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Priapism

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41. 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

42. 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

43. 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

44. 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

45. 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

46. 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

47. 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

48. 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

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. 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

51. 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

52. 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

53. 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

54. 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

55. 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

56. Interventions for treating priapism: a network meta-analysis of randomized clinical trials

Interventions for treating priapism: a network meta-analysis of randomized clinical trials 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. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address

2018 PROSPERO

57. 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

58. Guideline of Guidelines Priapism. (Abstract)

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

2016 BJU international

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

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

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

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

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