Another question for men with a malleable

[tobenormalagain]

I am about 9 weeks post-op Tactra implantation. Though I have mostly healed, the head of my penis has remained pretty tender and sensitive. I haven’t really looked closely at my penis lately but tonight I noticed that the right, distal tip is easily felt close to the skin surface and looks as if it has started to tent up the tissue. The left distal tip is not really felt and seems to be well engaged in the head of the penis. I’m worried that this is the beginning of erosion or if the right rod possibly needs to be repositioned? Anyone have any thoughts?

[LastHope]

If an individual is experiencing impending erosion, it can be repaired without needing an explanation using a procedure called distal corporoplasty in order to prevent erosion through the skin.

Please get it checked by your surgeon as soon as possible.

Some more details:
Distal Extrusion and Impending Cylinder Erosion of the Penile Prosthesis: a Clinical Challenge for the Urologist
Male and Female Surgical Interventions (AL Burnett and CC Carson III, Section Editors)
Published: 04 April 2016
Volume 8, pages 86–90, (2016)

Abstract
Distal extrusion with impending cylinder erosion through the distal corpus cavernosum is a significant complication of penile prosthesis surgery. Surgical repair is indicated to prevent cylinder perforation or erosion through the skin, which leads to infection and requires removal of all prosthesis components. The underlying cause is typically unrecognized tunical perforation during surgery, aggressive distal dilation, oversized cylinders, or repeated trauma. Extrusion is more common in patients with microangiopathy, prior radiation, corporal fibrosis, or decreased distal sensation. The two most prevalent methods for repair are distal corporoplasty or windsock graft reconstruction. Distal corporoplasty has been demonstrated to have superior outcomes to windsock grafts and is the method of repair that these authors favor. The goal of this review is to provide a background on distal penile prosthesis extrusion, along with potential treatment approaches, so that the surgeon may be familiar with this seemingly difficult, albeit rare, complication of penile prosthesis surgery.

Corporoplasty Technique for Repair of Impending Distal Cylinder Erosion: A Novel Technique:

https://www.vjsm.info/videos/all/corpor ... -technique