Delayed penile prosthesis implantation in the delayed presentation of ischemic priapism
Main Article Content
Abstract
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].
Article Details
Copyright (c) 2020 Mohamed I, et al.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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
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
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
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
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
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