The removal of a three-piece hydraulic penile prosthesis may be necessary in complex cases such as cavernous body aneurysm or prosthesis displacement. These conditions require specialized surgical intervention aimed at resolving the issue while restoring penile functionality.
At Sapienza, University of Rome, Prof. Gabriele Antonini successfully performed such a procedure. The operation involved the removal of the damaged and displaced prosthesis, followed by the implantation of a new hydraulic penile prosthesis. A crucial step was the reconstruction of the left cavernous apex, which had been compromised by the condition.
Cavernous body aneurysm is a rare but severe complication that can result from trauma, infections, or improper use of the prosthesis. Its management requires in-depth anatomical knowledge and advanced surgical skills to preserve the integrity of the cavernous tissue. The success of the surgery depends not only on the surgeon’s technical ability but also on a multidisciplinary approach involving urologists, radiologists, and other specialists.
Through meticulous preoperative planning and the use of innovative techniques, Prof. Antonini ensured a positive outcome for the patient, significantly improving their quality of life.
