Inflatable penile prosthesis malfunction after prostatic urethral lift

We report a case of malfunction of an inflatable penile prosthesis (IPP) after prostatic urethral lift (PUL) necessitating surgical intervention. A 70 year-old male underwent PUL for benign prostatic hyperplasia after IPP implant for organic erectile dysfunction. After PUL, the patient experienced IPP malfunction where he underwent subsequent IPP removal and replacement. A pinhole defect was noted in the reservoir upon removal attributable to PUL. Performing PUL before IPP implantation should be considered in light of potential iatrogenic PUL needle deployment injury.