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.
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References
Montague, D. K. et al. American Urological Association guideline on the management of priapism. J. Urol. 170, 1318–1324 (2003).
Hatzichristou, D. et al. Management strategy for arterial priapism: therapeutic dilemmas. J. Urol. 168, 2074–2077 (2002).
Bertram, R. A., Carson, C. C. III & Webster, G. D. Implantation of penile prostheses in patients impotent after priapism. Urology 26, 325–327 (1985).
Herschorn, S. & Ordorica, R. C. Penile prosthesis insertion with corporeal reconstruction with synthetic vascular graft material. J. Urol. 154, 80–84 (1995).
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).
Ralph, D. J. et al. The immediate insertion of a penile prosthesis for acute ischaemic priapism. Eur. Urol. 56, 1033–1038 (2009).
Carson, C. C. III. Efficacy of antibiotic impregnation of inflatable penile prostheses in decreasing infection in original implants. J. Urol. 171, 1611–1614 (2004).
Wolter, C. E. & Hellstrom, W. J. The hydrophilic-coated inflatable penile prosthesis: 1-year experience. J. Sex. Med. 1, 221–224 (2004).
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Montague, D. Immediate penile prosthesis for acute ischemic priapism. Nat Rev Urol 7, 187–188 (2010). https://doi.org/10.1038/nrurol.2010.43
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DOI: https://doi.org/10.1038/nrurol.2010.43