2 CASE HISTORY AND EXAMINATION SUPPLEMENTED WITH X-RAYS
A 42-year-old truck driver has suffered soft glans syndrome and glans shrinkage in the last two years after his sixth penile implant performed elsewhere in 2021. Subsequently, he enjoyed the intromission sex per two days afterward. Soft glans syndrome and a shrunk glans size are aggravated gradually, intolerable conspicuous complaints from his female partner. He started his sixth journey with the penile implant at the age of 27 when a penile implant with a three-piece inflatable (AMS 700) type was made in 2008 elsewhere. It was removed because of an early infection followed by a mechanical failure, which made him commit the first suicide attempt. Then, a malleable type (Spectra) penile implant was made in another medical center elsewhere. He consulted us with an incomplete hinge because of uncomfortable pressures resulting from the prosthesis’s hinging attempt despite reassurance made for many months by his attending surgeon. An extra extender was disclosed by KUB (Fig. A, B), which was removed by our salvage surgery (Fig. 1 C, D). A malleable implant should be inconvenient for holding heavy boxes during his professional work; he receives an inflatable, malleable, inflatable (Fig. 1 E, F), and a malleable type of implant, respectively, in different medical institutes, from age 36 to 40. In 2021, a suicide attempt sustained and traumatized his left hip joint, which was fixed by three nails. It resulted from no sexual function and fewer job opportunities, which was improved in late 2021. then, a single malleable implant was housed in his right corpus cavernosum; meanwhile, he was told that the left-side corpus was too fibrotic, narrowing to be implanted elsewhere.