{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:31:55Z","timestamp":1791484315805,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,7,27]],"date-time":"2014-07-27T00:00:00Z","timestamp":1406419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To compare the long\u2010term results of early and delayed insertion of a penile prosthesis (\n                      <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>\n                      ) in men with refractory ischaemic priapism (\n                      <jats:styled-content style=\"fixed-case\">IP<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      Early insertion of a\n                      <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>\n                      was carried out in 68 men with\n                      <jats:styled-content style=\"fixed-case\">IP<\/jats:styled-content>\n                      within a median of 7 days from the onset of priapism, while 27 had delayed insertion after a median of 5 months. The results for sexual ability, satisfaction and subjective penile shortening were assessed by questioning at follow\u2010up visits.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the early group, a malleable and an inflatable\n                      <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>\n                      were implanted in 64 and four patients, respectively. After a median follow\u2010up of 17 months, six patients needed revision surgery due to infection and curvature. Patient's satisfaction rate and ability to have sexual intercourse was 96%. In the delayed group, a malleable\n                      <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>\n                      was inserted in 12 patients and an inflatable in the remaining 15. In all, 80% of the patients required a second corporotomy and downsized cylinders due to dense fibrosis. After a median follow\u2010up of 21 months, seven patients required revision surgery due to infection, erosion and mechanical failure. In all, 25 patients were able to engage in sexual intercourse but the satisfaction rate was only 60% mainly due to significant penile shortening.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Early\n                      <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>\n                      implantation should be the preferred option in patients with\n                      <jats:styled-content style=\"fixed-case\">IP<\/jats:styled-content>\n                      , as the procedure is technically easier, has less complication rates and allows greater preservation of penile length.\n                    <\/jats:p>\n                  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