Journal article
CT imaging of inflatable penile prosthesis complications: a pictorial essay
Abdominal radiology (New York), v 44(2), pp 739-748
15 Feb 2019
PMID: 30173304
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose
Inflatable penile prostheses (IPPs) are widely used in the United States, for patients with erectile dysfunction refractory to other treatments. Complications subsequent to IPP insertion include infection, hematoma, fluid leak, component (cylinder/pump/reservoir) complications, and retained previous IPP components. Radiologists are often called upon to identify and characterize these complications utilizing CT prior to intervention. Our paper aims to provide a guide to familiarize radiologists with normal IPP component imaging and review the CT findings of commonly encountered complications.
Methods
In this study, we retrospectively reviewed CT reports with descriptions of IPPs from 108 patients. We collected CT images of normal IPP components as well as reevaluated the CT findings of 33 patients with an IPP complication and correlated with immediately subsequent operative report.
Results
The CT appearance of appropriately positioned normal IPP components in asymptomatic patients and each complication were described and compared to previous literature.
Conclusions
CT is a very useful modality to assess an IPP-related complication. It is inexpensive, fast, and immediately available in emergent situations, e.g., infection, hematoma, and component erosion. Additionally, CT is very sensitive and makes it easier to diagnose a system leak. It can identify most cylinder complications and pump malposition and can be extremely helpful to the surgeon in preoperative planning if revision is needed. After this review, the radiologist should be able to identify normal IPP components and their complications.
Metrics
Details
- Title
- CT imaging of inflatable penile prosthesis complications: a pictorial essay
- Creators
- Huan L. Chou - Hahnemann University HospitalNancy A. Mohsen - Hahnemann University HospitalBruce B. Garber - Hahnemann University HospitalDavid C. Feldstein - Hahnemann University Hospital
- Publication Details
- Abdominal radiology (New York), v 44(2), pp 739-748
- Publisher
- Springer US
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiology (Radiologic Sciences)
- Web of Science ID
- WOS:000460502900036
- Scopus ID
- 2-s2.0-85053273468
- Other Identifier
- 991019167847204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Radiology, Nuclear Medicine & Medical Imaging