Immediate insertion of a soft penile prosthesis as a new option for a safe and cost-effective treatment of refractory ischemic priapism
Objective: The aim of this study is to assess the management of refractory ischemic priapism (IP) by the immediate insertion of a soft penile prosthesis (sPP). Patients and methods: We identified men affected by IP who underwent early sPP placement from May 2017 to October 2019. All patients underw...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2021-10-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/9720 |
| _version_ | 1819013534267211776 |
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| author | Franco Palmisano Valerio Vagnoni Alessandro Franceschelli Giorgio Gentile Fulvio Colombo |
| author_facet | Franco Palmisano Valerio Vagnoni Alessandro Franceschelli Giorgio Gentile Fulvio Colombo |
| author_sort | Franco Palmisano |
| collection | DOAJ |
| description | Objective: The aim of this study is to assess the management of refractory ischemic priapism (IP) by the immediate insertion of a soft penile prosthesis (sPP).
Patients and methods: We identified men affected by IP who underwent early sPP placement from May 2017 to October 2019. All patients underwent a detailed medical history review; intraoperative, postoperative features and adverse events were recorded. We evaluated the penile lengthening and bending, presence of complementary erection, ability to have sexual intercourse, postoperative sexual life satisfaction (International Index of Erectile Function [IIEF] questionnaire - question number 5). A cost-analysis was included.
Results: A total of six patients were identified. Median time (range) since onset was 78 (48-108) hours with a mean age (SD) of 33 (6.9) years. Median operative time (range) was 82 minutes (62-180). No complications were recorded. Median follow- up was 9 months (range 3-17). No significant loss of penile length, neither penile angulation was recorded. Despite a transient reduction of penile sensitivity, all patients reported satisfactory sexual intercourse (mean score question number 5 from IIEF-5 of 4). The cost of sPP was € 1769,00 with a surgeryrelated reimbursement fee from the National Health System of € 3856,75.
Conclusions: The insertion of a sPP for patients with refractory IP results in immediate pain relief, preservation of sexual function and penile size, with a higher surgery reproducibility in an emergency. In addition to this, financial and resource burdens of IP on the health-care system can be potentially reduced. |
| first_indexed | 2024-12-21T02:01:28Z |
| format | Article |
| id | doaj.art-6e589df7670a4a46836f9fca2bc2b6ee |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-21T02:01:28Z |
| publishDate | 2021-10-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-6e589df7670a4a46836f9fca2bc2b6ee2022-12-21T19:19:37ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972021-10-0193310.4081/aiua.2021.3.356Immediate insertion of a soft penile prosthesis as a new option for a safe and cost-effective treatment of refractory ischemic priapismFranco Palmisano0Valerio Vagnoni1Alessandro Franceschelli2Giorgio Gentile3Fulvio Colombo4ASST Fatebenefretalli-Sacco, Luigi Sacco University Hospital, Department of Urology, MilanAndrology Unit, Department of Urology and Gynecology, Sant’Orsola University Hospital, BolognaAndrology Unit, Department of Urology and Gynecology, Sant’Orsola University Hospital, BolognaAndrology Unit, Department of Urology and Gynecology, Sant’Orsola University Hospital, BolognaAndrology Unit, Department of Urology and Gynecology, Sant’Orsola University Hospital, BolognaObjective: The aim of this study is to assess the management of refractory ischemic priapism (IP) by the immediate insertion of a soft penile prosthesis (sPP). Patients and methods: We identified men affected by IP who underwent early sPP placement from May 2017 to October 2019. All patients underwent a detailed medical history review; intraoperative, postoperative features and adverse events were recorded. We evaluated the penile lengthening and bending, presence of complementary erection, ability to have sexual intercourse, postoperative sexual life satisfaction (International Index of Erectile Function [IIEF] questionnaire - question number 5). A cost-analysis was included. Results: A total of six patients were identified. Median time (range) since onset was 78 (48-108) hours with a mean age (SD) of 33 (6.9) years. Median operative time (range) was 82 minutes (62-180). No complications were recorded. Median follow- up was 9 months (range 3-17). No significant loss of penile length, neither penile angulation was recorded. Despite a transient reduction of penile sensitivity, all patients reported satisfactory sexual intercourse (mean score question number 5 from IIEF-5 of 4). The cost of sPP was € 1769,00 with a surgeryrelated reimbursement fee from the National Health System of € 3856,75. Conclusions: The insertion of a sPP for patients with refractory IP results in immediate pain relief, preservation of sexual function and penile size, with a higher surgery reproducibility in an emergency. In addition to this, financial and resource burdens of IP on the health-care system can be potentially reduced.https://www.pagepressjournals.org/index.php/aiua/article/view/9720PriapismSoft tumorsPenile prosthesisVirilisIschemic priapismEarly implantation |
| spellingShingle | Franco Palmisano Valerio Vagnoni Alessandro Franceschelli Giorgio Gentile Fulvio Colombo Immediate insertion of a soft penile prosthesis as a new option for a safe and cost-effective treatment of refractory ischemic priapism Archivio Italiano di Urologia e Andrologia Priapism Soft tumors Penile prosthesis Virilis Ischemic priapism Early implantation |
| title | Immediate insertion of a soft penile prosthesis as a new option for a safe and cost-effective treatment of refractory ischemic priapism |
| title_full | Immediate insertion of a soft penile prosthesis as a new option for a safe and cost-effective treatment of refractory ischemic priapism |
| title_fullStr | Immediate insertion of a soft penile prosthesis as a new option for a safe and cost-effective treatment of refractory ischemic priapism |
| title_full_unstemmed | Immediate insertion of a soft penile prosthesis as a new option for a safe and cost-effective treatment of refractory ischemic priapism |
| title_short | Immediate insertion of a soft penile prosthesis as a new option for a safe and cost-effective treatment of refractory ischemic priapism |
| title_sort | immediate insertion of a soft penile prosthesis as a new option for a safe and cost effective treatment of refractory ischemic priapism |
| topic | Priapism Soft tumors Penile prosthesis Virilis Ischemic priapism Early implantation |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/9720 |
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