Management of tunica albuginea disruption secondary to malleable penile implant fracture: insights into etiology and surgical approach

Abstract Background The tunica albuginea is a key anatomical structure supporting penile implants. Several factors can lead to anatomical penile defects, contributing to penile prosthesis malfunction.The aim is to describe the consequences of malleable penile implant fractures, their contribution to...

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Main Author: Emad S Rajih
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Basic and Clinical Andrology
Subjects:
Online Access:https://doi.org/10.1186/s12610-025-00276-z
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author Emad S Rajih
author_facet Emad S Rajih
author_sort Emad S Rajih
collection DOAJ
description Abstract Background The tunica albuginea is a key anatomical structure supporting penile implants. Several factors can lead to anatomical penile defects, contributing to penile prosthesis malfunction.The aim is to describe the consequences of malleable penile implant fractures, their contribution to tunica albuginea defects, and management outcomes. Results All patients underwent malleable device surgery were reviwed retrospectively in our center. We included three patients with malleable penile implant disruption. Two patients underwent concomitant plication corporoplasty (PC) with device replacemen and one patient with device replacement only that showed intact tunica albuginea. The mean age at revision was 71.3 years. All patients achieved device stability and reported successful vaginal penetartion after PC and device replacement, with a median follow-up of 28 months. Conclusions Malleable penile device fractures are extremely rare findings. They can cause tunica albuginea disruption and tears, compromising penile penetration and device stability. Device replacement combined with PC is an essential component of successful vaginal pentration.
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spelling doaj-art-dd1dec2fc7b4481b9d2826e89ce9ca3b2025-08-20T03:04:26ZengBMCBasic and Clinical Andrology2051-41902025-08-013511710.1186/s12610-025-00276-zManagement of tunica albuginea disruption secondary to malleable penile implant fracture: insights into etiology and surgical approachEmad S Rajih0Urology Division, General and Specialized Surgery Department, College of Medicine, Taibah UniversityAbstract Background The tunica albuginea is a key anatomical structure supporting penile implants. Several factors can lead to anatomical penile defects, contributing to penile prosthesis malfunction.The aim is to describe the consequences of malleable penile implant fractures, their contribution to tunica albuginea defects, and management outcomes. Results All patients underwent malleable device surgery were reviwed retrospectively in our center. We included three patients with malleable penile implant disruption. Two patients underwent concomitant plication corporoplasty (PC) with device replacemen and one patient with device replacement only that showed intact tunica albuginea. The mean age at revision was 71.3 years. All patients achieved device stability and reported successful vaginal penetartion after PC and device replacement, with a median follow-up of 28 months. Conclusions Malleable penile device fractures are extremely rare findings. They can cause tunica albuginea disruption and tears, compromising penile penetration and device stability. Device replacement combined with PC is an essential component of successful vaginal pentration.https://doi.org/10.1186/s12610-025-00276-zErectile dysfunctionTreatmentCorporoplastyTunica Albuginea
spellingShingle Emad S Rajih
Management of tunica albuginea disruption secondary to malleable penile implant fracture: insights into etiology and surgical approach
Basic and Clinical Andrology
Erectile dysfunction
Treatment
Corporoplasty
Tunica Albuginea
title Management of tunica albuginea disruption secondary to malleable penile implant fracture: insights into etiology and surgical approach
title_full Management of tunica albuginea disruption secondary to malleable penile implant fracture: insights into etiology and surgical approach
title_fullStr Management of tunica albuginea disruption secondary to malleable penile implant fracture: insights into etiology and surgical approach
title_full_unstemmed Management of tunica albuginea disruption secondary to malleable penile implant fracture: insights into etiology and surgical approach
title_short Management of tunica albuginea disruption secondary to malleable penile implant fracture: insights into etiology and surgical approach
title_sort management of tunica albuginea disruption secondary to malleable penile implant fracture insights into etiology and surgical approach
topic Erectile dysfunction
Treatment
Corporoplasty
Tunica Albuginea
url https://doi.org/10.1186/s12610-025-00276-z
work_keys_str_mv AT emadsrajih managementoftunicaalbugineadisruptionsecondarytomalleablepenileimplantfractureinsightsintoetiologyandsurgicalapproach