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Priapism

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21. High-flow priapism and urinary retention (PubMed)

High-flow priapism and urinary retention 29888190 2019 02 26 2214-4420 19 2018 Jul Urology case reports Urol Case Rep High-flow priapism and urinary retention. 48-49 10.1016/j.eucr.2018.05.006 Filho Luiz G Freitas LGF Department of Urology, Hospital Santa Marcelina, Brazil. Nasser Felipe F Department of Vascular Surgery, Hospital Santa Marcelina, Brazil. Ingrund José Carlos JC Department of Vascular Surgery, Hospital Santa Marcelina, Brazil. Burihan Marcelo Calil MC Department of Vascular (...) Surgery, Hospital Santa Marcelina, Brazil. Brandão George Dias GD Department of Vascular Surgery, Hospital Santa Marcelina, Brazil. Budib Luiz J LJ Department of Urology, Hospital Santa Marcelina, Brazil. eng Case Reports 2018 05 12 United States Urol Case Rep 101626357 2214-4420 Angiography Children High-flow priapism Super-selective embolization Urinary retention 2018 04 05 2018 05 08 2018 05 10 2018 6 12 6 0 2018 6 12 6 0 2018 6 12 6 1 epublish 29888190 10.1016/j.eucr.2018.05.006 S2214-4420(18

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2018 Urology case reports

22. Selective Penile Arterial Embolization Does Not Affect Long-Term Erectile Function in Patients with Non-Ischemic Priapism: An 18-Year Experience. (PubMed)

Selective Penile Arterial Embolization Does Not Affect Long-Term Erectile Function in Patients with Non-Ischemic Priapism: An 18-Year Experience. To report long term outcomes of selective arterial embolization for nonischemic priapism on erectile function utilizing validated outcome questionnaires after selective arterial embolization.Twenty men, mean age of 36 years (range: 8-58 years), underwent selective penile embolization for nonischemic priapism between December 1997 and February 2016 (...) (218 months). Each identified case of nonischemic priapism was embolized using gelatin sponge, autologous blood clot, platinum microcoils, polyvinyl alcohol particles, or a combination of these. A variety of procedural details, immediate complications, recurrence of nonischemic priapism, post-procedure performance on Sexual Health Inventory for Men and International Index of Erectile Function Questionnaires, and follow-up duration were recorded.Mean time from development of symptoms until treatment

2018 Urology

23. Poorly Controlled Homocystinuria: A Rare Cause of Ischemic Priapism? (PubMed)

Poorly Controlled Homocystinuria: A Rare Cause of Ischemic Priapism? We report on the 1st case of ischemic priapism secondary to poorly controlled homocystinuria. Homocystinuria is a rare, autosomal recessive, inherited disorder of metabolism that is caused by a deficiency of cystathionine synthase, leading to marked hyperhomocysteinemia. Arterial and/or venous thromboemboli are a major cause of mortality and morbidity in patients with homocystinuria. Untreated patients have a 50% chance (...) of having a vascular event by 30 years of age. Increased homocysteine levels have been reported to upregulate prothrombotic factors and downregulate antithrombotic factors; in particular, increased homocystinuria has been found to downregulate nitric oxide (NO). Mice that are deficient in NO synthase in the cavernosal smooth muscles have a higher incidence of priapism. Decrease in NO synthase causes downregulation of cyclic guanosine monophosphate, phosphodiesterase type 5A, and Rho A/Rho-kinase

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2018 Sexual Medicine

24. Three-piece Penile Prosthesis Implantation in Refractory Ischemic Priapism-Tips and Tricks. (PubMed)

Three-piece Penile Prosthesis Implantation in Refractory Ischemic Priapism-Tips and Tricks. Implantation of a penile prosthesis in a patient with significant corporal fibrosis can pose a significant challenge to the surgeon, necessitating the knowledge of specific techniques used to dilate and close aggressively scarred corpora. The objective of our instructional video is to discuss 2 techniques used to approach corporal fibrosis: proper and safe use of cavernotomes for dilation and use (...) of narrower prostheses.In this video, we present a 53-year-old man with a history of priapism 3 years ago that lasted 4 days in the setting of trazodone use. He was managed with corporal irrigation and subsequently developed severe erectile dysfunction. Notably, the patient had a history of sickle cell anemia, and on physical examination was noted to have densely fibrotic corpora. After extensive counseling regarding options, he chose a penile implant. The surgical was planned using the "no touch

2017 Urology

25. Recurrent Priapism Gone Wrong: ST-Elevation Myocardial Infarction and Cardiogenic Shock After Penile Corporal Phenylephrine Irrigation. (PubMed)

Recurrent Priapism Gone Wrong: ST-Elevation Myocardial Infarction and Cardiogenic Shock After Penile Corporal Phenylephrine Irrigation. Recurrent priapism secondary to sickle cell trait in an African-American male has been reported in the literature. A common treatment for these low-flow priapism cases is aspiration and injection of the corpus cavernosum with a sympathomimetic agent. We report a rare complication not described previously in the literature of ST-elevation myocardial infarction (...) (STEMI) and cardiogenic shock in a 29-year-old male with sickle cell trait undergoing a routine detumescence procedure.A 29-year-old African-American male with a history of sickle cell trait and recurrent low-flow/ischemic priapism presented with a painful erection for 8 h. Corporal aspiration and irrigation with phenylephrine was performed. After phenylephrine injection, the patient experienced hypertensive emergency, flash pulmonary edema, STEMI, and subsequent cardiogenic shock. He required

2017 Journal of Emergency Medicine

26. Effect of lysyl oxidase (LOX) on corpus cavernous fibrosis caused by ischaemic priapism (PubMed)

Effect of lysyl oxidase (LOX) on corpus cavernous fibrosis caused by ischaemic priapism Penile fibrosis caused by ischemic priapism (IP) adversely affects patients' erectile function. We explored the role of lysyl oxidase (LOX) in rat and human penes after ischemic priapism (IP) to verify the effects of anti-LOX in relieving penile fibrosis and preventing erectile dysfunction caused by IP in rats. Seventy-two rats were randomly divided into six groups: control group, control + β

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2017 Journal of cellular and molecular medicine

27. The use of penile prostheses in the management of priapism (PubMed)

The use of penile prostheses in the management of priapism Priapism is a relatively uncommon condition that can result in erectile dysfunction (ED) and corporal fibrosis. Cases of prolonged priapism are particularly prone to ED, which arises when priapism is treatment refractory or had a delayed presentation. Due to the emergent nature of priapism, it behooves urologists to be familiar with all potential treatment modalities to minimize adverse outcomes. In this review paper, we aim (...) to summarize the literature regarding the use of penile prosthesis (PP) implantation in the setting of ischemic priapism (IP). In some patients who present later or have prolonged initial treatment, early insertion of PP may be indicated.

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2017 Translational andrology and urology

28. Challenges surrounding penile prostheses insertion following acute priapism (PubMed)

Challenges surrounding penile prostheses insertion following acute priapism 29239397 2019 01 18 2223-4691 6 Suppl 5 2017 Nov Translational andrology and urology Transl Androl Urol Challenges surrounding penile prostheses insertion following acute priapism. S804-S805 10.21037/tau.2017.11.19 Tatem Alex A Department of Urology, Indiana University, Indianapolis, Indiana, USA. Kovac Jason R JR Men's Health Center, Indianapolis, Indiana. eng Editorial Comment China Transl Androl Urol 101581119 2223

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2017 Translational andrology and urology

29. Role of Penile Prosthesis in Priapism: A Review (PubMed)

Role of Penile Prosthesis in Priapism: A Review Ischemic priapism is a urological emergency that has been associated with long-standing and irreversible adverse effects on erectile function. Studies have demonstrated a linear relationship between the duration of critically ischemic episodes and the subsequent development of corporal fibrosis and irreversible erectile function loss. Placement of a penile prosthesis is a well-established therapeutic option for the management of erectile (...) dysfunction secondary to ischemic priapism, and will be the focus of this review. Review of the current literature demonstrates a growing utilization of penile prostheses in the treatment of erectile dysfunction secondary to ischemic priapism. Unfortunately, there is a paucity of randomized-controlled trials describing the use of prosthesis in ischemic priapism. As a result, there is a lack of consensus regarding the type of prosthesis (malleable vs. inflatable), timing of surgery (acute vs. delayed

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2017 The world journal of men's health

30. Intracorporeal Dilatation Plus Al-Ghorab Corporoglandular Shunt for Salvage Management of Prolonged Ischemic Priapism (PubMed)

Intracorporeal Dilatation Plus Al-Ghorab Corporoglandular Shunt for Salvage Management of Prolonged Ischemic Priapism Ischemic priapism (IP) is a urological emergency that requires early intervention in order to prevent irreversible structural and functional changes. The purpose of penile shunt surgery is to passage out ischemic blood in the corpus cavernosum (CC), restoring the normal circulation within these structures. Here, we present our first experience using modification of Al-Ghorab (...) shunt procedure to treat severe and prolonged IP. The Al-Ghorab shunt procedure was modified by the retrograde insertion of a 7/8 Hegar dilator into the opening of the distal cavernous tissue via the original Al-Ghorab incision. Priapism was successfully relieved, and no recurrent IP was reported.

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2017 Urology case reports

31. Conversion of Low-Flow Priapism to High-Flow State Using T-Shunt with Tunneling (PubMed)

Conversion of Low-Flow Priapism to High-Flow State Using T-Shunt with Tunneling Introduction. The three types of priapism are stuttering, arterial (high-flow, nonischemic), and venoocclusive (low-flow, ischemic). These are usually distinct entities and rarely occur in the same patient. T-shunts and other distal shunts are frequently combined with tunneling, but a seldom recognized potential complication is conversion to a high-flow state. Case Presentation. We describe 2 cases of men who (...) presented with low-flow priapism episodes that were treated using T-shunts with tunneling that resulted with both men having recurrent erections shortly after surgery that were found to be consistent with high-flow states. Case 1 was a 33-year-old male with sickle cell anemia and case 2 was a 24-year-old male with idiopathic thrombocytopenic purpura. In both cases the men were observed over several weeks and both men returned to normal erectile function. Conclusions. Historically, proximal shunts were

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2017 Case reports in urology

32. Advances in the understanding of priapism (PubMed)

Advances in the understanding of priapism Priapism, a persistent penile erection lasting longer than 4 hours and unrelated to sexual activity, is one of the most common emergencies treated by urologists. Priapism can be categorized as ischemic, recurrent ischemic (stuttering), and non-ischemic. Advances in understanding the pathophysiology of various types of priapism have led to targeted management strategies. This review aims to provide an up-to-date picture of the pathophysiology (...) and management of priapism. A search of Medline and PubMed for relevant publications using the term "priapism" was performed. In addition to the "classical" articles, emphasis was placed on publications from January 2013 to September 2016 to evaluate the most recent literature available. Though advances in both basic and clinical research continue and effective treatment options are available, methods for the prevention of priapism continue to be elusive.

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2017 Translational andrology and urology

33. A Case Report of Priapism With Unusual Presentation and Clinical Course (PubMed)

A Case Report of Priapism With Unusual Presentation and Clinical Course This is a case report on a patient with an unusual presentation and clinical course of priapism. It further discusses treatment options with reflection on current literatures and guidelines. 48 year old patient presented with a history of more than 50 episodes of priapism, each lasting for five minutes. Patient had history of brain tumor that was resected and had since been in remission. On examination and further (...) biochemistry assessment revealed conflicting clinical findings, making it difficult to ascertain the type of priapism in this case. The patient, however, recovered from the acute attacks of priapism after 24 hours of conservative management and no obvious cause had been identified on post-discharge follow-up. Priapism, despite being rare, is a medical emergency. This case report reflected upon the limitations of treatment guidelines and the lack of level one evidence to support treatment decisions.

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2017 Urology case reports

34. The Semantics of Priapism and the First Sign of Chronic Myeloid Leukemia (PubMed)

The Semantics of Priapism and the First Sign of Chronic Myeloid Leukemia Priapism is defined as an erection that persists beyond four hours, lasting beyond or unrelated to sexual stimulation (Salonia et al., 2014). Because the risk of ischemic damage and impotence is high with priapism (35%), management guidelines are directed towards rapid treatment of this condition (Salonia et al., 2014). This report describes the rare case of an 18-year-old male who presented to the Emergency Department (ED (...) ) three times with recurrent and worsening episodes of sustained penile erections. On the patient's third visit, he presented with priapism of greater than six-hour duration that was found to be the result of chronic myeloid leukemia. Clinician awareness of the diagnostic semantics and differential diagnosis surrounding priapism is pivotal in its urgent management.

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2017 Case Reports in Emergency Medicine

35. Avoiding complications: surgery for ischemic priapism (PubMed)

Avoiding complications: surgery for ischemic priapism Ischemic, or low-flow, priapism is among the most common and challenging urologic emergencies. Management of recurrent or refractory ischemic priapism is even more challenging, with increasing levels of risk for both the patient and the urologist. The goal of this commentary is to condense a career of experience (TF Lue) in the management of ischemic priapism into a concise, practical clinical tool for the reader. We will describe our (...) current algorithm for the treatment of ischemic priapism in addition to detailing how we arrived at these recommendations. We will also describe why we believe that the presented approach is the best available approach and why we have turned away from alternative procedures.

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2017 Translational andrology and urology

36. Priapism in the Newborn: Shall We Intervene? (PubMed)

Priapism in the Newborn: Shall We Intervene? Idiopathic neonatal priapism is rarely published. We report the case of a newborn presenting with priapism on the first day of life and reviewed the published data on the management and the follow up of this condition.

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2017 Journal of Neonatal Surgery

37. Olanzapine-induced Priapism in a Child with Asperger’s Syndrome (PubMed)

Olanzapine-induced Priapism in a Child with Asperger’s Syndrome Priapism is a potentially painful and prolonged erection that occurs in the absence of any stimulation. Olanzapine has been reported to induce priapism in several adult cases with schizophrenia and/or mood disorders but very rarely reported in children.9-year-old male with Asperger's Syndrome (AS) referred to our clinic with the complaints of inattention, hyperactivity and impulsivity. He was diagnosed with attention deficit (...) hyperactivity disorder (ADHD) and given methylphenidate treatment which ameliorated his ADHD symptoms. He started to have severe loss of appetite after methylphenidate treatment so olanzapine 2.5 mg/day was added to cope with severe inappetence. However he experienced priapism after olanzapine and priapism resolved after ceasing the drug. His mother restarted olanzapine because he benefited from olanzapine. But the same episodes occurred soon after olanzapine again and his mother had to stop

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2017 Balkan medical journal

38. Cycling Trauma as a Cause of Arterial Priapism in Children and Teenagers (PubMed)

Cycling Trauma as a Cause of Arterial Priapism in Children and Teenagers Bicycle riding has multiple beneficial cardiovascular effects; however, it is a well-documented source of significant urologic injuries. Priapism is a rare condition in children, and occurs primarily because of congenital hematologic diseases or adverse drug reactions. A pediatric clinical case and literature review of a high-flow priapism secondary to cycling trauma is described here to highlight their etiopathologic (...) correlation. Bicycle riding trauma is a rare but possible cause of high-flow priapism in children, and a high index of suspicion should ensure appropriate management.

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2017 Reviews in urology

39. High-flow priapism treated with superselective transcatheter embolization using polyvinyl alcohol particles (PubMed)

High-flow priapism treated with superselective transcatheter embolization using polyvinyl alcohol particles Priapism is a persistent erection of the penis not associated with sexual stimulation. High-flow priapism is caused by unregulated arterial inflow, usually preceded by perineal or penile blunt trauma and formation of an arterial-lacunar fistula. We present a case of high-flow priapism in a 13-year-old patient managed with polyvinyl alcohol particles.After obtaining informed consent (...) for the treatment of high flow priapism without compromising erectile function.

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2017 SAGE Open Medical Case Reports

40. Management of refractory ischemic priapism: current perspectives (PubMed)

Management of refractory ischemic priapism: current perspectives The aim of the present manuscript is to review the current literature on priapism, focusing on the state-of-the-art knowledge of both the diagnosis and the treatment of the refractory ischemic priapism (IP).Pubmed and EMBASE search engines were used to search for words "priapism", "refractory priapism", "penile prosthesis", "diagnosis priapism", "priapism treatment", "penile fibrosis", "priapism therapy". All the studies were (...) carefully examined by the authors and then included in the review.First-line treatment involves ejaculation, physical exercise and cold shower followed by corporal blood aspiration and injection of α-adrenoceptor agonists. Subsequently, a distal or proximal shunt may be considered. If none of the treatment is effective or the priapism episode lasts >48 hours penile prosthesis implantation could be the only option to solve the priapism and treat the ongoing erectile dysfunction.The management of IP

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2017 Research and reports in urology

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