Semi-rigid penile prosthesis as a salvage management of idiopathic ischemic stuttering priapism

Priapism is the persistent erection resulting from dysfunction of the mechanisms that regulate penile swelling, stiffness, and sagging. It is a full or partial erection that persists for a period more than 4 hours beyond sexual stimulation and/or orgasm or is unrelated to sexual stimulation.

Ischemic priapism should be managed in a step-by-step fashion.

To demonstrate step-by-step management of stuttering refractory ischemic priapism. We report a case of stuttering refractory ischemic priapism. Moreover, we reviewed different approaches to priapism management in the literature.

A 53-year-old male presented with a painful erection of 29 hours' duration, probably caused by consumption of alcohol. The penile blood gas showed a pH of 7. 08, PCO2 of 75 mmHg and PO2 of 39 mmHg. Aspiration was followed by irrigation of an α-adrenergic, Winter and T-shunt operations were preformed, and finally a semi-rigid penile prosthesis was implanted to overcome the refractory stuttering ischemic priapism.

In case of stuttering refractory ischemic priapism, immediate implantation of a penile prosthesis is a simple and effective procedure that manages both the acute episode and the inevitable erectile dysfunction that would otherwise occur, while preserving penile length.

Research and reports in urology. 2015 Sep 04*** epublish ***

Amr A Faddan, Alexey V Aksenov, Carsten M Naumann, Klaus P Jünemann, Daniar K Osmonov

Department of Urology and Pediatric Urology, University Hospital Schleswig-Holstein, Kiel, Germany. , Department of Urology and Pediatric Urology, University Hospital Schleswig-Holstein, Kiel, Germany. , Department of Urology and Pediatric Urology, University Hospital Schleswig-Holstein, Kiel, Germany. , Department of Urology and Pediatric Urology, University Hospital Schleswig-Holstein, Kiel, Germany. , Department of Urology and Pediatric Urology, University Hospital Schleswig-Holstein, Kiel, Germany.

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