What complications can occur when implanting a penile prosthesis?

It is a surgery that causes few problems. The most relevant is the infection of the prosthesis, which occurs in 2% of cases. To avoid it we use antibiotics during and after surgery, together with antibiotic-impregnated prostheses to further minimize this risk.

The implantation of a penile prosthesis is a surgical procedure that, although generally safe, may involve certain complications:

>> Intraoperative complications:

- Perforation of the corpora cavernosa: During dilatation, crural perforation of the proximal end of the corpus cavernosum may occur. This situation is relatively frequent and requires immediate attention to avoid major complications.

- Urethral injury: Although uncommon, there is a possibility of damage to the urethra during prosthesis placement, which may require additional interventions.

>> Postoperative complications:

- Infection: One of the most significant complications is infection of the prosthesis, which can lead to the need to remove the device. However, with improvements in surgical techniques and prosthesis design, the incidence of infection has been reduced considerably to below 5%.

- Mechanical failure of the prosthesis: Although modern prostheses are designed to be durable, there is a possibility of mechanical failure that may require revision or replacement of the device.

- Erosion or extrusion: In rare cases, the prosthesis may erode surrounding tissues or even extrude, which may require additional surgical intervention.

- Shortening of the penis: Some patients may perceive a decrease in penile length after implantation, especially if there was previous fibrosis in the corpora cavernosa.

- Postoperative pain: It is common to experience pain and swelling in the operated area during the first few weeks, although this usually resolves with time and proper management.

For all these reasons, it is essential to perform this surgery with a very experienced team that guarantees the success of the surgery.