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Priapism

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761. Long-term oral phosphodiesterase 5 inhibitor therapy alleviates recurrent priapism. (Abstract)

Long-term oral phosphodiesterase 5 inhibitor therapy alleviates recurrent priapism. Recurrent ischemic priapism describes a disorder of repeated episodes of prolonged penile erection that frequently leads to devastating complications of erectile tissue damage and erectile dysfunction. A mechanistic role for dysregulated phosphodiesterase 5 (PDE5) in the deranged smooth muscle response of the corpus cavernosum of the penis offers new understanding about the pathogenesis of the disorder (...) and suggests that PDE5 may serve as a molecular target for its treatment and prevention. We explored the use of PDE5 inhibitors to treat recurrent priapism, based on the hypothesis that the erection regulatory function of PDE5 would be regularized by this treatment and protect against further episodes.We administered PDE5 inhibitors using a long-term therapeutic regimen to 3 men with sickle cell disease-associated priapism recurrences and 1 man with idiopathic priapism recurrences.Long-term PDE5 inhibitor

2006 Urology

762. Treatment of posttraumatic high-flow priapism in 8-year-old boy with percutaneous ultrasound-guided thrombin injection. (Abstract)

Treatment of posttraumatic high-flow priapism in 8-year-old boy with percutaneous ultrasound-guided thrombin injection. Treatment of high-flow priapism varies and has included transcatheter embolization when conservative approaches fail. We present the case of an 8-year-old boy with high-flow priapism, who was treated with ultrasound-guided thrombin injection because of encouraging experience with the method obtained when treating aneurysms and pseudoaneurysms. This procedure appears

2007 Urology

763. High-flow priapism: superselective cavernous artery embolization with microcoils. (Abstract)

High-flow priapism: superselective cavernous artery embolization with microcoils. To determine the effectiveness of superselective cavernous artery embolization.Eight patients with high-flow priapism were included in this study. All were treated by superselective cavernous artery embolization with microcoils and gelatin sponges. The follow-up examinations consisted of color duplex ultrasonography. The International Index of Erectile Function 5-item questionnaire was used to investigate (...) the patients' erectile function before the onset of priapism, at embolization, and 6 months after embolization.A unilateral cavernous fistula was found in 7 patients and bilateral fistulas in 1. Of the 8 patients, 2 (1 with unilateral and 1 with bilateral fistulas) initially underwent embolization with a gelatin sponge but presented with recurrence of tumescence 1 week after treatment and required a repeat embolization procedure with microcoils. The other 6 patients (75%) were successfully detumescent

2008 Urology

764. Priapism as a presentation of T-cell acute lymphoblastic leukaemia in a child. (Abstract)

Priapism as a presentation of T-cell acute lymphoblastic leukaemia in a child. We report a case of a child who presented to the ED with priapism. This was the initial presentation of T-cell acute lymphoblastic leukaemia (ALL). To our knowledge, this is the first report of a child with T-cell ALL presenting with priapism. This case demonstrates the importance of identifying the underlying cause of priapism, as it directly impacts on both initial and ongoing management.

2004 Emergency medicine Australasia

765. Cold saline enema in priapism--a useful tool for underprivileged. (Abstract)

Cold saline enema in priapism--a useful tool for underprivileged. Priapism, prolonged painful erection of the penis, is a urological emergency. Untreated, the patient can end up with impotence. Various methods have been described for its treatment but the initial management remains conservative. This study presents our experience with the use of sedation followed by an ice-cold saline enema in the management of priapism.

2004 Tropical Doctor

766. Sexual function after highly selective embolization of cavernous artery in patients with high flow priapism: long-term followup. (Abstract)

Sexual function after highly selective embolization of cavernous artery in patients with high flow priapism: long-term followup. We present 15 cases of high flow priapism treated by selective embolization and evaluate erectile function at long-term followup.Between 1995 and 2001, 15 patients underwent highly selective embolization of the cavernous artery for high flow priapism. Trauma was reported by 12 of the 15 patients, and no etiologic causes were evident in the other 3. The fistula (...) not conclusive and a surgical operation was required. The IIEF results showed that sexual function was in the normal range in 80% of patients. Three patients (20%) reported a slight change in the quality of erection. Mean postoperative IIEF score was 26.3 (range 18 to 30).Highly selective embolization of the fistula is an effective and safe treatment option for high flow priapism because it ensures a high level of preservation of pretreatment erectile function.

2004 Journal of Urology

767. Use of antivenin to treat priapism after a black widow spider bite. (Abstract)

Use of antivenin to treat priapism after a black widow spider bite. Black widow spider envenomation (BWSE) is commonly associated with severe abdominal pain, muscle cramping, and hypertension. Treatment is primarily symptomatic with the use of opiates and benzodiazepines. Priapism is a complication of BWSE that has only rarely been reported. We describe a 17-month-old male who developed priapism after known BWSE. His priapism did not respond to opiates or benzodiazepines, and he was treated (...) with black widow spider antivenin. Complete detumescence followed within several hours. The patient required no additional opiates for pain and was discharged from the hospital the following day. The patient's rapid improvement after antivenin suggests its efficacy in treating BWSE-associated priapism.

2004 Pediatrics

768. Intracavernous epinephrine: A minimally invasive treatment for priapism in the emergency department. (Abstract)

Intracavernous epinephrine: A minimally invasive treatment for priapism in the emergency department. Priapism is the prolonged erection of the penis in the absence of sexual arousal. A 45-year-old man, an admitted frequent cocaine user, presented to the Emergency Department (ED) on two separate occasions with a history of priapism after cocaine use. The management options in the ED, as exemplified by four individual case reports, in particular the use of a minimally invasive method

2008 Journal of Emergency Medicine

769. Transitional cell carcinoma presenting as clitoral priapism. (Abstract)

Transitional cell carcinoma presenting as clitoral priapism. Clitoral priapism is an uncommon cause of clitoromegaly. It should be suspected in the absence of hirsuitism and the presence of clitoral engorgement, pain, and local irritation.A 48-year-old female had a straight catheterization of her bladder for a history of frequent urinary tract infections. She was noted to have a clitoral size of 5 x 2.5 cm along with the classic findings of priapism. She had an 8 x 10 cm pelvic mass (...) that was biopsied and revealed transitional cell carcinoma with papillary squamous component.Clitoral priapism presents with clitoral engorgement in the absence of sexual stimulation. The most common etiologies include medications, pelvic tumors, blood dyscrasias, or retroperitoneal fibrosis. A thorough investigation is warranted to identify potential pelvic venous or lymphatic obstruction.

2004 Gynecologic Oncology

770. Stuttering priapism associated with withdrawal from sustained-release methylphenidate. (Abstract)

Stuttering priapism associated with withdrawal from sustained-release methylphenidate. Stuttering priapism is intermittent, prolonged, painful, pathologic erections with intervening periods of detumescence. An adolescent had stuttering priapism associated with withdrawal from sustained-release methylphenidate. To our knowledge, this is the first such report of stuttering priapism associated with stimulant drugs for treatment of attention deficit hyperactivity disorder.

2004 Journal of Pediatrics

771. Emergency evaluation and treatment of priapism. (Abstract)

Emergency evaluation and treatment of priapism. Priapism is a fairly uncommon presentation to the Emergency Department, but when it does present, it represents a true urologic emergency. Prompt treatment will decrease the risk of permanent sequelae including impotence. Treatment should be based on etiology and follow an organized approach. Various cases will arise when conservative management will not remedy the priapism and more aggressive measures will be needed, particularly if emergent (...) urological consultation is not available. This article reviews the causes of priapism and systematically reviews techniques and procedures used to manage and treat priapism.

2004 Journal of Emergency Medicine

772. Low-flow priapism needs recognition and early correct treatment. Full Text available with Trip Pro

Low-flow priapism needs recognition and early correct treatment. Low-flow priapism is a rare condition whereby there is a persistent, painful erection. The patient often presents late because of embarrassment. Failure to recognise this as an emergency and instigate immediate treatment may lead to cavernosal tissue ischaemia, fibrosis and subsequent long-term impotence. A case of low-flow priapism, that demonstrated a lack of urgency and understanding is discussed. An internet-based literature

2007 Emergency Medicine Journal

773. Priapism as the presenting symptom of an aortocaval fistula. Full Text available with Trip Pro

Priapism as the presenting symptom of an aortocaval fistula. The case of an elderly man with priapism as his only symptom is presented. The importance of clinical signs and simple investigations to make a diagnosis of aortocaval fistula associated with abdominal aortic aneurysm are discussed.

2004 Emergency Medicine Journal

774. Stilboestrol and stuttering priapism in homozygous sickle-cell disease. (Abstract)

Stilboestrol and stuttering priapism in homozygous sickle-cell disease. A double-blind, placebo-controlled crossover study was conducted in 11 patients with stuttering attacks of priapism and homozygous sickle-cell (SS) disease. Stilboestrol 5 mg daily was better than the placebo in preventing attacks.

1985 Lancet Controlled trial quality: uncertain

775. Aetiological factors and management of priapism in Bristol 1978-1983. Full Text available with Trip Pro

Aetiological factors and management of priapism in Bristol 1978-1983. Twenty-two patients with priapism presented in the Bristol clinical area during the period 1978-1983. Idiopathic priapism was present in eight patients only (36.4%) and identifiable causes were present in the remaining fourteen (63.6%). Fourteen various surgical shunts were carried out. Success of surgical treatment, as demonstrated by detumescence and maintenance of potency, was best achieved in those patients who were (...) treated less than 12 hours following onset of priapism irrespective of whichever venous shunting technique was used (6 out of 7 patients--85.7%).

1986 Annals of the Royal College of Surgeons of England

776. Oral terbutaline for the treatment of priapism. (Abstract)

Oral terbutaline for the treatment of priapism. The widespread use of penile injections in the management of erectile dysfunction has led to an increased incidence of priapism. It has been suggested that terbutaline, a beta-agonist, might be beneficial in treating priapism in this setting. We randomized 24 patients with prolonged erections to a prospective, double-blind, placebo-controlled trial. We did not find any benefit of oral terbutaline over placebo in these patients.

1994 The Journal of urology Controlled trial quality: predicted high

777. Labetalol and priapism. Full Text available with Trip Pro

Labetalol and priapism. 7353116 1980 04 25 2018 11 13 0007-1447 280 6207 1980 Jan 12 British medical journal Br Med J Labetalol and priapism. 115 Law M R MR Copland R F RF Armitstead J G JG Gabriel R R eng Case Reports Letter England Br Med J 0372673 0007-1447 0 Ethanolamines R5H8897N95 Labetalol AIM IM Adult Ethanolamines adverse effects Humans Labetalol adverse effects Male Priapism chemically induced 1980 1 12 1980 1 12 0 1 1980 1 12 0 0 ppublish 7353116 PMC1600192 Lancet. 1974 Nov 30;2(7892

1980 British medical journal

778. Priapism at age 94 Full Text available with Trip Pro

Priapism at age 94 12893863 2003 09 16 2018 11 13 0141-0768 96 8 2003 Aug Journal of the Royal Society of Medicine J R Soc Med Priapism at age 94. 407-8 Abela R R Department of Surgery, Peterborough District Hospital, Peterborough PE3 6DA, UK. Khan S S Wells A A eng Case Reports Journal Article England J R Soc Med 7802879 0141-0768 AYI8EX34EU Creatinine IM Aged Aged, 80 and over Aorta, Abdominal Aortic Diseases complications Creatinine blood Fatal Outcome Humans Male Priapism etiology Vascular

2003 Journal of the Royal Society of Medicine

779. Management of sickle cell priapism with etilefrine Full Text available with Trip Pro

Management of sickle cell priapism with etilefrine Intracavernous injections of etilefrine were effective in seven children with acute sickle cell priapism, and stuttering priapism resolved in five children after one to seven months of oral etilefrine. Compared with our previous reports in adults, etilefrine appears to be more effective in childhood.

2001 Archives of Disease in Childhood

780. Priapism secondary to penile metastasis in a dog Full Text available with Trip Pro

Priapism secondary to penile metastasis in a dog A 4-year-old, male Newfoundland cross was presented for lethargy, anorexia, and dysuria. The main clinical finding was an enlarged and painful prostate gland. While the dog was hospitalized, priapism developed. Following euthanasia, microscopic examination revealed that a carcinoma involving both bladder and prostate gland had widely metastasized to the penile vasculature.

2002 The Canadian Veterinary Journal

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