Penile implants in low flow priapism.

Abstract

Priapism is a persistent or prolonged erection, in the absence of sexual stimulation, that fails to subside. Prolonged ischaemic or low flow priapism is defined as a full or partial erection persisting for more than 4 h and unrelated to sexual interest or stimulation, characterised by little or no cavernous blood flow. Low flow priapism leads to progressive corporal fibrosis, which could, in turn, lead to long-lasting erectile dysfunction if left untreated. Penile prosthesis implantation is recognised as a management option in refractory and delayed low flow priapism for restoring erectile function with high patient satisfaction rates. However, the ensuing corporal fibrotic scarring poses a surgical challenge to clinicians, given the higher complication rates in this patient subset. Postoperative patient satisfaction has been closely linked to preoperative expectations and perceived loss of penile length. Therefore, thorough patient counselling concerning the risk and benefits of penile implants should be a priority for all clinicians. Moreover, there is a lack of consensus on the ideal prosthesis choice and procedural timing in refractory low flow priapism. In this review, we will examine the existing literature on penile implants in patients with priapism and discuss the options for managing complications associated with penile prosthesis surgery.

• Authors: Musaab Yassin, Runzhi Chen, Michael Ager, Elsayed Desouky, Suks Minhas
• Journal: International journal of impotence research (Int J Impot Res) Vol. 35 Issue 7 Pg. 651-663 (Nov 2023) ISSN: 1476-5489 [Electronic] England
• PMID: 37898653 (Publication Type: Journal Article, Review)
• Copyright: © 2023. The Author(s), under exclusive licence to Springer Nature Limited.

Topics

• Male
• Humans
• Priapism (surgery, complications)
• Penile Prosthesis (adverse effects)
• Penis
• Penile Implantation (adverse effects)
• Erectile Dysfunction (surgery, complications)
• Fibrosis