Ischemic priapism is a completely hard and painful erection lasting more than four hours without sexual stimulation and requires immediate treatment. If priapism is not treated in the acute period (before 36-48 hours), the patient will develop erectile dysfunction as it will result in tissue death (necrosis) in the spongy tissue (corpus cavernosum). In those patients, penile prosthesis is usually required for the treatment.
Penile prosthesis is applied in the early and late period in this group of patients. Early implantations (within the first 3 weeks following the disease onset) are advantageous as the surgery will be relatively easier and they prevent the shortening of the penis size. Moreover, patient satisfaction rates are at about 96%.