Immediate Placement of Penile Prosthesis for the Management of Ischemic Priapism as First-line Treatment.


Department of Urology, Tulane University Health Sciences Center, New Orleans, LA, USA. Electronic address: [Email]


In patients presenting with early ischemic priapism, proceeding with the conventional paradigm is recommended. In those presenting late (>48 h), penile prosthesis placement can easily be performed 2-6 wk later, with no increase in surgical difficulty or morbidity. Immediate penile prosthesis implantation should be reserved for motivated patients who understand the increased associated risks, have evidence of corporal fibrosis on imaging, and are being treated in a center of excellence.