How Blood‑Flow Problems Cause Erectile Dysfunction — and a New Way to Fix Them

What is it about?

What This Article Is About (Plain Language) This article describes a rare and challenging case involving a man with a penile implant who developed a shrinking, soft glans (the tip of the penis) and was at risk of prosthesis extrusion—meaning the implant was close to pushing through the skin. The patient had undergone six previous implant surgeries, switching between inflatable and malleable devices. After repeated use, the glans became soft and small, and the implant began to shift forward dangerously. The authors explain that: A soft, shrinking glans is a common but often overlooked problem in men with penile implants. Prosthesis extrusion can be prevented if surgeons understand the anatomy and take proper precautions. Many surgeons miss early signs because of insufficient anatomical awareness. The case highlights the need for better surgical technique, especially proper cylinder positioning and modern glans‑supporting methods. The purpose of the article is to raise awareness and show how improved anatomical understanding can help prevent implant failure and treat soft‑glans complications.

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Photo by Sakarie Mustafe Hidig on Unsplash

Photo by Sakarie Mustafe Hidig on Unsplash

Why is it important?

1. It highlights a common but overlooked complication A shrinking, soft glans is actually a frequent issue in men with penile implants, but many surgeons don’t recognize it early. This article brings attention to a problem that is often ignored, even though it affects patient satisfaction and implant success. 2. It warns about preventable prosthesis extrusion The patient in this case was at risk of prosthesis extrusion—when the implant pushes through the skin. The authors emphasize that this complication is preventable with proper surgical technique and awareness. 3. It shows how anatomical knowledge can change outcomes The report stresses that many complications happen because surgeons don’t fully understand the detailed anatomy of the glans and surrounding structures. Better anatomical understanding leads to better implant positioning and fewer failures. 4. It introduces strategies to treat soft glans The authors discuss newer glans‑enhancement techniques that can help stabilize the glans and prevent future problems. This is valuable for surgeons who want to improve long‑term outcomes for their patients. 5. It encourages the field to stop repeating old mistakes The article points out that recommendations to prevent extrusion were made 30 years ago, yet many surgeons still overlook them today. This case serves as a reminder that surgical progress requires learning from past evidence, not ignoring it.

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