(P9) long-term follow-up post-proximal decompression for neglected cases of priapism

Background Ralph et al. recommended rapid penile prosthesis placement in this situation because prolonged priapism carries a known risk of causing irreversible erectile dysfunction. However, the placement of a prosthesis during acute priapism is linked to an increased risk of complications and may be difficult from the perspective of insurance coverage and/or patient approval. Furthermore, getting patients to have penile prosthesis implantation in acute settings when they have refractory ischemic priapism can be really difficult, particularly in low-income nations. A penoscrotal decompression approach that employs a dissection in a manner similar to that of a penoscrotal penile prosthesis insertion has been successfully used in recent research. In this series, we show that this procedure is readily applicable because it makes use of a setting that most general urologists and andrologists are familiar with. The current study aims to assess erection recovery in those patients and their ability to perform sexual intercourse post-proximal decompression. Methods This study was conducted on 21 male patients with refractory and prolonged ischemic priapism to evaluate the outcomes of proximal decompression in the management of those patients. Results In the present study, the decompression was successful in all the patients, where all the patients showed resolution of priapism; however, 57.1% were able to perform sexual intercourse after 6 months of the priapism episode with medical treatment. However, it has decreased even further after a year. Conclusion Proximal decompression is a simple, safe, highly effective, and easily reproducible procedure for the resolution of prolonged ischemic priapism with glans preservation in addition to more satisfactory erectile function outcomes to a certain extent in many patients.