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.