IMPLANT REVISION · COMPLEX CASES
Care for penile implants and artificial sphincters that have stopped working, worn out, or become infected, including fluid leaks, pump and reservoir problems, and urgent washout and replacement.
REVISION vs IMMEDIATE SALVAGE PROTOCOL
MECHANICAL FAILURE
Loss of Fluid or Pump Malfunction
Gradual loss of erection firmness, fluid autoinflation, or scrotal pump displacement. Managed with elective single-component or total device exchange through original hidden scars.
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EMERGENCY SALVAGE
Infection Salvage (Mulcahy Protocol)
Device infection once meant removing the implant and accepting scarring and shortening. In selected patients, a washout procedure allows a new implant to be placed during the same operation.
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AUS CUFF REVISION
AUS Recurrent Leakage & Atrophy
Urethral tissue remodeling over 5–10 years can cause recurring stress leakage. Resolved with transcorporal cuff down-sizing or cuff tandem repositioning to restore complete dryness.
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Specialized Prosthetic Revision Offerings
Complex Reconstruction
Penile Implant Revision & Replacement
Total system replacement with capsule preservation, corporal scar remodeling, and cylinder length maximization.
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Continence Restoration
AUS Sphincter Revision & Tandem Cuff
Cuff repositioning and pressure-regulating balloon replacement for recurrent post-prostatectomy leakage.
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Immediate Length Preservation
Infection Salvage & Washout Reconstruction
Prompt repair that aims to limit scarring and shortening.
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My implant stopped working. Do I need a whole new device?
Not always. Sometimes a single part can be replaced. Other times exchanging the whole device is the better choice. Testing and your operative records help decide.
What are signs of an infected implant?
Fever, redness or warmth over the device, pain that's getting worse instead of better, or any part pressing through the skin. These need prompt attention.
Can an infected implant be replaced right away?
In selected patients, the device can be removed, the area washed out, and a new implant placed during the same operation. This helps preserve length and avoid scarring.
My sphincter worked for years and now I leak more. Why?
Common reasons are thinning of the tissue under the cuff, wear in the device, or a new overactive bladder. Each has a different fix.
Can I come to you if someone else did my surgery?
Yes. Much of this work is revision of surgery done elsewhere. Bring your operative notes and implant card.
Facing a Prosthetic Complication or Breakdown?
Dr. Badkhshan sees patients with complex device problems from across the New York area. Book a consultation to review your history and options.
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