Ischemic priapism is an organ-threatening event. It presents as a rigid and painful erection despite the absence of any sexual stimulation. In up to 60% of cases of ischemic priapism no precipitating factor is identified. However, medications such as intra-cavernosal agents, anti-psychotics, anti-hypertensives, as well as illicit drug use and hematological disorders have been implicated in ischemic priapism. Management of a prolonged priapism is challenging. It is usually refractory to aspiration, intra-carvenosal phenylephrine, and even surgical shunting. The corpora carvenosa can be irreversibly replaced by dense fibrosis after 6 hours of ischemia. This may result in a shortened, indurated, non-erectile penis. We present and describe the surgical technique of a case of prolonged ischemic priapism treated with early implantation of penile prosthesis.
Yeng Kwang Tay, Dan Spernat, Sree Appu, Christopher Love
KEYWORDS: Priapism, penile prosthesis, early insertion
CORRESPONDENCE: Yeng Kwang Tay, MBBS, Department of Urology, Monash Medical Centre, 865 Centre Road, East Bentleigh, Victoria, 3165, Australia ( ).
CITATION: UroToday Int J. 2012 June;5(3):art 28.
doi: http://dx.doi.org/10.3834/uij.1944-5784.2012.06.15
