Open AccessNon‐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
Author(s) -
Del Giudice Francesco,
Busetto Gian Maria,
Chung Benjamin I,
Conti Simon L,
Ferro Matteo,
Maggi Martina,
Sciarra Alessandro,
Perito Paul E,
Gross Martin S,
Antonini Gabriele,
De Berardinis Ettore
Publication year - 2018
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12019
Subject(s) - priapism , medicine , penile prosthesis , penis , erectile dysfunction , surgery , prosthesis , fistula , shunting
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.