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21. Evaluation of sexual function in adult sicklers presenting with repeated attacks of ischaemic priapism in childhood

Evaluation of sexual function in adult sicklers presenting with repeated attacks of ischaemic priapism in childhood Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated

2020 PROSPERO

22. Priapism in patients with Chronic myeloid leukemia Systematic review

Priapism in patients with Chronic myeloid leukemia Systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation

2020 PROSPERO

23. History of posttraumatic stress disorder · priapism · Dx? (Abstract)

History of posttraumatic stress disorder · priapism · Dx? A 35-year-old African-American man, who was an active duty service member, presented to the Troop Medical Clinic with a 4-hour history of priapism. He had been taking sertraline 100 mg and prazosin 10 mg nightly for 4 months to treat his posttraumatic stress disorder (PTSD) with no reported adverse effects. These doses were titrated 2 months prior to presentation. The patient reported that he took his usual medication doses before bed

2018 Journal of Family Practice

24. Emergency Management of Priapism in the United Kingdom: A Survey of Current Practice. (Abstract)

Emergency Management of Priapism in the United Kingdom: A Survey of Current Practice. Despite its importance, current practice in the emergency management of priapism in the United Kingdom is unknown.To evaluate current practice in the emergency management of priapism in the United Kingdom.All "full," "associate urological specialist," and "trainee" members of the British Association of Urological Surgeons (BAUS; leading membership-based organization for practitioners of urologic surgery (...) in the United Kingdom) were invited to participate in an online survey. Questions related to the emergency management of priapism, access to tertiary andrology services, and use of guidelines.Key outcome measures included frequency of encountered cases, access to specialist andrology support, confidence in key management steps, and use of current guidelines.213 of 1,304 (16.3%) eligible members completed the survey. Most reported managing 1 case annually (median = 1, range = 0->10). Only 7.0% transferred

2018 Journal Of Sexual Medicine

25. BAUS Consensus Document for the Management of Male Genital Emergencies - Priapism. Full Text available with Trip Pro

BAUS Consensus Document for the Management of Male Genital Emergencies - Priapism. Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on-site expertise in genitourethral surgery. A series of consensus statements have been developed by an expert consensus committee comprising members of the BAUS Section (...)  of Andrology and Genitourethral Surgery together with experts from urology units throughout the UK. Priapism requires prompt assessment and treatment and these consensus statements provide guidance for UK practice.© 2018 The Authors BJU International © 2018 BJU International Published by John Wiley & Sons Ltd.

2018 BJU international

26. Penoscrotal Decompression-Promising New Treatment Paradigm for Refractory Ischemic Priapism. (Abstract)

Penoscrotal Decompression-Promising New Treatment Paradigm for Refractory Ischemic Priapism. For prolonged ischemic priapism, outcomes after distal shunt are poor, with only 30% success for priapic episodes lasting longer than 48 hours.To present a novel, glans-sparing approach of corporal decompression through a penoscrotal approach for cases of refractory ischemic priapism (RIP) after failed distal shunt procedures.We describe the technique and present our initial experience with penoscrotal (...) presented after a prolonged duration of priapism (median = 61 hours) after which the priapism was refractory to multiple prior treatments (median = 3, range = 1-75) including at least 1 distal shunt. MPP was inserted in 8 patients (57.1%), whereas the most recent 6 patients (42.9%) underwent PSD. All patients with PSD (6 of 6, 100%) were successfully treated with corporal decompression without additional intervention and noted immediate relief of pain postoperatively. In contrast, 37.5% of patients (3

2018 Journal Of Sexual Medicine

27. Posttraumatic High-Flow Nonischemic Priapism. (Abstract)

Posttraumatic High-Flow Nonischemic Priapism. Priapism is an uncommon disorder, and nonischemic priapism is seen less frequently in children, generally after trauma. Although it seems to be an advantage that urgent intervention is not required because of no cavernous ischemia, it is likely to be misdiagnosed because of the asymptomatic potential. We aimed to present a case of posttraumatic nonischemic priapism.

2018 Pediatric Emergency Care

28. Recent advances in the management of priapism Full Text available with Trip Pro

Recent advances in the management of priapism Priapism is an uncommon urological emergency that can lead to permanent impotence if prompt presentation and medical intervention is not performed. It is a breakdown of the usual physiological mechanisms controlling penile tumescence and detumescence, leading to a prolonged penile erection (>4 hours) that is unrelated to sexual stimulation. Currently, there are three accepted subtypes: ischaemic, non-ischaemic, and stuttering priapism, which is also (...) known as recurrent ischemic priapism. The aim of treatment is the immediate resolution of the painful erection and the preservation of cavernosal smooth muscle function in order to prevent cavernosal fibrosis, which can lead to penile shortening and permanent erectile dysfunction.

2018 F1000Research

29. Priapism as the initial sign in hematologic disease: Case report and literature review Full Text available with Trip Pro

Priapism as the initial sign in hematologic disease: Case report and literature review Priapism is an uncommon sign and sometimes considered a diagnosis challenge into systemic disease; this is defined as ≥4 h continuous penile erection, without sexual stimulation. We state that this work has been reported in line with the SCARE criteria PRESENTATION OF CASE: A Mexican 52-year-old man was brought to the emergency room with priapism of six days of evolution. His medical history reported fatigue (...) and Philadelphia translocation t(9:22) (q34;q11.2) with P210 BCR-ABL1 fusion transcriber, patient was discharged with dasatinib for maintenance phase. Actually, he has a satisfactory evolution without relapses.The majority of reported cases shows the individual importance of hematological diseases in priapism as it is shown in the analysis of the literature of 10 years (2006-2016) that we made. It is imperative to consider the type of priapism, and the genetic and demographic patient aspects due to the early

2018 International journal of surgery case reports

30. Poorly Controlled Homocystinuria: A Rare Cause of Ischemic Priapism? Full Text available with Trip Pro

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

2018 Sexual Medicine

31. History of posttraumatic stress disorder · priapism · Dx? (Abstract)

History of posttraumatic stress disorder · priapism · Dx? A 35-year-old African-American man, who was an active duty service member, presented to the Troop Medical Clinic with a 4-hour history of priapism. He had been taking sertraline 100 mg and prazosin 10 mg nightly for 4 months to treat his posttraumatic stress disorder (PTSD) with no reported adverse effects. These doses were titrated 2 months prior to presentation. The patient reported that he took his usual medication doses before bed

2018 Journal of Family Practice

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

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

33. Daily tadalafil for the chronic phase of stuttering priapism: a case report. Full Text available with Trip Pro

Daily tadalafil for the chronic phase of stuttering priapism: a case report. Recurrent (stuttering) ischemic priapism is a challenging clinical condition. Frequent recurrences result in frequent hospital admissions whereas treatment with a shunting procedure often results in erectile dysfunction.A 22-year-old man with stuttering idiopathic priapism developed erectile dysfunction (IIEF-5 score 12) following a Winter's shunt; he was given tadalafil, 5 mg/daily, for 6 months. This treatment (...) resulted in progressive restoration of erectile function in the 6 months following the shunt as well as in preventing recurrence of priapic episodes over a 24-month follow-up.This is the first report in literature of chronic treatment of stuttering priapism with a phosphodiesterase-5 inhibitor being able not only to prevent recurrent priapic episodes but also to restore erectile function following a Winter's shunt.

2018 BMC Urology

34. A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man Full Text available with Trip Pro

A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man Priapism, a persistent erection of the penis which has no association with sexual activity and lasts longer than four hours, is a urologic emergency. It can be classified into ischemic, nonischemic, and stuttering categories. The pathophysiology of stuttering priapism is not well understood; however, the dysregulation of nitric oxide and phosophodiesterase-5 (PDE5) has been put forward as a possible mechanism. A 35-year (...) -old male with a history of recurrent priapism presented with continuous penile erection for more than 48 hours. In the emergency room, penile aspiration and an intracavernous phenylephrine injection were attempted which did not help. Subsequently, a distal penile shunt was surgically created; however, the patient's symptoms still persisted. A second round of penile irrigation, aspiration, and an intracavernous phenylephrine injection were attempted, but it was not helpful. Finally, another

2018 Cureus

35. The first case of neonatal priapism during hypothermia for hypoxic-ischemic encephalopathy and a literature review Full Text available with Trip Pro

The first case of neonatal priapism during hypothermia for hypoxic-ischemic encephalopathy and a literature review Neonatal priapism is a rare condition with only 26 described cases in literature since 1879. It is defined as a persistent penile erection occurring in the first 28 days of life, lasting at least 4 h that usually happens in the first days (from 2 to 12 days). It is a very different condition compared to the adult one because in newborns it is a relatively benign phenomenon

2018 Italian journal of pediatrics

36. Malignant priapism in metastatic prostate cancer: A late event occurring early Full Text available with Trip Pro

Malignant priapism in metastatic prostate cancer: A late event occurring early 29888172 2019 02 26 2214-4420 19 2018 Jul Urology case reports Urol Case Rep Malignant priapism in metastatic prostate cancer: A late event occurring early. 1-3 10.1016/j.eucr.2018.03.001 Barrett-Campbell Odeth O Department of Medicine, SUNY Downstate Medical Center, New York, United States. Petkovska Iva I Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, United States. Slovin Susan F SF (...) Genitourinary Oncology Service, Sidney Kimmel Center for Prostate and Urologic Cancers, Memorial Sloan Kettering Cancer Center, New York, United States. eng Case Reports 2018 03 31 United States Urol Case Rep 101626357 2214-4420 Carboplatin/docetaxel Chromogranin A MRI Malignant priapism Prostate cancer Radiation 2018 02 15 2018 03 02 2018 6 12 6 0 2018 6 12 6 0 2018 6 12 6 1 epublish 29888172 10.1016/j.eucr.2018.03.001 S2214-4420(18)30062-7 PMC5991306 Rev Urol. 2011;13(2):90-4 21935340 Urol J. 2017 Jan

2018 Urology case reports

37. High-flow priapism and urinary retention Full Text available with Trip Pro

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

2018 Urology case reports

38. The Hemodynamic Effects of Intracavernosal Phenylephrine for the Treatment of Ischemic Priapism. (Abstract)

The Hemodynamic Effects of Intracavernosal Phenylephrine for the Treatment of Ischemic Priapism. We sought to evaluate whether the administration of phenylephrine (PE) at concentrations higher than those described in guidelines resulted in any significant changes in vital signs or impacted outcomes.After receiving institutional review board approval, we retrospectively reviewed the charts of patients presenting to our emergency department between May 1, 2014, and August 15, 2016, using (...) International Classification of Diseases, Ninth Edition and Internation Classification of Disease, Tenth Edition diagnosis codes for priapism. Treatment was reviewed, including corporal aspiration/irrigation, injection of PE, and shunt procedures. Vital signs were compared before and after treatment with PE. Baseline variables were explored with categorical data analysis (chi-squared tests, t-tests, and Mann-Whitney nonparametric tests). Where feasible, linear regression was used to evaluate

2018 Journal Of Sexual Medicine

39. Case — Temporary chemical castration in the management of recurrent priapism Full Text available with Trip Pro

Case — Temporary chemical castration in the management of recurrent priapism 29405906 2018 11 13 1911-6470 12 5 2018 May Canadian Urological Association journal = Journal de l'Association des urologues du Canada Can Urol Assoc J Case - Temporary chemical castration in the management of recurrent priapism. E265-E266 10.5489/cuaj.4875 Yi Yooni Y University of Michigan, Ann Arbor, MI, United States. Malaeb Bahaa B University of Michigan, Ann Arbor, MI, United States. eng Journal Article 2018 02

2018 Canadian Urological Association Journal

40. Clitoral priapism due to distant clitoral metastasis of high-grade serous ovarian carcinoma: A case report and review of the literature Full Text available with Trip Pro

Clitoral priapism due to distant clitoral metastasis of high-grade serous ovarian carcinoma: A case report and review of the literature •Cutaneous metastasis at the initial presentation of ovarian carcinoma is rare.•Clitoral metastasis in a gynecological malignancy can occasionally present as clitoral priapism.•Clitoral priapism can be treated with oral or intramuscular alpha blockade.

2018 Gynecologic Oncology Reports

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