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Priapism

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41. Leech Therapy for Treating Priapism: Case Report (PubMed)

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.

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2017 Iranian journal of public health

42. Ischemic priapism: Can eosinophil count and platelet functions be positive predictive factors in etiopathogenesis (PubMed)

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

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2017 Canadian Urological Association Journal

43. Contemporary best practice in the evaluation and management of stuttering priapism (PubMed)

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

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2017 Therapeutic advances in urology

44. Management in Neonatal Priapism: Case and Review (PubMed)

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.

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2017 Urology case reports

45. The Effectiveness of Oral Terbutaline in Treatment of Priapism

The Effectiveness of Oral Terbutaline in Treatment of Priapism BestBets: The Effectiveness of Oral Terbutaline in Treatment of Priapism The Effectiveness of Oral Terbutaline in Treatment of Priapism Report By: Dr. James Enderle - Emergency Medicine Resident Search checked by Dr. Jeff Jones - Research Director, EM Residency Program Institution: Grand Rapids Medical Education and Research Center for Health Professions/Michigan State University Date Submitted: 14th March 2010 Date Completed: 3rd (...) June 2011 Last Modified: 7th June 2011 Status: Green (complete) Three Part Question In [patients presenting to the emergency department with priapism], does the [use of oral terbutaline] result in [detumescence] Clinical Scenario A 46 year old man presents with a painful erection lasting approximately 4 hours. Your attending physician recommends giving oral terbutaline to the patient, but cannot recall the effectiveness of this drug in the treatment of acute priapism. Search Strategy Medline 1948

2011 BestBETS

46. Embolization Treatment of High-Flow Priapism (PubMed)

Embolization Treatment of High-Flow Priapism Priapism is prolonged erection that persists beyond or is unrelated to sexual stimulation. There are two main types of priapism: high flow and low flow. The treatment of priapism will differ depending on the diagnosis of these two different types. In particular, interventional radiology plays a key role in treating patients with high-flow priapism. This article will review the diagnosis and treatment of the high-flow priapism.

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2016 Seminars in interventional radiology

47. Correction: Emergency Department Visits and Inpatient Admissions Associated with Priapism among Males with Sickle Cell Disease in the United States, 2006–2010 (PubMed)

Correction: Emergency Department Visits and Inpatient Admissions Associated with Priapism among Males with Sickle Cell Disease in the United States, 2006–2010 [This corrects the article DOI: 10.1371/journal.pone.0153257.].

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2016 PloS one

48. Priapism as the Presenting Manifestation of Multiple Myeloma (PubMed)

Priapism as the Presenting Manifestation of Multiple Myeloma 28194073 2018 11 13 0971-4502 33 1 2017 Mar Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion Indian J Hematol Blood Transfus Priapism as the Presenting Manifestation of Multiple Myeloma. 133-136 10.1007/s12288-016-0722-7 Sahu Kamal Kant KK Department of Internal Medicine, P.G.I.M.E.R, Union Territory of Chandigarh, 160012 India. Mishra Kundan K Department

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2016 Indian Journal of Hematology & Blood Transfusion

49. Clinical Management of Priapism: A Review (PubMed)

Clinical Management of Priapism: A Review Priapism is defined as a persistent and painful erection lasting longer than four hours without sexual stimulation. Based on episode history and pathophysiology, priapism is classified into three subtypes: ischemic (low-flow), non-ischemic (high-flow), and stuttering priapism. Ischemic priapism is characterized by a persistent, painful erection with remarkable rigidity of the corpora cavernosa caused by a disorder of venous blood outflow from (...) this tissue mass, and is similar to penile compartment syndrome. Stuttering priapism is characterized by a self-limited, recurrent, and intermittent erection, frequently occurring in patients with sickle cell disease. Non-ischemic priapism is characterized by a painless, persistent nonsexual erection that is not fully rigid and is caused by excess arterial blood flow into the corpora cavernosa. Because ischemic and non-ischemic priapism differ based on emergency status and treatment options, appropriate

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2016 The world journal of men's health

50. Men with Sickle Cell Anemia and Priapism Exhibit Increased Hemolytic Rate, Decreased Red Blood Cell Deformability and Increased Red Blood Cell Aggregate Strength (PubMed)

Men with Sickle Cell Anemia and Priapism Exhibit Increased Hemolytic Rate, Decreased Red Blood Cell Deformability and Increased Red Blood Cell Aggregate Strength To investigate the association between priapism in men with sickle cell anemia (SCA) and hemorheological and hemolytical parameters.Fifty-eight men with SCA (median age: 38 years) were included; 28 who had experienced priapism at least once during their life (priapism group) and 30 who never experienced this complication (control group (...) . A principal component analysis was performed on 4 hemolytic markers (i.e., lactate dehydrogenase (LDH), aspartate aminotransferase (ASAT), total bilirubin (BIL) levels and reticulocyte (RET) percentage) to calculate a hemolytic index.Compared to the control group, patients with priapism exhibited higher ASAT (p = 0.01), LDH (p = 0.03), RET (p = 0.03) levels and hemolytic indices (p = 0.02). Higher RBC aggregates strength (p = 0.01) and lower RBC deformability (p = 0.005) were observed in patients

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2016 PloS one

51. Beneficial Effect of the Nitric Oxide Donor Compound 3-(1,3-Dioxoisoindolin-2-yl)Benzyl Nitrate on Dysregulated Phosphodiesterase 5, NADPH Oxidase, and Nitrosative Stress in the Sickle Cell Mouse Penis: Implication for Priapism Treatment (PubMed)

Beneficial Effect of the Nitric Oxide Donor Compound 3-(1,3-Dioxoisoindolin-2-yl)Benzyl Nitrate on Dysregulated Phosphodiesterase 5, NADPH Oxidase, and Nitrosative Stress in the Sickle Cell Mouse Penis: Implication for Priapism Treatment Patients with sickle cell disease (SCD) display priapism, and dysregulated nitric oxide (NO) pathway may contribute to this condition. However, current therapies offered for the prevention of priapism in SCD are few. The 3-(1,3-dioxoisoindolin-2-yl)benzyl (...) and oxidative stress in erectile tissue. Wild-type, SCD, and dNOS-/- mice were treated with compound 4C (100 μmol/kg/d, 3 weeks). Intracavernosal pressure in anesthetized mice was evaluated. Corpus cavernosum tissue was dissected free and mounted in organ baths. SCD and dNOS-/- mice displayed a priapism phenotype, which was reversed by compound 4C treatment. Increased corpus cavernosum relaxant responses to acetylcholine and electrical-field stimulation were reduced by 4C in SCD mice. Likewise, increased

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2016 The Journal of pharmacology and experimental therapeutics

52. Guideline of Guidelines Priapism. (PubMed)

Guideline of Guidelines Priapism. 27860090 2018 03 14 2018 03 14 1464-410X 119 2 2017 02 BJU international BJU Int. Guideline of guidelines: priapism. 204-208 10.1111/bju.13717 Muneer Asif A Departments of Urology, University College London Hospitals, London, UK. National Institute for Health Research (NIHR) Biomedical Research Centre, University College London Hospitals, London, UK. Ralph David D Departments of Andrology, University College London Hospitals, London, UK. St Peters Andrology (...) Centre, London, UK. eng Letter Research Support, Non-U.S. Gov't Review 2016 12 29 England BJU Int 100886721 1464-4096 0 Sympathomimetics N8ONU3L3PG Terbutaline YKH834O4BH Epinephrine IM Epinephrine therapeutic use Evidence-Based Medicine Humans Injections, Intralesional Male Practice Guidelines as Topic Priapism drug therapy physiopathology surgery therapy Prognosis Risk Assessment Severity of Illness Index Societies, Medical standards Sympathomimetics therapeutic use Terbutaline therapeutic use

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2016 BJU international

53. T-Shaped Shunt with Intracavernosal Tunneling, for a Pediatric Case of Refractory Ischemic Priapism. (PubMed)

T-Shaped Shunt with Intracavernosal Tunneling, for a Pediatric Case of Refractory Ischemic Priapism. We present the first reported case of refractory pediatric priapism treated by intracavernosal tunneling T shunt. A 12-year-old male, with sickle cell disease, presented with 72 hours of painful erection. The patient failed conservative measures including aspiration, injection of phenylephrine, as well as distal shunt procedure. A T-T shunt was performed, as previously described in the adult (...) literature. There was immediate resolution of the erection with no complications. At 1-year follow-up, he reports no subsequent episodes of priapism and normal erections. T shunt with tunneling can be performed in select cases of severe pediatric refractory ischemic priapism.Copyright © 2016 Elsevier Inc. All rights reserved.

2016 Urology

54. Use of High-Dose Phenylephrine in the Treatment of Ischemic Priapism: Five-Year Experience at a Single Institution. (PubMed)

Use of High-Dose Phenylephrine in the Treatment of Ischemic Priapism: Five-Year Experience at a Single Institution. Ischemic priapism is an uncommon urologic emergency characterized by a compartment syndrome-like ischemic insult to the corpora cavernosa of the penis. The goal of treatment in ischemic priapism is rapid detumescence to prevent long-term erectile dysfunction. Non-surgical treatment options include aspiration, irrigation, and intracavernous injections of sympathomimetic agents (...) . At our institution, phenylephrine is used in the treatment of ischemic priapism at concentrations and doses that are higher than those recommended in established guidelines.To characterize our experience with high-concentration intracavernous phenylephrine in the treatment of ischemic priapism at an urban tertiary care center.A retrospective chart review identified 58 unique patients presenting to the emergency department on 136 occasions and receiving the diagnosis of ischemic priapism by urologic

2016 Journal Of Sexual Medicine

55. Steroids, drugs and stuttering priapism; the rock-and-roll lifestyle of a 24-year-old man (PubMed)

Steroids, drugs and stuttering priapism; the rock-and-roll lifestyle of a 24-year-old man The authors present a case of a 24-year-old, poorly controlled insulin-dependent type 1 diabetic Caucasian man who presented to the emergency department, with a painful erection of 36 h duration that had failed to resolve with conservative management. This was the patient's seventh priapism, with his most recent attendance 1 week previously for which he underwent a distal cavernosal shunt. He admitted (...) to taking several recreational drugs, including marijuana and cocaine, during the preceding few days, in addition to the long-term use of the oral anabolic steroid oxandrolone. He had no family history of sickle cell disease or trait. On examination, a tensely erect penis was noted. A diagnosis of stuttering priapism was made and 750 mL of blood subsequently drained via a distal corporoglandular shunt resulting in successful detumescence.2016 BMJ Publishing Group Ltd.

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2016 BMJ case reports

56. Intracavernosal metaraminol bitartrate for treatment of priapism resulting from circumcision: a case report (PubMed)

Intracavernosal metaraminol bitartrate for treatment of priapism resulting from circumcision: a case report Priapism is an uncommon disorder of involuntary prolonged erection beyond sexual excitement or desire. Herein, we present a rare case of priapism resulting from traditional circumcision under regional anesthesia with dorsal penile nerve block by xylocaine, which was successfully treated by intracavernosal injection of metaraminol bitartrate.A 37-year-old man visited our out-patient (...) is very uncommon. This particular case was diagnosed as high-flow non-ischemic priapism, and is the first reported event of priapism resulting from circumcision which was finally successfully treated with the efficient and minimally invasive method of intracavernosal injection of metaraminol bitartrate.Intracavernous injection of metaramino bitartrate might be a simple, effective and safe method for relief of priapism associated with circumcision. Yet, more clinical studies are needed to validate

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2016 SpringerPlus

57. Emergency Department Visits and Inpatient Admissions Associated with Priapism among Males with Sickle Cell Disease in the United States, 2006–2010 (PubMed)

Emergency Department Visits and Inpatient Admissions Associated with Priapism among Males with Sickle Cell Disease in the United States, 2006–2010 People with sickle cell disease (SCD) suffer from numerous acute complications that can result in multiple hospitalizations and emergency department (ED) and outpatient care visits. Priapism, a prolonged unwanted erection of the penis not due to sexual stimulation, is a serious complication among males with SCD. Variations in estimates (...) of prevalence make it difficult to accurately assess the burden of this complication of SCD. We analyzed data from the Nationwide Emergency Department Sample (NEDS), a product of the Healthcare Cost and Utilization Project, for the years 2006 through 2010 to measure the numbers of ED visits and to examine patterns of subsequent hospitalizations associated with priapism among male patients with SCD. We find that among ED visits associated with males with SCD, those prompted by priapism are more likely

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2016 PloS one

58. Priapism in Sickle Cell Anemia

Priapism in Sickle Cell Anemia Priapism in Sickle Cell Anemia Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Priapism in Sickle Cell (...) Anemia Priapism in Sickle Cell Anemia Aka: Priapism in Sickle Cell Anemia From Related Chapters II. Epidemiology of Priapism in Sickle Cell Anemia: 89% by age 20 years old III. Management Duration: <2 hours s IV Fluids Do not transfuse for <4 hours Duration: 2-4 hours First Intracavernosal (1:1,000,000 dilution) or injection Other measures 10 mg (in repeated doses) Duration >4 hours Administer above measures if not already attempted Exchange transfusion (Risk of CVA symptoms) Urology indications

2018 FP Notebook

59. Priapism

Priapism Priapism Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Priapism Priapism Aka: Priapism From Related Chapters II (...) . Definitions Prolonged lasts longer than 4 hours Priapism lasts longer than 6 hours (associated with increased risk of permanent dysfunction) III. Pathophysiology Penile corpora cavernosa engorged Ventral corpora spongiosum and glans are not engorged (flaccid) IV. Precautions Priapism is a medical emergency Results in a permanent difficulty in obtaining future if left untreated Priapism in children can be due to underlying blood disorder Consider (may require leukopheresis) See V. Causes Ascending nerve

2018 FP Notebook

60. al-Ghorab Shunt for Priapism. (PubMed)

al-Ghorab Shunt for Priapism. The Surgical Techniques Section is sponsored in part by Coloplast.Copyright © 2016. Published by Elsevier Inc.

2016 Journal Of Sexual Medicine

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