Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Sexual dysfunction

Immediate penile prosthesis for acute ischemic priapism

Ischemic priapism can result in erectile dysfunction if unresponsive to treatment. A recent study advocates immediate penile prosthesis implantation in patients with treatment-refractory ischemic priapism to avoid loss of penile length and to facilitate insertion of the prosthesis. Such a protocol may well become the standard of care in future.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

References

  1. Montague, D. K. et al. American Urological Association guideline on the management of priapism. J. Urol. 170, 1318–1324 (2003).

    Article  PubMed  Google Scholar 

  2. Hatzichristou, D. et al. Management strategy for arterial priapism: therapeutic dilemmas. J. Urol. 168, 2074–2077 (2002).

    Article  PubMed  Google Scholar 

  3. Bertram, R. A., Carson, C. C. III & Webster, G. D. Implantation of penile prostheses in patients impotent after priapism. Urology 26, 325–327 (1985).

    Article  CAS  PubMed  Google Scholar 

  4. Herschorn, S. & Ordorica, R. C. Penile prosthesis insertion with corporeal reconstruction with synthetic vascular graft material. J. Urol. 154, 80–84 (1995).

    Article  CAS  PubMed  Google Scholar 

  5. Montague, D. K. & Angermeier, K. W. Corporeal excavation: new technique for penile prosthesis implantation in men with severe corporeal fibrosis. Urology 67, 1072–1075 (2006).

    Article  PubMed  Google Scholar 

  6. Ralph, D. J. et al. The immediate insertion of a penile prosthesis for acute ischaemic priapism. Eur. Urol. 56, 1033–1038 (2009).

    Article  PubMed  Google Scholar 

  7. Carson, C. C. III. Efficacy of antibiotic impregnation of inflatable penile prostheses in decreasing infection in original implants. J. Urol. 171, 1611–1614 (2004).

    Article  PubMed  Google Scholar 

  8. Wolter, C. E. & Hellstrom, W. J. The hydrophilic-coated inflatable penile prosthesis: 1-year experience. J. Sex. Med. 1, 221–224 (2004).

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Ethics declarations

Competing interests

The author declares no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Montague, D. Immediate penile prosthesis for acute ischemic priapism. Nat Rev Urol 7, 187–188 (2010). https://doi.org/10.1038/nrurol.2010.43

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrurol.2010.43

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing