Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations
Marco Capece,1 Marco Falcone,2 Tommaso Cai,3 Alessandro Palmieri,1 Andrea Cocci,4 Roberto La Rocca1 1Department of Urology, AOU Federico II, University Hospital, Naples, Italy; 2Department of Neurourology, A.O.U. Città della Salute e della Scienza di Torino - Unità Spinale Unip...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-01-01
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| Series: | Research and Reports in Urology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/penile-prosthesis-implantation-in-refractory-ischaemic-priapism-patien-peer-reviewed-fulltext-article-RRU |
| _version_ | 1818753276606152704 |
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| author | Capece M Falcone M Cai T Palmieri A Cocci A La Rocca R |
| author_facet | Capece M Falcone M Cai T Palmieri A Cocci A La Rocca R |
| author_sort | Capece M |
| collection | DOAJ |
| description | Marco Capece,1 Marco Falcone,2 Tommaso Cai,3 Alessandro Palmieri,1 Andrea Cocci,4 Roberto La Rocca1 1Department of Urology, AOU Federico II, University Hospital, Naples, Italy; 2Department of Neurourology, A.O.U. Città della Salute e della Scienza di Torino - Unità Spinale Unipolare, Turin, Italy; 3Ospedale Santa Chiara, Trento, Italy; 4Department of Oncologic, Minimally-Invasive Urology and Andrology, Careggi Hospital, University of Florence, Florence, ItalyCorrespondence: Alessandro PalmieriDepartment of Neuroscience, Reproductive Science and Odontostomatology, University Federico II of Naples, via S.Pansini 5, Naples, 80131, ItalyTel +39 081 746 2611Fax +39 081 746 4311Email androfedii@gmail.comAbstract: Ischemic priapism accounts for more than 95% of all priapic episodes. It has to be considered a urological emergency because its time extension may lead to necrosis of smooth muscle cells of the corpora cavernosa, resulting in a complete erectile dysfunction, penile shortening and loss of girth. In the present systematic review, we perform an up-to-date literature search for patients suffering from refractory ischemic priapism who undergo penile prosthesis implantation with particular interests to the patients characteristics. The conservative management of the priapic episode consists of a sympathomimetic agent in the first istance. Failure or recurrence of priapism following these conservative measures is an indication for surgical management. Shunt procedures between the corpora cavernosa and the neighbouring structures are often used first line; however, in refractory ischemic priapism the success rate is minimal. In such cases (> 48 h) an indication of immediate placement of a penile prosthesis could be the best solution.Keywords: refractory ischemic priapism, erectile dysfunction, priapism, penile prosthesis |
| first_indexed | 2024-12-18T05:04:47Z |
| format | Article |
| id | doaj.art-d21ae680812b4af8811a92ce6275457a |
| institution | Directory Open Access Journal |
| issn | 2253-2447 |
| language | English |
| last_indexed | 2024-12-18T05:04:47Z |
| publishDate | 2022-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Research and Reports in Urology |
| spelling | doaj.art-d21ae680812b4af8811a92ce6275457a2022-12-21T21:20:03ZengDove Medical PressResearch and Reports in Urology2253-24472022-01-01Volume 141672315Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special ConsiderationsCapece MFalcone MCai TPalmieri ACocci ALa Rocca RMarco Capece,1 Marco Falcone,2 Tommaso Cai,3 Alessandro Palmieri,1 Andrea Cocci,4 Roberto La Rocca1 1Department of Urology, AOU Federico II, University Hospital, Naples, Italy; 2Department of Neurourology, A.O.U. Città della Salute e della Scienza di Torino - Unità Spinale Unipolare, Turin, Italy; 3Ospedale Santa Chiara, Trento, Italy; 4Department of Oncologic, Minimally-Invasive Urology and Andrology, Careggi Hospital, University of Florence, Florence, ItalyCorrespondence: Alessandro PalmieriDepartment of Neuroscience, Reproductive Science and Odontostomatology, University Federico II of Naples, via S.Pansini 5, Naples, 80131, ItalyTel +39 081 746 2611Fax +39 081 746 4311Email androfedii@gmail.comAbstract: Ischemic priapism accounts for more than 95% of all priapic episodes. It has to be considered a urological emergency because its time extension may lead to necrosis of smooth muscle cells of the corpora cavernosa, resulting in a complete erectile dysfunction, penile shortening and loss of girth. In the present systematic review, we perform an up-to-date literature search for patients suffering from refractory ischemic priapism who undergo penile prosthesis implantation with particular interests to the patients characteristics. The conservative management of the priapic episode consists of a sympathomimetic agent in the first istance. Failure or recurrence of priapism following these conservative measures is an indication for surgical management. Shunt procedures between the corpora cavernosa and the neighbouring structures are often used first line; however, in refractory ischemic priapism the success rate is minimal. In such cases (> 48 h) an indication of immediate placement of a penile prosthesis could be the best solution.Keywords: refractory ischemic priapism, erectile dysfunction, priapism, penile prosthesishttps://www.dovepress.com/penile-prosthesis-implantation-in-refractory-ischaemic-priapism-patien-peer-reviewed-fulltext-article-RRUrefractory ischemic priapismerectile dysfunctionpriapismpenile prosthesis |
| spellingShingle | Capece M Falcone M Cai T Palmieri A Cocci A La Rocca R Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations Research and Reports in Urology refractory ischemic priapism erectile dysfunction priapism penile prosthesis |
| title | Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations |
| title_full | Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations |
| title_fullStr | Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations |
| title_full_unstemmed | Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations |
| title_short | Penile Prosthesis Implantation in Refractory Ischaemic Priapism: Patient Selection and Special Considerations |
| title_sort | penile prosthesis implantation in refractory ischaemic priapism patient selection and special considerations |
| topic | refractory ischemic priapism erectile dysfunction priapism penile prosthesis |
| url | https://www.dovepress.com/penile-prosthesis-implantation-in-refractory-ischaemic-priapism-patien-peer-reviewed-fulltext-article-RRU |
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