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Early versus delayed penile prosthesis insertion for refractory ischemic priapism
OBJECTIVES: Penile prosthesis insertion is a well-established therapeutic option in refractory ischemic priapism but there is a lack of standardization regarding the timing of surgery, the type of prosthesis (malleable or inflatable), as well as the possible complications. In this study, we retrospe...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208160/ https://www.ncbi.nlm.nih.gov/pubmed/37234682 http://dx.doi.org/10.1080/2090598X.2022.2135290 |
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author | Salman, Baher Elsherif, Eid Elgharabawy, Mohamed Badawy, Atef |
author_facet | Salman, Baher Elsherif, Eid Elgharabawy, Mohamed Badawy, Atef |
author_sort | Salman, Baher |
collection | PubMed |
description | OBJECTIVES: Penile prosthesis insertion is a well-established therapeutic option in refractory ischemic priapism but there is a lack of standardization regarding the timing of surgery, the type of prosthesis (malleable or inflatable), as well as the possible complications. In this study, we retrospectively compared early versus delayed penile prosthesis insertion in patients with refractory ischemic priapism. METHODS: 42 male patients who presented with refractory ischemic priapism during the period between January 2019 and January 2022 were included in this study. All patients had malleable penile prosthesis insertion by four highly experienced consultants. Patients were divided into two groups based on the time of the prosthesis insertion. 23 patients had immediate insertion of the prosthesis within the first week of the onset of priapism while the remaining 19 patients had delayed prosthesis insertion three months or later after the onset of priapism. The outcome as well as the intra- and the postoperative complications were recorded. RESULTS: Postoperative complications such as prosthesis erosion and infection were higher among the early insertion group while the delayed insertion group had higher incidence of intraoperative complications such as corporal perforation and urethral injury. The insertion of the prosthesis was much more difficult among the delayed insertion group due to fibrosis which made dilatation of the corpora very difficult. The length and the width of the penile implant were significantly higher among the early insertion group as compared to the delayed insertion group. CONCLUSIONS: Early penile prosthesis insertion for refractory ischemic priapism is a safe and effective treatment option as delayed prosthesis insertion is more difficult and challenging due to corporal fibrosis and is associated with higher complication. |
format | Online Article Text |
id | pubmed-10208160 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-102081602023-05-25 Early versus delayed penile prosthesis insertion for refractory ischemic priapism Salman, Baher Elsherif, Eid Elgharabawy, Mohamed Badawy, Atef Arab J Urol Andrology and Sexual Medicine OBJECTIVES: Penile prosthesis insertion is a well-established therapeutic option in refractory ischemic priapism but there is a lack of standardization regarding the timing of surgery, the type of prosthesis (malleable or inflatable), as well as the possible complications. In this study, we retrospectively compared early versus delayed penile prosthesis insertion in patients with refractory ischemic priapism. METHODS: 42 male patients who presented with refractory ischemic priapism during the period between January 2019 and January 2022 were included in this study. All patients had malleable penile prosthesis insertion by four highly experienced consultants. Patients were divided into two groups based on the time of the prosthesis insertion. 23 patients had immediate insertion of the prosthesis within the first week of the onset of priapism while the remaining 19 patients had delayed prosthesis insertion three months or later after the onset of priapism. The outcome as well as the intra- and the postoperative complications were recorded. RESULTS: Postoperative complications such as prosthesis erosion and infection were higher among the early insertion group while the delayed insertion group had higher incidence of intraoperative complications such as corporal perforation and urethral injury. The insertion of the prosthesis was much more difficult among the delayed insertion group due to fibrosis which made dilatation of the corpora very difficult. The length and the width of the penile implant were significantly higher among the early insertion group as compared to the delayed insertion group. CONCLUSIONS: Early penile prosthesis insertion for refractory ischemic priapism is a safe and effective treatment option as delayed prosthesis insertion is more difficult and challenging due to corporal fibrosis and is associated with higher complication. Taylor & Francis 2022-10-15 /pmc/articles/PMC10208160/ /pubmed/37234682 http://dx.doi.org/10.1080/2090598X.2022.2135290 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Andrology and Sexual Medicine Salman, Baher Elsherif, Eid Elgharabawy, Mohamed Badawy, Atef Early versus delayed penile prosthesis insertion for refractory ischemic priapism |
title | Early versus delayed penile prosthesis insertion for refractory ischemic priapism |
title_full | Early versus delayed penile prosthesis insertion for refractory ischemic priapism |
title_fullStr | Early versus delayed penile prosthesis insertion for refractory ischemic priapism |
title_full_unstemmed | Early versus delayed penile prosthesis insertion for refractory ischemic priapism |
title_short | Early versus delayed penile prosthesis insertion for refractory ischemic priapism |
title_sort | early versus delayed penile prosthesis insertion for refractory ischemic priapism |
topic | Andrology and Sexual Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208160/ https://www.ncbi.nlm.nih.gov/pubmed/37234682 http://dx.doi.org/10.1080/2090598X.2022.2135290 |
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