Penile prosthesis placement after priapism is challenging due to corporal scarring which may complicate corporal dilation and increase the risk of dilation-related injuries such as corporal perforation, crossover, and urethral injury. Management options for these complications and techniques for difficult dilation are presented here. Important considerations for the placement timing and for device selection are also reviewed. Videos demonstrate difficult dilation maneuvers and early placement of a malleable device after priapism.

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Post-priapism Penile Prosthesis Implantation: Complication Management

  • Samuel Ivan,
  • Octavio Herrera,
  • Anika Rastogi,
  • Jay Simhan

摘要

Penile prosthesis placement after priapism is challenging due to corporal scarring which may complicate corporal dilation and increase the risk of dilation-related injuries such as corporal perforation, crossover, and urethral injury. Management options for these complications and techniques for difficult dilation are presented here. Important considerations for the placement timing and for device selection are also reviewed. Videos demonstrate difficult dilation maneuvers and early placement of a malleable device after priapism.