Abstract | OBJECTIVE: MATERIALS AND METHODS: RESULTS: He subsequently underwent exploration with confirmation of distal ischemic priapism followed by brisk bright red blood from the proximal corpora upon device externalization. A perineal exploration was performed and the bilateral cavernosal arteries were suture ligated with immediate relief. The device was reimplanted and the patient recovered uneventfully. CONCLUSION: We report the first known case of ischemic priapism following inflatable penile prosthesis implantation. The details of this case challenge the dogma that priapism is a binary event and instead supports an imbalance between unopposed cavernosal artery inflow possibly due to vascular calcifications and compromised venous outflow due to the presence of the device. Prosthetic urologists should be aware of this rare phenomenon and consider all available approaches on an individualized case-by-case basis.
|
Authors | Michele Fascelli, Scott D Lundy, Kenneth Angermeier, Petar Bajic |
Journal | Urology
(Urology)
Vol. 174
Pg. 201-205
(04 2023)
ISSN: 1527-9995 [Electronic] United States |
PMID | 36736911
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
|
Copyright | Copyright © 2023 Elsevier Inc. All rights reserved. |
Topics |
- Male
- Humans
- Middle Aged
- Priapism
(etiology, surgery)
- Penile Prosthesis
(adverse effects)
- Penile Implantation
(adverse effects)
- Erectile Dysfunction
(surgery)
- Ultrasonography
(adverse effects)
- Penis
(blood supply)
|