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Priapism

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701. Treatment of postpriapism erectile dysfunction by closure of persistent distal glans-cavernosum fistulas 5 years after shunt creation. (Abstract)

Treatment of postpriapism erectile dysfunction by closure of persistent distal glans-cavernosum fistulas 5 years after shunt creation. Erectile dysfunction is common after the formation of a glans-cavernosum shunt for intractable priapism. Often patients require placement of a penile prosthesis to restore sexual function. We report a case of restoration of full erections after reversal of a glans-cavernosum shunt in a 30-year-old man who had been treated for priapism 5 years previously

2005 Urology

702. Progressive Painless Swelling of Glans Penis: Uncommon Clinical Manifestation of Systemic Non-Hodgkin's Lymphoma. (Abstract)

Progressive Painless Swelling of Glans Penis: Uncommon Clinical Manifestation of Systemic Non-Hodgkin's Lymphoma. Malignant lymphomatous involvement of the glans penis is a rare phenomenon that can be observed in either primary or secondary cutaneous lymphoma. Multiple papules, solitary nodules of variable size, ulcers, or painless masses have rarely been reported as specific and early manifestations of systemic lymphoma. Other unusual manifestations include priapism (manifested as a painless

2008 Urology

703. Magnetic resonance imaging combined with artificial erection for local staging of penile cancer. (Abstract)

and pathologic staging. In the last patient, none of the stages coincided (clinical Stage T1, MRI Stage T0, and pathologic Stage Tis). The only complication during the procedure was that 1 patient developed priapism after prostaglandin injection, which was relieved by evacuation of the corpora cavernosa.To our knowledge, this is the first study to use artificial erection with MRI to stage local penile cancer. The method appears promising for local staging of penile cancer, but additional studies

2004 Urology

704. Counseling patients about sexual issues. (Abstract)

and discontinuation of treatment. Drug-induced sexual dysfunction is common with some psychotropic drugs. Up to 50% of men will experience delayed ejaculation, and at least 30% of men and women will experience anorgasmia from antidepressant drugs with serotonin agonist activity. Trazodone is the drug most commonly associated with the rare but very serious adverse effect of priapism. The pharmacist who is both competent and comfortable discussing sexual function and dysfunction with patients can make positive

2006 Pharmacotherapy

705. An unusual presentation of achondroplasia. Case report. (Abstract)

An unusual presentation of achondroplasia. Case report. The authors present a case of an adolescent with achondroplasia and symptoms of neurogenic claudication who, interestingly, also presented with intermittent priapism. Both the neurogenic claudication and priapism were relieved following a thoracolumbar laminectomy. To our knowledge, this is the first report of a dwarf with thoracolumbar spinal canal stenosis presenting with priapism.

2005 Journal of Neurosurgery

706. Adult surgical emergencies in a developing country: the experience of Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria. (Abstract)

for acute appendicitis in 139 patients (97 women and 42 men), followed closely by road traffic accidents (RTAs) involving 137 patients (103 men and 34 women). Gunshot injuries, which resulted mainly from armed robbery attacks, accounted for 127 cases. More men (113) sustained gunshot injuries than women (14). Of the 92 cases of acute intestinal obstruction seen, 62 occurred in women and 30 in men. Some 126 men presented with acute urinary retention, and two others presented with priapism. Governments

2005 World Journal of Surgery

707. Sickle cell leg ulcers: a frequently disabling complication and a marker of severity. (Abstract)

or haemodialysis. Two categories of SCD leg ulcers were distinguished, defined by a 1-year duration cut off. The 'prolonged' ulcers had larger surfaces, tended to recur more frequently and led to more infection and depression. Several SCD complications were associated with leg ulcers, notably priapism, pulmonary hypertension, stroke and acute chest syndrome.Leg ulcers are a major complication of SCD, given their severe consequences and frequent association with other specific organ damage, and they constitute

2007 British Journal of Dermatology

708. Laparoscopic splenic procedures in children: experience in 231 children. (Abstract)

chest syndrome (5), pneumonia (2), portal vein thrombosis (1), priapism (1), hemolytic uremic syndrome (1), diaphragm perforation (2), colonic injury (1), missed accessory spleen (1), trocar site hernia (1), subsequent total splenectomy after an initial partial (1), and recurrent cyst (1). Subsequent operations were open in 3 (colon repair, hernia, and missed accessory spleen) and laparoscopic in 2 (completion splenectomy, and cyst excision). There were no deaths, wound infections, or instances

2007 Annals of Surgery

709. Delayed traumatic spinal epidural hematoma with spontaneous resolution of symptoms. (Abstract)

of sensation and motor function in bilateral lower extremities with priapism. Magnetic resonance imaging demonstrated a spinal epidural hematoma with 50% canal stenosis at the T4 level. His symptoms improved 1 h after the administration of high dose steroids. All symptoms resolved completely while the patient was in the Emergency Department and he was treated conservatively by Neurosurgery with no further sequelae. Thoracic spinal epidural hematoma is an uncommon condition that may present in delayed

2004 Journal of Emergency Medicine

710. Risk factors for squamous cell carcinoma of the penis--population-based case-control study in denmark. (Full text)

examined for human papillomavirus (HPV) DNA. Overall, 65% of PCR-examined penile SCCs were high-risk HPV-positive, most of which (22 of 24; 92%) were due to HPV16. Penile SCC risk was positively associated with measures of early and high sexual activity, including lifetime number of female sex partners, number of female sex partners before age 20, age at first intercourse, penile-oral sex, a history of anogenital warts, and never having used condoms. Histories of phimosis and priapism at least 5 years (...) before diagnosis were also significant risk factors, whereas alcohol abstinence was associated with reduced risk. Our study confirms sexually transmitted HPV16 infection and phimosis as major risk factors for penile SCC and suggests that penile-oral sex may be an important means of viral transmission. The association with priapism was unexpected and needs replication.

2008 Cancer Epidemiology & Biomarkers and Prevention PubMed abstract

711. Corporeal excavation: new technique for penile prosthesis implantation in men with severe corporeal fibrosis. (Abstract)

Corporeal excavation: new technique for penile prosthesis implantation in men with severe corporeal fibrosis. Penile prosthesis implantation in men who have fibrotic corpora as the result of ischemic priapism or previous removal of an infected penile prosthesis poses a significant challenge to the implanting surgeon. We describe a new technique, corporeal excavation, to meet this challenge.The operative approach is through an inverted T penoscrotal incision that affords exposure of nearly (...) and medical records were reviewed, and telephone interviews were done for follow-up when patients had not been recently seen in the clinic.Successful outcomes were achieved in all 9 patients. Corporeal excavation permits penile prosthesis implantation in men with severe intracorporeal fibrosis usually resulting from priapism or previous removal of infected penile prostheses.

2006 Urology

712. Efficacy and safety of intracavernosal alprostadil in men with erectile dysfunction. The Alprostadil Study Group. (Abstract)

mild, occurred in 50 percent of the men at some time but after only 11 percent of the injections. Prolonged erections occurred in 5 percent of the men, priapism in 1 percent, penile fibrotic complications in 2 percent, and hematoma or ecchymosis in 8 percent.In men with erectile dysfunction, intracavernosal injection of alprostadil is an effective therapy with tolerable side effects.

1996 NEJM Controlled trial quality: uncertain

713. Treatment of men with erectile dysfunction with transurethral alprostadil. Medicated Urethral System for Erection (MUSE) Study Group. (Abstract)

rarely resulted in refusal to continue in the study. Hypotension occurred in the clinic in 3.3 percent of men receiving alprostadil. Hypotension-related symptoms were uncommon at home. No men had priapism or penile fibrosis.In men with erectile dysfunction, transurethral alprostadil therapy resulted in erections in the clinic and in intercourse at home.

1997 NEJM Controlled trial quality: uncertain

714. Thrombocytosis

symptoms: Headache (the most common neurological symptom). Burning pain and dusky appearance of the extremities (erythromelalgia). Transient ischaemic episodes and paraesthesiae. Other transient symptoms (including dizziness, dysarthria, syncope, migraine, seizures, etc). Arterial thrombosis: Cardiac, renal and leg arteries (possible). Pain or gangrene of the toes and fingers. Venous thrombosis: Splenic, hepatic, or leg and pelvic veins may be involved. Priapism is rare. Pulmonary hypertension (may

2008 Mentor

715. Spinal Cord Injury and Compression

sense more evident in the hands than in the feet. Motor, sensory and autonomic dysfunction can occur. The latter can lead to neurogenic shock, paralytic ileus, aspiration, urinary retention, priapism and loss of thermoregulation. Clinical features depend upon the extent and rate of development of cord compression. Motor symptoms can include ready fatigue and disturbance of gait. Cervical spine lesions can produce quadriplegia. Injury above the level of C3, C4, C5 (the segmental level of the phrenic

2008 Mentor

716. Spider Bites

features (nausea, vomiting, headache, lethargy and malaise). Local and regional diaphoresis and, less commonly, other autonomic and neurological effects. The facies latrodectismica from a widow bite is a painful grimace caused by facial spasm and trismus associated with swollen eyelids, congested conjunctivae, flushing and sweating. Full latrodectism may also include tachycardia, hypertension, irritability, psychosis, priapism, acute kidney injury, respiratory compromise and cardiac failure (...) factors that stimulate peripheral and central nervous system neurons. The bite is very painful. Localised sweating and piloerection appears at the bite site, with pain radiating up the bitten extremity to the trunk. Following this, tachycardia, hypertension, profuse diaphoresis, hypothermia, salivation, nausea, vomiting, vertigo, visual disturbances, priapism (especially in young boys) and (rarely) death. Necrotic arachnidism This should probably be called loxoscelism as only Loxosceles spp. have good

2008 Mentor

717. Sickle Cell Disease and Sickle Cell Anaemia

cell disease is very variable: a minority have few complications and their disease is clinically unapparent; a majority have intermediate forms, and another minority have severe complications including sepsis, strokes, recurrent painful episodes, acute chest syndrome, pulmonary hypertension and priapism. [ ] Sickle cell trait [ ] Heterozygotes; there is typically 60% HbA and 40% HbS. Sickle cell trait protects against malaria. Sickle cell trait occurs in approximately 300 million people worldwide (...) ), loin pain (renal papillary necrosis may cause renal colic or severe haematuria), priapism, hyphaema and retinal occlusion. Large vessels may also be involved, causing thrombotic strokes, acute sickle chest syndrome and placental infarction. Stroke: Variable presentation, including fits and focal neurological signs. Cerebral infarction is more common in children. Haemorrhage from microaneurysms which develop around infarctions ('moyamoya') is more common in adults. Aplastic crisis (temporary

2008 Mentor

718. Erectile Dysfunction

% in the general population have been reported and it is often effective for those men who do not respond to oral drug treatment. Penile pain (50% of patients) is usually mild but a significant number of men stop using this method because of this side-effect. If priapism occurs with alprostadil: The patient should be referred urgently to hospital. Patients are advised to seek medical advice if the erection has lasted longer than four hours. Treatment should not be delayed for more than six hours. Initial

2008 Mentor

719. Chronic Myeloid Leukaemia

Splenomegaly - the most common physical finding, which may extend towards the right iliac fossa. Hepatomegaly. Enlarged lymph nodes are also a possibility. Anaemia can produce a hyperdynamic circulation. Easy bruising. Fever. Gout due to rapid cell turnover. Hyperviscosity syndrome due to leukocytosis - visual disturbance (fundoscopy may show papilloedema, venous obstruction and retinal haemorrhages), priapism, cerebrovascular accident (CVA), confusion. Investigations At presentation FBC: Leukocytosis

2008 Mentor

720. Primary Thrombocytosis

symptoms: Headache (the most common neurological symptom). Burning pain and dusky appearance of the extremities (erythromelalgia). Transient ischaemic episodes and paraesthesiae. Other transient symptoms (including dizziness, dysarthria, syncope, migraine, seizures, etc). Arterial thrombosis: Cardiac, renal and leg arteries (possible). Pain or gangrene of the toes and fingers. Venous thrombosis: Splenic, hepatic, or leg and pelvic veins may be involved. Priapism is rare. Pulmonary hypertension (may

2008 Mentor

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