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Priapism

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61. Surgical Management of Stuttering Ischemic Priapism: A Case Report and Concise Clinical Review (PubMed)

Surgical Management of Stuttering Ischemic Priapism: A Case Report and Concise Clinical Review Stuttering priapism is an extremely rare and poorly understood entity. We present a rare case of a 47-year-old Afro-Caribbean gentleman who required proximal shunt procedure to treat his ischemic stuttering priapism after he had failed medical management. We provided a concise review of the literature on the surgical management of ischemic priapism. This case highlighted the importance of prompt (...) surgical intervention in prolonged stuttering priapism to avoid serious psychological and functional complications.

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2016 Urology case reports

62. Priapism in Homozygous Sickle Cell Disease: A 40-year Study of the Natural History (PubMed)

Priapism in Homozygous Sickle Cell Disease: A 40-year Study of the Natural History To describe the incidence, pattern, and outcome of priapism in homozygous sickle cell (SS) disease.Regular review, for periods up to 40 years, was done of all 162 males with SS disease detected during the screening of 100 000 consecutive non-operative deliveries at the main government maternity hospital in Kingston, Jamaica, between June 1973 and December 1981.Priapism occurred in 52 (32.7%) patients overall (...) , the incidence rising steeply in late adolescence to 32% by age 20 years and a cumulative incidence of nearly 60% of patients by age 40 years. Many cases were elicited only on direct questioning because of embarrassment and the lack of realization that priapism complicates SS disease. Initial events were recurrent stuttering episodes in 39 patients, a single short-term event in six patients and a major attack (more than six hours) in seven patients. Erectile function was preserved in almost all patients

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2016 The West Indian medical journal

63. Risperidone-induced priapism in an autistic child: a case report (PubMed)

Risperidone-induced priapism in an autistic child: a case report Priapism is a prolonged stimulation with painful, persistent penile erection unaccompanied by sexual desire. It is a rare but serious urological emergency. Risperidone is an atypical antipsychotic widely prescribed for the treatment of behavior problems in children with autism spectrum disorder. It seems associated with priapism in children.We present a case of a 12-year-old Moroccan boy diagnosed with autism spectrum disorder who (...) developed priapism while on an existing regimen of risperidone, and we report the treatment decisions that followed.Clinicians who prescribe risperidone should be aware of the possibility of this rare complication in their patients. Information about this possible side effect and instructions regarding appropriate response should be made available to caregivers of those in the at-risk group of young patients.

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2016 Journal of medical case reports

64. Ethylene-vinyl alcohol copolymer (Onyx®) transarterial embolization for post-traumatic high-flow priapism (PubMed)

Ethylene-vinyl alcohol copolymer (Onyx®) transarterial embolization for post-traumatic high-flow priapism We report a case of high-flow priapism treated successfully with superselective embolization of the cavernous artery. A 16-year-old male developed post-traumatic priapism subsequent to a fall causing blunt perineal trauma. He presented to our hospital four days after trauma. Immediately after the injury, he suffered painless sustained incomplete erection. High-flow priapism was diagnosed (...) on repeat color Doppler imaging. At follow-up 3 months later, he had normal erectile function. To our knowledge, transarterial embolization of high-flow priapism with Onyx(®) has never been reported and appears to be a safe and effective treatment for managing patients with such a condition.

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2016 Quantitative imaging in medicine and surgery

65. Priapism and renal colic in a patient treated with duloxetine (PubMed)

Priapism and renal colic in a patient treated with duloxetine Antidepressant medications are associated with a variety of genitourinary and adverse sexual effects, such as urinary hesitation, priapism, and delayed ejaculation. Here, we report a case of priapism and renal colic following initiation of duloxetine in a patient with history of tolerated selective serotonin reuptake inhibitor treatment. To our knowledge, this represents the first report of priapism and renal colic associated

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2016 The Mental Health Clinician

66. High Flow Priapism in a Pediatric Patient after Circumcision with Dorsal Penile Nerve Block (PubMed)

High Flow Priapism in a Pediatric Patient after Circumcision with Dorsal Penile Nerve Block We report the first documented case of high flow priapism after circumcision with dorsal penile nerve block. A 7-year-old male who had undergone circumcision three years before presented to our institution with a 3-year history of persistent nonpainful erections. Workup revealed a high flow priapism and, after discussion of the management options, the patient's family elected continued observation.

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2016 Case reports in pediatrics

67. Can Priapism Occur as an Idiosyncratic Reaction to Risperidone? (PubMed)

Can Priapism Occur as an Idiosyncratic Reaction to Risperidone? 28360796 2018 11 13 1300-0667 53 2 2016 Jun Noro psikiyatri arsivi Noro Psikiyatr Ars Can Priapism Occur as an Idiosyncratic Reaction to Risperidone? 186-187 10.5152/npa.2015.10296 Şenormanci Ömer Ö Department of Psychiatry, Bülent Ecevit University School of Medicine, Zonguldak, Turkey. Atasoy Nuray N Department of Psychiatry, Bülent Ecevit University School of Medicine, Zonguldak, Turkey. Konuk Numan N Department of Psychiatry

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2016 Nöro Psikiyatri Arşivi

68. Risk Factors for Priapism Readmission. (PubMed)

Risk Factors for Priapism Readmission. Priapism is a urologic emergency with a tendency to recur in some patients. The frequency of, time to, and risk factors for priapism recurrence have not been well characterized.To identify predictors of priapism readmission.We used the New York Statewide Planning and Research Cooperative System database to identify patients presenting to emergency departments with priapism from 2005 through 2014. Patients were tracked up to 12 months after initial (...) presentation. Proportional hazards regression was used to identify risk factors for priapism readmission.Readmissions for priapism.The analytic cohort included 3,372 men with a diagnosis of priapism. The average age at first presentation was 39 ± 18 years and 40% were black. Within 1 year, 24% of patients were readmitted for recurrent priapism, 68% of whom were readmitted within 60 days. On multivariate analysis, sickle cell disease (hazard ratio [HR] = 2.5, 95% CI = 2.0-3.0), drug abuse or psychiatric

2016 Journal Of Sexual Medicine

69. Priapism as a new symptom of anaphylaxis in a prepubescent child. (PubMed)

Priapism as a new symptom of anaphylaxis in a prepubescent child. 27496320 2018 03 16 2018 12 02 1399-3038 27 8 2016 12 Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology Pediatr Allergy Immunol Priapism as a new symptom of anaphylaxis in a prepubescent child. 871-872 10.1111/pai.12618 Castilla-Hernández Eva E Pediatric Allergy Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain. Garriga-Baraut Teresa T Pediatric (...) Allergy Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain. eng Case Reports Letter 2016 09 16 England Pediatr Allergy Immunol 9106718 0905-6157 IM Anaphylaxis Child Humans Male Penis Priapism 2016 8 9 6 0 2018 3 17 6 0 2016 8 7 6 0 ppublish 27496320 10.1111/pai.12618

2016 Pediatric Allergy and Immunology

70. Is there a relation between priapism occurring after penile doppler ultrasonography and international erectile function index score and erection hardness score levels? (PubMed)

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

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2017 Turkish journal of urology

71. Ischaemic priapism: A clinical review (PubMed)

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

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2017 Turkish journal of urology

72. Priapism associated with the addition of risperidone to methylphenidate monotherapy: a case report (PubMed)

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.

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2017 Northern clinics of Istanbul

73. Management of Priapism

Management of Priapism Priapism Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology Online Learning For Medical Students Exams/LLL/Certifications Exam Prep Research (...) and Reporting Patient Education Management of Priapism (2010) Published 2003; Reviewed and Validity Confirmed 2010 Priapism, a relatively uncommon disorder, is a medical emergency. Although not all forms of priapism require immediate intervention, ischemic priapism is associated with progressive fibrosis of the cavernosal tissues and erectile dysfunction. This clinical guideline discusses evaluation, ischemic priapism, non-ischemic priapism, and stuttering priapism. [pdf] Panel Members Drogo K. Montague, MD

2010 American Urological Association

74. 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

75. Does pentoxifylline enhance the recovery of erectile function after a T-shunt procedure for prolonged ischaemic priapism? A prospective randomised controlled trial. (PubMed)

Does pentoxifylline enhance the recovery of erectile function after a T-shunt procedure for prolonged ischaemic priapism? A prospective randomised controlled trial. To evaluate the role of oral pentoxifylline for enhancing the recovery of erectile function (EF) in patients who had a T-shunt, a technically simple procedure for treating prolonged ischaemic priapism, as the recovery of EF has been reported in many patients treated by this procedure.This prospective randomised study was conducted (...) on 40 patients with prolonged ischaemic priapism treated with a T-shunt. Patients were randomly divided into two groups; group A received oral pentoxifylline from the second day after surgery for 3 months, and group B received placebo. Patients were followed for 18 months.The pain resolved in all patients, and EF recovered in 15 patients in group A and 10 in group B within 3 months. All patients but three had recovery of EF within the 18-month follow-up. Six patients had recovery of EF by using

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2015 Arab journal of urology

76. Trends in Sickle-Cell-Disease-Related Priapism in U.S. Children's Hospitals. (PubMed)

Trends in Sickle-Cell-Disease-Related Priapism in U.S. Children's Hospitals. To define rates of priapism diagnosis and inpatient admission among males with sickle cell disease (SCD).We retrospectively reviewed the Pediatric Health Information System database for males aged <21 years treated 2004-2012. We identified patients with SCD and priapism based on the International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes. Logistic regression and generalized (...) estimating equation models were used to control for confounding and to adjust for within-hospital clustering of similar patients.We identified 17,186 males who were admitted 137,710 times during the study period. Of these, 362 (2.1%) were diagnosed with priapism on 748 admissions. There was a significant decrease in the number of priapism admissions among patients with SCD over time (0.81% in 2004 to 0.44% in 2012, P  <  .001). The number of patients diagnosed with SCD-related priapism varied over time

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2015 Urology

77. Post-Traumatic High Flow Priapism: Multidetector Computed Tomography Demonstration. (PubMed)

Post-Traumatic High Flow Priapism: Multidetector Computed Tomography Demonstration. High-flow priapism due to pseudoaneurysm is a relatively rare urologic condition. Clear anatomic delineation of the number and origin of feeding vessels facilitates pre-embolization planning. Computed tomographic angiography can afford a three-dimensional display of the feeding vessels. We present a 26-year-old man with post-traumatic high-flow priapism, which is the first case studied with computed tomographic

2015 Urology

78. Subacute Hemolysis in Sickle Cell Mice Causes Priapism Secondary to NO Imbalance and PDE5 Dysregulation. (PubMed)

Subacute Hemolysis in Sickle Cell Mice Causes Priapism Secondary to NO Imbalance and PDE5 Dysregulation. Recent research suggests that priapism in sickle cell disease (SCD) is due to dysregulation of penile erection homeostasis including alteration of nitric oxide synthase (NOS) and phosphodiesterase type 5 (PDE5) activities by excessive levels of reactive oxygen species (ROS) released during hemolysis. It is unknown if subacute exposure to hemolysis is sufficient or if chronic reconditioning (...) of erectile tissues is required for perturbation of homeostatic pathways and whether PDE5 inhibitor (PDE5I) treatment can restore erectile homeostasis in the subacute setting.The aim of this study was to investigate the effects of subacute hemolysis (3-month exposure) on priapism and NO pathway regulation.Mice underwent bone marrow transplantation with either SCD (BM-SS) or wild-type (WT) bone marrow. BM-SS mice were treated with sildenafil 100 mg/kg/day. We measured intracavernous pressure (ICP

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2015 Journal Of Sexual Medicine

79. Prevention of Ischemic Priapism in Sickle Cell Disease: Sildenafil. (PubMed)

Prevention of Ischemic Priapism in Sickle Cell Disease: Sildenafil. 26431892 2016 04 21 2018 12 02 1527-9995 86 6 2015 Dec Urology Urology Prevention of Ischemic Priapism in Sickle Cell Disease: Sildenafil: Commentary on: Randomized Controlled Trial of Sildenafil for Preventing Recurrent Ischemic Priapism in Sickle Cell Disease. 1055-6 10.1016/j.urology.2015.07.003 S0090-4295(15)00650-0 Shakeri Aria A Division of Urology, Department of Surgery, University of Toronto, Toronto, Ontario, Canada (...) Phosphodiesterase 5 Inhibitors therapeutic use Piperazines therapeutic use Priapism etiology prevention & control Sulfones therapeutic use 2015 07 07 2015 07 07 2015 07 10 2015 10 4 6 0 2015 10 4 6 0 2016 4 22 6 0 ppublish 26431892 S0090-4295(15)00650-0 10.1016/j.urology.2015.07.003

2015 Urology

80. Priapism – A Rare Presentation in Chronic Myeloid Leukemia: Case Report (PubMed)

Priapism – A Rare Presentation in Chronic Myeloid Leukemia: Case Report Priapism is a complication rarely seen in leukemia. We report a 19-year-old man presented with persistent painful erection of penis for over 24 hours at home. The patient had underwent immediate irrigation and decompression of priapism by urologist at emergency services of the hospital. This approach resulted in a flaccid penis later. During hospitalization, peripheral blood smear and bone marrow aspiration confirmed

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2015 Urology case reports

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