Post Priapism Penile Prosthesis: What and When

Sasikumar SubramaniamSri Lanka Speaker Post Priapism Penile Prosthesis: What and WhenIschemic priapism remains a urological emergency with devastating consequences when not promptly and effectively managed. Among its most feared sequelae is corporal fibrosis leading to irreversible erectile dysfunction. In such cases, timely insertion of a penile prosthesis is often the only viable option to restore sexual function and preserve penile length. This presentation explores the complex decision-making framework surrounding penile prosthesis implantation following priapism. We will review the current evidence on timing—emergent versus delayed insertion—highlighting the anatomical and surgical challenges posed by fibrotic corporal bodies. The discussion will cover prosthesis type selection, intraoperative considerations, and outcomes data from recent case series and cohort studies. Additionally, we will examine the risks of infection, erosion, and mechanical failure in the post-priapism cohort, comparing them to standard ED populations.