OBJECTIVE: Early insertion of a penile prosthesis in prolonged @entity3327 is easier to perform than late prosthesis placement, and preserves the penile length. The aim of this study was to assess whether a delayed exchange to an inflatable implant allows upsizing of the cylinders in @entity1 who have undergone early insertion for @entity3327 . MATERIALS AND METHODS: Over a 30 month period, 10 @entity1 with @entity3327 underwent an early insertion of a malleable penile prosthesis. The mean age was 41.3 years and the mean duration of @entity3327 was 188 h. Following a median period of 130.5 days, all of these @entity1 underwent exchange of the malleable to an inflatable prosthesis. RESULTS: At the time of penile implant exchange, a median upsize in the length of the cylinders of 1 cm in either one or both corporal bodies (range 0-3 cm) was recorded. Five @entity1 had deliberate downsizing at the initial operation owing to a previous shunt. The mean score on the five-item International Index of Erectile Function (IIEF-5) before insertion of the malleable prosthesis was 24 (range 20-25). Three months after the initial insertion of a malleable penile implant the satisfaction rate according to the IIEF-5 score was 80%. Three months after the exchange, the @entity1 satisfaction rate increased to 90%. CONCLUSION: Insertion of a malleable penile prosthesis is an acceptable option for @entity1 with @entity3327 . Although some @entity1 deliberately have a shorter implant inserted initially owing to a previous distal shunt procedure, following a period of resolution the cylinders can be upsized at a later operation.

Early insertion of a malleable penile prosthesis in XXXX allows later upsizing of the cylinders.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3327 :: ('MESH:D011317', 'Disease') :: ['ischaemic priapism', 'priapism', 'refractory ischaemic priapism']
@entity3327 :: (MESH:D011317,Disease) :: ['ischaemic priapism']
