Ischemic priapism accounts for more than 95% of all priapic episodes. It has to be considered a urological emergency because its time extension may lead to necrosis of smooth muscle cells of the corpora cavernosa, resulting in a complete erectile dysfunction, penile shortening and loss of girth. In the present systematic review, we perform an up-to-date literature search for patients suffering from refractory ischemic priapism who undergo penile prosthesis implantation with particular interests to the patients characteristics. The conservative management of the priapic episode consists of a sympathomimetic agent in the first istance. Failure or recurrence of priapism following these conservative measures is an indication for surgical management. Shunt procedures between the corpora cavernosa and the neighbouring structures are often used first line; however, in refractory ischemic priapism the success rate is minimal. In such cases (>48 h) an indication of immediate placement of a penile prosthesis could be the best solution.

Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations / Capece, M.; Falcone, M.; Cai, T.; Palmieri, A.; Cocci, A.; La Rocca, R.. - In: RESEARCH AND REPORTS IN UROLOGY. - ISSN 2253-2447. - 14:(2022), pp. 1-6. [10.2147/RRU.S278807]

Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations

Capece M.;Palmieri A.;La Rocca R.
2022

Abstract

Ischemic priapism accounts for more than 95% of all priapic episodes. It has to be considered a urological emergency because its time extension may lead to necrosis of smooth muscle cells of the corpora cavernosa, resulting in a complete erectile dysfunction, penile shortening and loss of girth. In the present systematic review, we perform an up-to-date literature search for patients suffering from refractory ischemic priapism who undergo penile prosthesis implantation with particular interests to the patients characteristics. The conservative management of the priapic episode consists of a sympathomimetic agent in the first istance. Failure or recurrence of priapism following these conservative measures is an indication for surgical management. Shunt procedures between the corpora cavernosa and the neighbouring structures are often used first line; however, in refractory ischemic priapism the success rate is minimal. In such cases (>48 h) an indication of immediate placement of a penile prosthesis could be the best solution.
2022
Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations / Capece, M.; Falcone, M.; Cai, T.; Palmieri, A.; Cocci, A.; La Rocca, R.. - In: RESEARCH AND REPORTS IN UROLOGY. - ISSN 2253-2447. - 14:(2022), pp. 1-6. [10.2147/RRU.S278807]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/889078
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