{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:31:43Z","timestamp":1791484303439,"version":"4.3.4"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T00:00:00Z","timestamp":1685664000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Corporal fibrosis is known to result from prolonged priapism; however, the impact of the timing of penile prosthesis placement after priapism on complication rates is poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We sought to evaluate the impact of timing of inflatable penile prosthesis (IPP) placement on complications in men with a history of ischemic priapism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a multicenter, retrospective cohort study of patients with a history of priapism undergoing IPP placement by 10 experienced implantation surgeons. We defined early placement as \u22646\u00a0months from priapism to IPP. We identified a 1:1 propensity-matched group of men without a history of priapism and compared complication rates between men who had early placement, late placement, and no history of priapism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Our primary outcome was postoperative noninfectious complications, and secondary outcomes included intraoperative complications and postoperative infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 124 men were included in the study with a mean age of 50.3\u2009\u00b1\u200912.7\u00a0years. A total of 62 had a history of priapism and 62 were matched control subjects. The median duration of priapism was 37 (range, 3-168) hours and the median time from ischemic priapism to IPP placement was 15\u00a0months (range, 3\u00a0days to 23\u00a0years). Fifteen (24%) men underwent early (\u22646\u00a0months) IPP placement at a median time of 2\u00a0months (range, 3\u00a0days to 6\u00a0months) following the ischemic priapism event. The remaining 47 (76%) underwent placement &amp;gt;6\u00a0months following priapism at a median time of 31.5\u00a0months (range, 7\u00a0months to 23\u00a0years). The complication rate in the delayed placement group was 40.5% compared with 0% in the early placement group and control group. Cylinder-related complications such as migration or leak accounted for 8 (57%) of 14 of the postoperative noninfectious complications. Full-sized cylinders were used in all patients who had a cylinder related complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications<\/jats:title>\n                    <jats:p>Priapism patients should be referred to prosthetic experts early to decrease complication rates in those needing an IPP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths and Limitations<\/jats:title>\n                    <jats:p>This is a multicenter study from experienced prosthetic urologists but is limited by the retrospective nature and small number of patients in the early placement group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>IPP complication rates are high in men with a history of ischemic priapism, especially when implantation is delayed beyond 6\u00a0months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdad075","type":"journal-article","created":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T12:17:39Z","timestamp":1686313059000},"page":"1052-1056","source":"Crossref","is-referenced-by-count":19,"title":["Delayed placement of an inflatable penile prosthesis is associated with a high complication rate in men with a history of ischemic priapism"],"prefix":"10.1093","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6369-4423","authenticated-orcid":false,"given":"David W","family":"Barham","sequence":"first","affiliation":[{"name":"Department of Urology, University of California , Irvine, Orange, CA 92868 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chrystal","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Urology\/Urologic Oncology, Fox Chase Cancer Center , Philadelphia, PA 19111 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammed","family":"Hammad","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California , Irvine, Orange, CA 92868 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Pyrgidis","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital, LMU Munich 80539, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Swerdloff","sequence":"additional","affiliation":[{"name":"Department of Urology\/Urologic Oncology, Fox Chase Cancer Center , Philadelphia, PA 19111 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelli","family":"Gross","sequence":"additional","affiliation":[{"name":"Division of Urology , Department of Surgery, , Salt Lake City, UT 90491 , United States"},{"name":"University of Utah , Department of Surgery, , Salt Lake City, UT 90491 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Hatzichristodoulou","sequence":"additional","affiliation":[{"name":"Department of Urology, Martha-Maria Hospital Nuremberg , Nuremberg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tung-Chin","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California San Diego , La Jolla, CA 92103 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M","family":"Hotaling","sequence":"additional","affiliation":[{"name":"Division of Urology , Department of Surgery, , Salt Lake City, UT 90491 , United States"},{"name":"University of Utah , Department of Surgery, , Salt Lake City, UT 90491 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence C","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California , Irvine, Orange, CA 92868 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Urology, Dartmouth-Hitchcock Medical Center , Lebanon, NH 03766 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaibhav","family":"Modgil","sequence":"additional","affiliation":[{"name":"Manchester Andrology Centre, Manchester University NHS Foundation Trust , Manchester , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniar","family":"Osmonov","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Schleswig Holstein , Kiel , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Pearce","sequence":"additional","affiliation":[{"name":"Manchester Andrology Centre, Manchester University NHS Foundation Trust , Manchester , United 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