TY - JOUR
T1 - A Systematic Review on Ischemic Priapism and Immediate Implantation
T2 - Do We Need More Data?
AU - Capece, Marco
AU - La Rocca, Roberto
AU - Mirone, Vincenzo
AU - Bivalacqua, Trinity J.
AU - Castiglione, Fabio
AU - Albersen, Maarten
AU - Ralph, David J.
AU - Muneer, Asif
AU - Garaffa, Giulio
N1 - Publisher Copyright:
© 2019 International Society for Sexual Medicine
PY - 2019/7
Y1 - 2019/7
N2 - Introduction: Ischemic priapism (IP) is the most common form of priapism. In cases of priapism persisting for >36 hours, conservative management usually fails, and the patients’ erectile tissue will be inevitably compromised, resulting in corporal fibrosis, shortening of the penis, and refractory erectile dysfunction. In this subset of patients, early implantation of a penile prosthesis (PP) could be a solution for both the priapic episode and the erectile dysfunction. Aim: To analyze the current literature with regard to the correlation between refractory ischemic priapism and immediate implantation of PP. Methods: An extensive literature research was conducted to retrieve studies focusing on immediate PP implantation in patients suffering from refractory ischemic priapism (RIP). Main Outcome Measures: We evaluated the functional outcomes of patients who have undergone the immediate insertion of a PP as treatment for an acute episode of IP refractory to medical therapy or shunt surgery. Results: Nine studies were included in this systematic review, including 3 case reports and 6 retrospective analyses. All studies agreed that in patients with RIP, early insertion of a PP is a safe and effective procedure, and all studies but 1 preferred malleable implants to inflatable implants. Conclusion: The systematic review does not demonstrate superiority of immediatePP implantation over delayed PP implantation, because none of the studies was designed with this purpose. However, considering the reduced complication rate and the ease of the procedure, all studies are in favor of early implantation over delayed implantation. Capece M, La Rocca R, Mirone V, et al. A Systematic Review on Ischemic Priapism and Immediate Implantation: Do We Need More Data? Sex Med Rev 2018;7:530–534.
AB - Introduction: Ischemic priapism (IP) is the most common form of priapism. In cases of priapism persisting for >36 hours, conservative management usually fails, and the patients’ erectile tissue will be inevitably compromised, resulting in corporal fibrosis, shortening of the penis, and refractory erectile dysfunction. In this subset of patients, early implantation of a penile prosthesis (PP) could be a solution for both the priapic episode and the erectile dysfunction. Aim: To analyze the current literature with regard to the correlation between refractory ischemic priapism and immediate implantation of PP. Methods: An extensive literature research was conducted to retrieve studies focusing on immediate PP implantation in patients suffering from refractory ischemic priapism (RIP). Main Outcome Measures: We evaluated the functional outcomes of patients who have undergone the immediate insertion of a PP as treatment for an acute episode of IP refractory to medical therapy or shunt surgery. Results: Nine studies were included in this systematic review, including 3 case reports and 6 retrospective analyses. All studies agreed that in patients with RIP, early insertion of a PP is a safe and effective procedure, and all studies but 1 preferred malleable implants to inflatable implants. Conclusion: The systematic review does not demonstrate superiority of immediatePP implantation over delayed PP implantation, because none of the studies was designed with this purpose. However, considering the reduced complication rate and the ease of the procedure, all studies are in favor of early implantation over delayed implantation. Capece M, La Rocca R, Mirone V, et al. A Systematic Review on Ischemic Priapism and Immediate Implantation: Do We Need More Data? Sex Med Rev 2018;7:530–534.
KW - Early Implantation
KW - Immediate Implant
KW - Low-Flow Priapism
KW - Penile Prosthesis
KW - Priapism
KW - Refractory Ischemic Priapism
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U2 - 10.1016/j.sxmr.2018.10.007
DO - 10.1016/j.sxmr.2018.10.007
M3 - Review article
C2 - 30898595
AN - SCOPUS:85063012826
SN - 2050-0513
VL - 7
SP - 530
EP - 534
JO - Sexual Medicine Reviews
JF - Sexual Medicine Reviews
IS - 3
ER -