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

• Published in: Research and reports in urology 2015-01, Vol.7 (default), p.137-141
• Main Authors: Faddan, Amr A, Aksenov, Alexey V, Naumann, Carsten M, Jünemann, Klaus P, Osmonov, Daniar K
• Format: Article
• Language: English
• Subjects: Alcohol; Case Report; Erectile dysfunction; Family medical history; First aid; Genital diseases; Ischemia; Pain; Penis; Prostheses; Sickle cell disease; Smooth muscle; Stuttering; Substance abuse treatment; Transplants & implants; Urology
• ISSN: 2253-2447; 2253-2447
• DOI: 10.2147/RRU.S83361

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.