Abstract
Long-standing ischemic priapism leads to cavernosal smooth muscle necrosis and erectile dysfunction [1]. We report a 28-year-old gentleman who presented with 3-week duration of neglected idiopathic ischemic priapism. As his stretched penile length was 9 cm, he was taken up for immediate implantation of penile prosthesis. With minimal difficulty in corporal dilation due to scarring, a 3-piece inflatable penile prosthesis was placed. He developed fever with chills and generalized rash in the immediate postoperative period and it responded to change of antibiotics and antihistaminics. He has good intercourse satisfaction with antegrade ejaculation at the end of 2 years.
Similar content being viewed by others
References
Ralph DJ, Garaffa G, Muneer A, Freeman A, Rees R, Christopher AN, Minhas S (2009) The immediate insertion of a penile prosthesis for acute ischaemic priapism. Eur Urol 56:1033–1038
Zacharakis E, Garaffa G, Raheem AA, Christopher AN, Muneer A, Ralph DJ (2014) Penile prosthesis insertion in patients with refractory ischaemic priapism: early vs delayed implantation. BJU Int 114:576–581
Wilson SK, Delk JR, Mulkahy JJ, Cleves M, Salem EA (2006) Upsizing of inflatable penile implant cylinders in patients with corporal fibrosis. J Sex Med 3:736–742
Durazi MH, Jalal AA (2008) Penile prosthesis implantation for treatment of postpriapism erectile dysfunction. Urol J 5:115–119
Rees RW, Kalsi J, Minhas S, Peters J, Kell P, Ralph DJ (2002) The management of low-flow priapism with the immediate insertion of a penile prosthesis. BJU Int 90:893–897
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Malhotra, V., Karthikeyan, V.S. & Jain, P. Immediate Inflatable Penile Prosthesis Implantation in a Case of Neglected Delayed Idiopathic Ischemic Priapism—a Novel Approach. Indian J Surg 83, 570–572 (2021). https://doi.org/10.1007/s12262-020-02427-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-020-02427-0