While penile implants are a highly successful, long-term solution for erectile dysfunction, complications can occasionally occur. As a sub-specialized reconstructive practice, we specialize in evaluating and managing these complex device issues. Complications typically involve mechanical malfunctions over years of use (such as a fluid leak or pump failure), erosion or migration of components, or a localized device infection. Correcting these challenges requires expert reconstructive expertise to safely manage tissue health and, when appropriate, restore functional device utility.

Primary Symptoms

• Mechanical Failure: Complete loss of fluid pressure, an inability to pump the device to full stiffness, or an inability to deflate the cylinders cleanly.

• Device Infection: New, localized pain, persistent redness, swelling of the scrotum or shaft, or fluid drainage near the surgical sites.

• Anatomical Shift or Pain: Feeling a component shifting out of place, cylinder reshaping, or experiencing new discomfort during device activation.

Diagnostic Approach

1. Targeted Physical Palpation: Specialist examination to manually trace the cylinders, reservoir, and pump system to check for component integrity and tissue erosion.

2. High-Resolution Imaging: Utilizing specialized ultrasound or CT scans to visually verify the internal position, alignment, and fluid volumes of the implant components.

Recommended Surgical & Treatment Pathways

Dedicated Subspecialty Center: Prosthetic Revision & Infection Salvage Hub →

Surgical Reconstruction: Penile Prosthesis Placement, Revision, & Repair — Immediate Mulcahy antiseptic salvage protocol, distal SST correction, and rear-tip repositioning.