Reservoir Repositioning and Successful Thrombectomy for Deep Venous Thrombosis Secondary to Compression of Pelvic Veins by an Inflatable Penile Prosthesis Reservoir

Authors

  • Daniel Brison MD,

    1. UMDNJ New Jersey Medical School, Department of Surgery, Division of Urology, Newark, NJ, USA;
    2. VA New Jersey Health Care System, East Orange, NJ, USA
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  • Pedram Ilbeigi DO,

    1. UMDNJ New Jersey Medical School, Department of Surgery, Division of Urology, Newark, NJ, USA;
    2. VA New Jersey Health Care System, East Orange, NJ, USA
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  • Hossein Sadeghi-Nejad MD

    Corresponding author
    1. UMDNJ New Jersey Medical School, Department of Surgery, Division of Urology, Newark, NJ, USA;
    2. Hackensack University Medical Cener—Urology, Hackensack, NJ, USA;
    3. VA New Jersey Health Care System, East Orange, NJ, USA
      Hossein Sadeghi-Nejad, MD, UMDNJ New Jersey Medical School, Department of Surgery, Division of Urology, 185 South Orange Ave, MSB G 536, Newark, NJ 07103-2714, USA. Tel: (973) 972-4488; Fax: (973) 395-7197; E-mail: hossein@ix.netcom.com
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Hossein Sadeghi-Nejad, MD, UMDNJ New Jersey Medical School, Department of Surgery, Division of Urology, 185 South Orange Ave, MSB G 536, Newark, NJ 07103-2714, USA. Tel: (973) 972-4488; Fax: (973) 395-7197; E-mail: hossein@ix.netcom.com

ABSTRACT

Introduction.  We describe a 51-year-old man with a history of radiation therapy and large bowel diversion for rectal cancer who underwent an uneventful penile implant surgery for erectile dysfunction that was refractory to conservative therapy. The patient presented with acute left lower extremity swelling and pain a few days after surgery. Workup revealed compression of the pelvic veins by the prosthesis reservoir.

Aim.  To highlight an avoidable, adverse event related to penile prosthesis reservoirs.

Methods.  Retrospective review of a clinical case.

Results.  The patient underwent repositioning of the reservoir followed by venous thrombectomy and Greenfield filter placement.

Conclusion.  To the best of our knowledge, this is the first report of an early diagnosis and successful thrombectomy of the external iliac and common femoral vein thrombosis secondary to reservoir compression. Awareness of this possible adverse event and the management strategy are helpful to surgeons who perform penile prosthesis surgery. Brison D, Ilbeigi P, and Sadeghi-Nejad H. Reservoir repositioning and successful thrombectomy for deep venous thrombosis secondary to compression of pelvic veins by an inflatable penile prosthesis reservoir. J Sex Med 2007;4:1185–1187.

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