A case of Peyronie disease and priapism resulting from a 10-year-old penile prosthesis in a patient with dementia

Abstract

A community-dwelling, 79-year-old man with a history of moderate dementia presented to a clinic with his spouse to establish care. His spouse reported increased physical agitation, worsening at night, for the last several months. He had a penile prosthesis implanted 10 years prior. Upon examination, an intermittently high post-void residual volume was identified, which was explained by a mechanical interruption from urethral strictures from otherwise asymptomatic Peyronie disease, potentially causing mild priapism with inflation of the penile implant and consequently diminished urinary outflow. An intervention solution was then devised to improve patient’s quality of life. Providers should be aware of this potential problem unique to men as individuals age with implanted devices.