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Priapism

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41. Re.: A prospective diary study of stuttering priapism in adolescents and young men with sickle cell anemia: report of an international randomized control trial; the Priapism in Sickle Cell Study (PISCES study). (Abstract)

Re.: A prospective diary study of stuttering priapism in adolescents and young men with sickle cell anemia: report of an international randomized control trial; the Priapism in Sickle Cell Study (PISCES study). 22088730 2016 02 05 2018 12 01 1527-3792 185 5 2011 May The Journal of urology J. Urol. Re.: A prospective diary study of stuttering priapism in adolescents and young men with sickle cell anemia: report of an international randomized control trial; the Priapism in Sickle Cell Study (...) (PISCES study). 1837-8 10.1016/S0022-5347(11)60219-X Seftel Allen D AD eng Journal Article Comment United States J Urol 0376374 0022-5347 0 Adrenergic alpha-2 Receptor Agonists AIM IM J Androl. 2011 Jul-Aug;32(4):375-82 21127308 Adrenergic alpha-2 Receptor Agonists therapeutic use Anemia, Sickle Cell complications Humans Male Priapism drug therapy Stuttering complications 2011 11 18 6 0 2011 11 18 6 0 2016 2 6 6 0 ppublish 22088730 S0022-5347(11)60219-X 10.1016/S0022-5347(11)60219-X

2016 The Journal of urology Controlled trial quality: uncertain

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

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

43. Three-piece Penile Prosthesis Implantation in Refractory Ischemic Priapism-Tips and Tricks. Full Text available with Trip Pro

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

44. High-flow priapism treated with superselective transcatheter embolization using polyvinyl alcohol particles Full Text available with Trip Pro

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.

2017 SAGE Open Medical Case Reports

45. Cycling Trauma as a Cause of Arterial Priapism in Children and Teenagers Full Text available with Trip Pro

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.

2017 Reviews in urology

46. Olanzapine-induced Priapism in a Child with Asperger’s Syndrome Full Text available with Trip Pro

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

2017 Balkan medical journal

47. Priapism in the Newborn: Shall We Intervene? Full Text available with Trip Pro

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.

2017 Journal of Neonatal Surgery

48. Contemporary best practice in the evaluation and management of stuttering priapism Full Text available with Trip Pro

Contemporary best practice in the evaluation and management of stuttering priapism Stuttering priapism is rare and under-investigated clinical entity. Although it shares similarities with ischaemic priapism, by definition, stuttering priapism has distinct characteristics that advocate for a different management in the clinical setting. Therefore, the management of stuttering priapism aims primarily to prevent recurrence rather than the resolution of spontaneous attacks. A multimodal approach

2017 Therapeutic advances in urology

49. Management in Neonatal Priapism: Case and Review Full Text available with Trip Pro

Management in Neonatal Priapism: Case and Review Neonatal priapism is uncommon and its cause is usually unknown, but it can generate anxiety for the parents and the pediatric team. The treatment in most cases is conservative and no sequelae are described.

2017 Urology case reports

50. Ischemic priapism: Can eosinophil count and platelet functions be positive predictive factors in etiopathogenesis Full Text available with Trip Pro

Ischemic priapism: Can eosinophil count and platelet functions be positive predictive factors in etiopathogenesis We evaluated the relation between ischemic priapism (IP) and blood count parameters in IP patients. We especially wanted to examine the contribution of eosinophil count (EC), platelet count (PC), and mean platelet volume (MPV) values, which are suspected predictive parameters for vascular endothelium damage and venoocclusive pathogenesis and etiopathogenesis, particularly in IP.A

2017 Canadian Urological Association Journal

51. Avoiding complications: surgery for ischemic priapism Full Text available with Trip Pro

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.

2017 Translational andrology and urology

52. Challenges surrounding penile prostheses insertion following acute priapism Full Text available with Trip Pro

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

2017 Translational andrology and urology

53. The use of penile prostheses in the management of priapism Full Text available with Trip Pro

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.

2017 Translational andrology and urology

54. Leech Therapy for Treating Priapism: Case Report Full Text available with Trip Pro

Leech Therapy for Treating Priapism: Case Report Priapism is well-defined by persistent, painful penile erection which happens without sexual stimulation. Currently, the hirudotherapy is practiced to treat venous congestion and subsequent compartment syndrome. Here we will report a case of a male with priapism treated by leeches. The case was a 26 yr old young single male referred to the Razi Hospital Emergency Department, Guilan University of Medical Sciences, Rasht, Iran due to long-time (...) of one month. In this case, chronology indicates that leech therapy was possibly treatment option for priapism. This procedure seems to be non-invasive treatment strategy worth to discussing in such patients.

2017 Iranian journal of public health

55. Ischaemic priapism: A clinical review Full Text available with Trip Pro

Ischaemic priapism: A clinical review Ischaemic priapism is a rare condition characterised by little or no cavernosal blood flow, pain and rigidity of the penis. Immediate intervention is required to restore blood flow, prevent necrosis and erectile dysfunction. This review was conducted to determine the best course of treatment and identify areas in current guidelines to which improvements could be made.PubMed, Ovid, MEDLINE (1946-December 2016) and the Cochrane Library were searched (...) minimal cardiovascular side effects. It should be injected at a concentration of 100-500 μg/mL, with 1 mL being injected every 3-5 minutes for up to an hour (maximum 1mg in an hour). Surgical shunting is the next step, except in the cases of delayed priapism (48-72 hours duration) where immediate penile prosthesis insertion may be considered more appropriate. Distal shunts should be performed first, followed by proximal ones to minimise damage leading to erectile dysfunction. There exists little

2017 Turkish journal of urology

56. Conversion of Low-Flow Priapism to High-Flow State Using T-Shunt with Tunneling Full Text available with Trip Pro

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

2017 Case reports in urology

57. Intracorporeal Dilatation Plus Al-Ghorab Corporoglandular Shunt for Salvage Management of Prolonged Ischemic Priapism Full Text available with Trip Pro

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.

2017 Urology case reports

58. Advances in the understanding of priapism Full Text available with Trip Pro

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.

2017 Translational andrology and urology

59. Priapism associated with the addition of risperidone to methylphenidate monotherapy: a case report Full Text available with Trip Pro

Priapism associated with the addition of risperidone to methylphenidate monotherapy: a case report Priapism is a state of prolonged and unwanted erection without sexual stimulation or desire. Priapism may occur with a variety of diseases or as a side effect of medication. Immediate diagnosis and treatment is essential, as ischemia of cavernous tissues results in erectile dysfunction. Described in the present report is a 12-year-old male with priapism associated with the addition of risperidone (...) to methylphenidate monotherapy. Priapism decreased and disappeared following discontinuation of drug therapy and implementation of cavernous drainage. To our knowledge, the present is the first report to describe priapism associated with the addition of risperidone to methylphenidate monotherapy. It is hoped that attention will be drawn to the risk of priapism caused by the combination of these psychopharmacologic agents.

2017 Northern clinics of Istanbul

60. The Semantics of Priapism and the First Sign of Chronic Myeloid Leukemia Full Text available with Trip Pro

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.

2017 Case Reports in Emergency Medicine

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