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41. 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

42. 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

43. Role of Penile Prosthesis in Priapism: A Review Full Text available with Trip Pro

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

2017 The world journal of men's health

44. Is there a relation between priapism occurring after penile doppler ultrasonography and international erectile function index score and erection hardness score levels? Full Text available with Trip Pro

Is there a relation between priapism occurring after penile doppler ultrasonography and international erectile function index score and erection hardness score levels? The relation between Erection Hardness Score (EHS) and The International Erectile Function Index (IIEF) Questionnaire- Erectile Function Domain Score (IIEF-EF score) used in erectile dysfunction (ED) evaluation and the prevalence of priapism after penile Doppler ultrasonography (PDU) was examined in this study.A total of 62 (...) patients who had PDU were included in the study. Patients were divided into two groups; there were 33 patients in IIEF-EF score ≤10, EHS <2 group (Group 1) and 29 patients in IIEF-EF score >10, EHS ≥2 group (Group 2). The two groups separated according to their scores were compared for age, body mass index (BMI), prevalence of priapism, vascular comorbidities and duration of erection.When compared to Group 2, median age, rate of vascular comorbidities rate and BMI were detected to be higher in Group 1

2017 Turkish journal of urology

45. Effect of lysyl oxidase (LOX) on corpus cavernous fibrosis caused by ischaemic priapism Full Text available with Trip Pro

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

2017 Journal of cellular and molecular medicine

46. 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

47. 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

48. 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

49. 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

50. 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

51. A Case Report of Priapism With Unusual Presentation and Clinical Course Full Text available with Trip Pro

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.

2017 Urology case reports

52. 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

53. 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

54. 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

55. 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

56. Management of refractory ischemic priapism: current perspectives Full Text available with Trip Pro

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

2017 Research and reports in urology

57. 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

58. 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

59. 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

60. 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

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