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Penile implants in low flow priapism.

Musaab Yassin^1,2, Runzhi Chen³, Michael Ager⁴

¹Department of Urology, Churchill Hospital, Oxford University Hospitals NHS Trust, Oxford, UK. Musaab.Yassin@ouh.nhs.uk.

International Journal of Impotence Research

|October 29, 2023

Summary

This summary is machine-generated.

Penile implants can restore erectile function in low-flow priapism but pose surgical challenges. Patient counseling on risks, benefits, and managing complications is crucial for satisfaction.

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Area of Science:

Urology
Andrology
Sexual Medicine

Background:

Priapism, particularly prolonged ischemic (low-flow) priapism, can lead to corporal fibrosis and long-term erectile dysfunction.
Penile prosthesis implantation is an effective treatment for restoring erectile function in refractory and delayed low-flow priapism.
Fibrotic scarring in the corpora cavernosa presents surgical challenges and potential complications during penile implant surgery.

Purpose of the Study:

To review the existing literature on penile implants for managing priapism.
To discuss the challenges and options for managing complications associated with penile prosthesis surgery in priapism patients.
To highlight the importance of patient counseling regarding risks, benefits, and outcomes.

Main Methods:

Comprehensive literature review of studies on penile implants in patients with priapism.
Analysis of surgical challenges, complication rates, and patient satisfaction.
Discussion of prosthesis choice and procedural timing.

Main Results:

Penile implants offer high patient satisfaction rates for erectile function restoration in priapism.
Surgical complications are more frequent in patients with corporal fibrotic scarring.
Patient satisfaction is linked to preoperative expectations and perceived penile length changes.

Conclusions:

Penile prosthesis implantation is a viable option for priapism, but careful surgical technique and patient selection are essential.
Thorough preoperative counseling is critical to manage patient expectations and improve satisfaction.
Further consensus is needed on optimal prosthesis selection and surgical timing for refractory low-flow priapism.