PD44-01 A COMPARISON BETWEEN EARLY AND DELAYED PENILE PROSTHESIS INSERTION IN MEN WITH REFRACTORY ISCHAEMIC PRIAPISM

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy II (PD44)1 Apr 2019PD44-01 A COMPARISON BETWEEN EARLY AND DELAYED PENILE PROSTHESIS INSERTION IN MEN WITH REFRACTORY ISCHAEMIC PRIAPISM Mark Johnson*, Marcus Hallerstrom, Giovanni Chiriaco, Thomas Johnson, Evangelos Zacharakis, Amr Raheem, Andrew Nim Christopher, Asif Muneer, Giulio Garaffa, and David Ralph Mark Johnson*Mark Johnson* More articles by this author , Marcus HallerstromMarcus Hallerstrom More articles by this author , Giovanni ChiriacoGiovanni Chiriaco More articles by this author , Thomas JohnsonThomas Johnson More articles by this author , Evangelos ZacharakisEvangelos Zacharakis More articles by this author , Amr RaheemAmr Raheem More articles by this author , Andrew Nim ChristopherAndrew Nim Christopher More articles by this author , Asif MuneerAsif Muneer More articles by this author , Giulio GaraffaGiulio Garaffa More articles by this author , and David RalphDavid Ralph More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556615.02106.6cAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: There is still a lack of consensus in the literature about the timing of penile (PP) prosthesis surgery following refractory ischaemic priapism (IP). The aim of this study is to compare the long-term results of early vs delayed PP insertion in this group. METHODS: A total of 126 men underwent penile prosthesis surgery for refractory IP between 1999 and 2017. Early PP insertion (<3 weeks from onset of priapism) was carried out in 88 men with a mean duration of 6.5 days (range 3 to 21 days) from the onset of priapism. Delayed PP insertion (>3 weeks since the onset of priapism) was carried out in 38 men with a mean duration of 6.7 months (range 0.75 to 25 months) since the onset of priapism. The results for complications, sexual ability and satisfaction were assessed at follow-up outpatient visits. RESULTS: In the early group, a malleable and an inflatable PP was implanted in 83 and 5 patients, respectively. After a mean follow-up of 17.8 months (range 3 to 76 months), 8% required (n = 7) required revision surgery due to infection (n = 5), curvature (n = 1) or erosion (n = 1). Patient's satisfaction rate was 94.3% and the ability to have sexual intercourse was 93.2%. In the delayed group, a malleable PP was inserted in 19 patients and an inflatable PP in the remaining 19. After a mean follow-up of 18.6 months (range 3 to 28 months), 23.7% (n = 9) patients required revision surgery due to infection (n = 6), erosion (n = 2) or mechanical failure (n = 1). Overall 86.8% (n = 32) could have sexual intercourse and patient satisfaction rates were 60.5% (n = 23). There was a significant difference (p = < 0.001) between the complication and patient satisfaction rates between the early and delayed groups. CONCLUSIONS: Early implantation of a penile prosthesis has a significantly lower complication and higher patient satisfaction rate compared to a delayed procedure and should be the preferred option in men with refractory IP. Source of Funding: none London, United Kingdom© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e821-e821 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mark Johnson* More articles by this author Marcus Hallerstrom More articles by this author Giovanni Chiriaco More articles by this author Thomas Johnson More articles by this author Evangelos Zacharakis More articles by this author Amr Raheem More articles by this author Andrew Nim Christopher More articles by this author Asif Muneer More articles by this author Giulio Garaffa More articles by this author David Ralph More articles by this author Expand All Advertisement PDF downloadLoading ...