Case Report

Delayed penile prosthesis implantation in the delayed presentation of ischemic priapism

IRZI Mohamed*, MHANNA Tarik, EL HOUMAIDI Amine, Mohammed Aynaou, Mehdi Chennoufi, OURAGHI Abdelghani, ALAOUI MHAMMEDI Wassim and Ali Barki

Published: 06 February, 2020 | Volume 4 - Issue 1 | Pages: 004-006

Priapism is currently defined as a prolonged painful erection without sexual stimuli, if priapism persists > 36 hours, conservative treatment does not lead to detumescence.

The most common etiologies are: medications into corpora cavernosa, anti-psychotics, anti-hypertensives, hematological disorders (chronic myeloid leukemia).

The Penile prosthesis is the choice treatment for restoring the erectile function after the failure of the conservative treatment.

But the corporal fibrosis makes it very difficult, with high risk of complications [1].

Read Full Article HTML DOI: 10.29328/journal.acr.1001028 Cite this Article Read Full Article PDF


Priapism; Fibrosis; Malleable penile prosthesis


  1. Sun HH, Zhang JH, DeWitt-Foy M, Waldron M, Mukherjee S, et al. Montague: Urologic Management of Priapism Secondary to Chronic Myeloid Leukemia. Urology. 2019; 125: 24-28. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30471371
  2. Capece M, La Rocca R, Mirone V, Bivalacqua TJ, Castiglione F, et al. A Systematic Review on Ischemic Priapism and Immediate Implantation: Do We Need More Data? Sex Med Rev. 2019; 7: 530-534. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30898595
  3. Rees RW, Kalsi J, Minhas S, Peters J, Kell P, et al. The management of low-flow priapism with the immediate insertion of a penile pros-thesis. BJU Int. 2002; 90: 893-897. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12460352
  4. Martinez-Salamanca JI, Mueller A, Moncada I, et al. Penile prosthesis surgery in patients with corporal fibrosis: a state of the art review. J Sex Med. 2011; 8: 1880-1889. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21492405
  5. Wilson SK, Zumbe J, Henry GD, Delk JR, Cleves MA, et al. Infection reduction using antibiotic-coated inflatable penile prosthesis. Urology. PubMed: 2007; 70: 337-340. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17826502
  6. Ralph DJ, Garaffa G, Muneer A, Freeman A, Rees R, et al. The immediate insertion of a penile prosthesis for acute ischaemic priapism. Eur Urol. 2009; 56: 1033-1038. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18930579


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