IMPLANT REVISION
Care for penile implants and artificial sphincters that have stopped working, worn out, or moved, and for men who need a new implant after scarring or a treated infection.
COMMON PROBLEMS
Implant Problems, Complications, and Scarring
MECHANICAL FAILURE
Loss of Fluid or a Failed Pump
Erections that lose firmness, a device that inflates on its own, or a pump that has moved. Fixed by replacing the failed part or the whole device.
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COMPLICATIONS
Fixing Implant Complications
A drooping tip (SST deformity), a cylinder wearing toward the skin or urethra (impending erosion), a cylinder that has crossed over at the tip or base, a reservoir that has pushed through the belly wall, or a pump that sits too high. I work to prevent these, and to fix them when they happen.
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SCAR TISSUE
Implants With Scarring (Corporal Fibrosis)
Scar tissue inside the penis can follow Peyronie's disease, years of injections like Trimix, priapism, removal of an infected implant, or trauma. It makes placing an implant harder and can cost length. These cases take extra planning and special techniques to make room for the cylinders.
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AFTER AN INFECTION
A New Implant After Infection
An infected implant is an emergency, treated right away through the emergency room or by the urologist who placed it. Once that's settled, I can see you to plan a new inflatable implant, or to switch a malleable implant placed at the time of the infection to an inflatable one.
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SPHINCTER REVISION
Leakage Returning After a Sphincter
Over the years, the tissue under the cuff can thin and leakage can return. Fixed by changing the cuff size or position, or replacing the device.
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Related Conditions and Surgery
Revision surgery
Penile Implant Revision & Replacement
Replacing a failed or problem implant, correcting position or shape, and preserving length where possible.
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Revision surgery
Artificial Sphincter Revision
Changing the cuff or replacing the device when leakage returns.
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Complex implants
New Implant After Infection or Scarring
Planning a new inflatable implant once an infection has been treated, or when scar tissue makes placement harder.
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My implant stopped working. Do I need a whole new device?
What are signs of an infected implant?
Fever, redness or warmth over the device, drainage, pain that's getting worse instead of better, or any part pressing through the skin. These need prompt attention: call the urologist who placed your implant right away.
I had an infected implant removed. What now?
Once the infection is treated and you've healed, I can see you to talk about a new inflatable implant. If a malleable (bendable) implant was placed when the infected one came out, it can often be switched to an inflatable one later.
My sphincter worked for years and now I leak more. Why?
Can I come to you if someone else did my surgery?
Yes. Bring your operative notes and implant card.
Second opinion
Coming for a second opinion?
Bring the operative notes from every prior surgery, your implant card with the brand, model and date, and any recent urine culture results, so the plan can be made without repeating tests.
Problem With an Implant or Sphincter?
Bring your operative notes and device card. Book a consultation in Garden City or by video to review your history and options.
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