Removal of a Detached Head of the Brooks Dilator from the Corpora Cavernosa During Penile Prosthesis Implantation
Article first published online: 2 MAY 2007
The Journal of Sexual Medicine
Volume 4, Issue 4ii, pages 1179–1181, July 2007
How to Cite
Hatzimouratidis, K., Koliakos, N., Koutsogiannis, I., Moisidis, K., Giakoumelos, A. and Hatzichristou, D. (2007), Removal of a Detached Head of the Brooks Dilator from the Corpora Cavernosa During Penile Prosthesis Implantation. Journal of Sexual Medicine, 4: 1179–1181. doi: 10.1111/j.1743-6109.2007.00506.x
- Issue published online: 2 MAY 2007
- Article first published online: 2 MAY 2007
- Erectile Dysfunction;
- Penile Prosthesis;
Introduction. Several complications during and after penile implantation have been reported. The most difficult part of the procedure seems to be the dilatation of the corpora, especially in fibrotic cases.
Aim. To report a rare intraoperative complication during dilatation of the corpora and its management.
Methods. During dilation of the corpora cavernosa with Brooks dilators for the implantation of penile prosthesis, its head was detached and stuck at the tip of the corpus cavernosum. Several trials to remove the head of the dilator using different kinds of clamps were unsuccessful. Finally, an incision was performed to the distal lateral part of the corpora cavernosa and the head of the dilator was removed. Implantation was completed uneventfully.
Results. The patient instructed to inflate the prosthesis and use it for sexual intercourse after 6 weeks. Follow-up was 14 months and the patient is using properly the prosthesis.
Conclusions. Although this is a very rare complication not previously described, we recommend examination of the dilators before use. Hatzimouratidis K, Koliakos N, Koutsogiannis I, Moisidis K, Giakoumelos A, and Hatzichristou D. Removal of a detached head of the Brooks dilator from the corpora cavernosa during penile prosthesis implantation. J Sex Med 2007;4:1179–1181.