Venous Thromboembolism Secondary to Penile Prosthesis

We report the case of a 65-year-old male who presented with an extensive iliofemoral venous thrombosis, which computed tomography demonstrated was secondary to compression of the right common and external iliac veins by a 5-cm diameter penile prosthesis reservoir. A similar occurrence has only been reported a handful of times previously, and only in urological journals, never in vascular literature. It is a potentially serious complication of penile prosthesis surgery, the risk of which can be minimized by ready awareness of this postoperative event.