Penile implant revision surgery

Why revision is performed

• Mechanical failure — a fluid leak, a tubing problem, or a pump or valve fault.
• Infection involving the device.
• A component that is uncomfortable, badly positioned, or difficult to operate.
• Erosion, where a component presses through the tissue containing it.
• A device that has reached the end of its working life.
• Persistent dissatisfaction with the result, after proper assessment of why.

How revision differs from a first implant

The difference is scar tissue. The original surgery leaves fibrosis in and around the erectile bodies, which makes dissection harder, can reduce the space available for cylinders, and makes reservoir placement more complicated — especially if the previous reservoir position is unknown. Revision therefore takes longer, carries a higher risk of infection than a first implant, and requires more planning.

What to bring to a revision consultation

• The original operation note, if you can obtain it.
• The device make, model and size, and the implant card if you were given one.
• The date of the original surgery and of any subsequent procedures.
• A clear account of what is wrong now and when it started.
• Records of any infection, antibiotic treatment or imaging since.

What to expect from the assessment

Examination of the device in place, assessment of whether it inflates and deflates, and review of the tissue and skin. Imaging is sometimes used, particularly to locate a reservoir. The plan may be to replace one component, to replace the whole device, or — where there is infection — to remove it and reconsider later.

Recovery after revision

Broadly similar to a first implant, though swelling and discomfort can last longer and the timeline to activation may be more cautious. Your surgeon will set the timings for your specific operation.