesis: An Outcome from a Methodical Treatment of Recalcitrant Stuttering Priapism
Introduction. We present the case of a patient who received a two-piece Ambicor penile prosthesis for idiopathic recurrent “stuttering” priapism refractory to other treatment options. The patient returned unable to deflate the device due to an interesting anatomically induced mechanical failure. Aim...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2014/529037 |
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| author | R. Charles Welliver Adam N. Fonseca Bradford L. West Kevin T. McVary Tobias S. Köhler |
| author_facet | R. Charles Welliver Adam N. Fonseca Bradford L. West Kevin T. McVary Tobias S. Köhler |
| author_sort | R. Charles Welliver |
| collection | DOAJ |
| description | Introduction. We present the case of a patient who received a two-piece Ambicor penile prosthesis for idiopathic recurrent “stuttering” priapism refractory to other treatment options. The patient returned unable to deflate the device due to an interesting anatomically induced mechanical failure. Aims. To describe the method and findings of this inflatable prosthesis failure. Results. Prosthesis failure occurred due to restrictive corporal diameter and the unique characteristics of fluid reservoir location in the two-piece inflatable prosthesis. The patient was successfully converted to a semirigid prosthesis with resolution of the pain that was due to his prosthesis autoinflation. Conclusion. Stuttering priapism remains a challenging clinical problem. Penile implantation is a reasonable long-term solution in a patient refractory to less invasive options. In patients with fibrotic corpora, a malleable device should be considered (at least temporarily) if unable to dilate comfortably to 13 mm. |
| format | Article |
| id | doaj-art-5d9dd3cf19b34f04b1b06c4de4aaabf5 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-5d9dd3cf19b34f04b1b06c4de4aaabf52025-02-03T01:21:37ZengWileyCase Reports in Urology2090-696X2090-69782014-01-01201410.1155/2014/529037529037Autoinflation Leading to Failure of Two-Piece Ambicor Implantable Penile Prosthesis: An Outcome from a Methodical Treatment of Recalcitrant Stuttering PriapismR. Charles Welliver0Adam N. Fonseca1Bradford L. West2Kevin T. McVary3Tobias S. Köhler4Division of Urology, Southern Illinois University School of Medicine, Springfield, IL 62794, USALouisiana State University Health Sciences Center, New Orleans, LA 70112, USADepartment of Nephrology, Springfield Clinic, Springfield, IL 62794, USADivision of Urology, Southern Illinois University School of Medicine, Springfield, IL 62794, USADivision of Urology, Southern Illinois University School of Medicine, Springfield, IL 62794, USAIntroduction. We present the case of a patient who received a two-piece Ambicor penile prosthesis for idiopathic recurrent “stuttering” priapism refractory to other treatment options. The patient returned unable to deflate the device due to an interesting anatomically induced mechanical failure. Aims. To describe the method and findings of this inflatable prosthesis failure. Results. Prosthesis failure occurred due to restrictive corporal diameter and the unique characteristics of fluid reservoir location in the two-piece inflatable prosthesis. The patient was successfully converted to a semirigid prosthesis with resolution of the pain that was due to his prosthesis autoinflation. Conclusion. Stuttering priapism remains a challenging clinical problem. Penile implantation is a reasonable long-term solution in a patient refractory to less invasive options. In patients with fibrotic corpora, a malleable device should be considered (at least temporarily) if unable to dilate comfortably to 13 mm.http://dx.doi.org/10.1155/2014/529037 |
| spellingShingle | R. Charles Welliver Adam N. Fonseca Bradford L. West Kevin T. McVary Tobias S. Köhler Autoinflation Leading to Failure of Two-Piece Ambicor Implantable Penile Prosthesis: An Outcome from a Methodical Treatment of Recalcitrant Stuttering Priapism Case Reports in Urology |
| title | Autoinflation Leading to Failure of Two-Piece Ambicor Implantable Penile Prosthesis: An Outcome from a Methodical Treatment of Recalcitrant Stuttering Priapism |
| title_full | Autoinflation Leading to Failure of Two-Piece Ambicor Implantable Penile Prosthesis: An Outcome from a Methodical Treatment of Recalcitrant Stuttering Priapism |
| title_fullStr | Autoinflation Leading to Failure of Two-Piece Ambicor Implantable Penile Prosthesis: An Outcome from a Methodical Treatment of Recalcitrant Stuttering Priapism |
| title_full_unstemmed | Autoinflation Leading to Failure of Two-Piece Ambicor Implantable Penile Prosthesis: An Outcome from a Methodical Treatment of Recalcitrant Stuttering Priapism |
| title_short | Autoinflation Leading to Failure of Two-Piece Ambicor Implantable Penile Prosthesis: An Outcome from a Methodical Treatment of Recalcitrant Stuttering Priapism |
| title_sort | autoinflation leading to failure of two piece ambicor implantable penile prosthesis an outcome from a methodical treatment of recalcitrant stuttering priapism |
| url | http://dx.doi.org/10.1155/2014/529037 |
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