Impending erosion of penile prosthesis pump: Salvage management with pseudo-capsule excision and median raphe repositioning – A case report

Pump erosion is a rare complication of penile prosthesis implantation that often requires explantation. We present a 43-year-old diabetic male who developed impending pump erosion with scrotal skin thinning over a functional prosthesis pump. Salvage was performed by excision of the fibrotic pseudo-capsule and relocation of the pump into the median raphe, combined with antibiotic and antifungal irrigation. The patient recovered uneventfully with excellent cosmetic and functional outcomes. This case highlights pseudo-capsule excision and median raphe repositioning as a safe, effective salvage option in selected patients without infection.