(496) Black Glans Syndrome After Penile Prosthesis Implantation

Introduction Penile prosthesis implantation is a surgical procedure with a very low complication rate, with ischemia or glans necrosis being some of the most feared complications. Glans necrosis is defined as ischemia of the glans caused by compromised arterial blood flow. It is characterized by a swollen, dark, blistered, or discolored glans, progressing to dry or wet ischemia if superinfection occurs. Although it is a rare syndrome, the diagnosis is mainly clinical, and there are other situations that induce changes in the color of the glans after an implant without necessarily involving glans ischemia. For this reason, we define the Black Glans syndrome as those situations that induce a dark coloration change of the glans following a penile prosthesis implant. Objective To describe and analyze clinical cases of Black Glans Syndrome following penile prosthesis implantation, differentiating its possible causes, progression, and management options-especially in the absence of vascular compromise. Methods We present 5 cases of Black Glans Syndrome following penile prosthesis implantation Results including 2 cases of glans ischemia and 3 cases secondary to submucosal hematoma and venous congestion. Their potential causes, evolution, and management of each case are described. A total of five cases of Black Glans Syndrome were observed following penile prosthesis implantation. Among these, two cases were diagnosed as true glans ischemia, presenting with dark discoloration, swelling, and clinical signs of compromised arterial blood flow. These cases required close monitoring and, in some instances, surgical intervention. The remaining three cases were attributed to submucosal hematoma or venous congestion, which also caused glans discoloration but without evidence of ischemia. These patients were managed conservatively, with no need to remove the prosthesis. Conclusions Black Glans Syndrome can occur in a very small percentage of patients undergoing penile prosthesis implantation in the immediate postoperative period and may be due to different causes. Based on our experience, if we correctly identify patients without vascular compromise, conservative management without removing the prosthesis is a valid option, but it requires very strict follow-up.A total of five cases of Black Glans Syndrome were observed following penile prosthesis implantation. Among these, two cases were diagnosed as true glans ischemia, presenting with dark discoloration, swelling, and clinical signs of compromised arterial blood flow. The remaining three cases were attributed to submucosal hematoma or venous congestion, which also caused glans discoloration but without evidence of ischemia. These patients were managed conservatively, with no need to remove the prosthesis. All cases were carefully followed, and those without vascular compromise showed favorable outcomes with conservative treatment. Disclosure No