Non-ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report.

Abstract

INTRODUCTION:

Priapism is defined as a persistent tumescence or erection of the penis not associated to sexual desire and/or stimulation. Idiopathic recurrent priapism may also occasionally follow treatment of veno-occlusive priapism and represents a diagnostic and therapeutic challenge.

CASE PRESENTATION:

We report a single case of non-ischemic priapism that resulted after distal shunting procedure for severe and prolonged ischemic priapism and yet occurred without evidence of a cavernosal-sinusoidal fistula that was successfully treated with a bilateral selective arterial embolization. Our protocol of delayed inflatable penile prosthesis placement after a vacuum erectile device program was implemented.

CONCLUSIONS:

The continuing use of a vacuum erectile device represented a bridge and an adjuvant therapy useful to facilitate later prosthesis placement. Anatomical and functional outcomes were optimal. No postoperative complaints or complications were reported.

• Authors: Francesco Del Giudice, Gian Maria Busetto, Benjamin I Chung, Simon L Conti, Matteo Ferro, Martina Maggi, Alessandro Sciarra, Paul E Perito, Martin S Gross, Gabriele Antonini, Ettore De Berardinis
• Journal: IJU case reports (IJU Case Rep) Vol. 1 Issue 1 Pg. 13-15 (Nov 2018) ISSN: 2577-171X [Electronic] Australia
• PMID: 32743355 (Publication Type: Case Reports)
• Copyright: © 2018 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.