Scrotal Abscess Precipitating Late Infection of a Malleable Penile Prosthesis: The Risk Never Evanesces.

Osama Mustafa,Sultan Althakafi,Said Kattan,Mohamed Kattan,Naif Alhathal

doi:10.1155/2016/3280418

Abstract

Although infrequent, infections represent the dreadful complication of penile prosthesis implantation. The incidence substantially decreases after a few infection-free postoperative months. We report herein a case of a very late penile prosthesis infection from a fistualizing scrotal abscess in a 67-year-old man. The patient presented with a one-month history of persistent penile-base discharge from a right hemiscrotal swelling. On examination, mild penile tenderness and a discharging penoscrotal-junction sinus were noted. Microbiological wound culture was positive for Staphylococcus epidermidis. Magnetic resonance imaging revealed this multiloculated fluid collection's communication with the right corporal body. Removal of the prosthesis was performed. Pathological evaluation of the dissected fistula was suggestive of acute on top of chronic inflammatory reactions. To our knowledge, this is the first report of a scrotal abscess leading to penile prosthesis infection 15 years after an uneventful implantation.

Highlights

The advances made in materials and designs of penile prosthetic implants have resulted in a dramatic reduction in the rate of mechanical failure and other complications [1, 2]
We report a rare case of scrotal abscess leading to late-onset infection 15 years after an uncomplicated penile prosthesis implantation
Scrotal abscess resulting in a 15-yearpostimplantation penile prosthesis infection is unique in the literature

Summary

Introduction

The advances made in materials and designs of penile prosthetic implants have resulted in a dramatic reduction in the rate of mechanical failure and other complications [1, 2]. Infections, the grave complication of penile prosthesis implantation, have been relatively uncommon to a degree that may explain the current lack of management guidelines and practice recommendations by the pertinent professional bodies [3]. While erosions represent a well-recognized delayed complication of penile prosthesis implantation [4, 5], late-onset infections are rare. It was estimated that only 2.6% of all penile prosthetic infections may occur after 5 years of implantation [6]. We report a rare case of scrotal abscess leading to late-onset infection 15 years after an uncomplicated penile prosthesis implantation

Case Presentation

Discussion

Findings

Conclusion