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Priapism

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61. Ethylene-vinyl alcohol copolymer (Onyx®) transarterial embolization for post-traumatic high-flow priapism Full Text available with Trip Pro

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.

2016 Quantitative imaging in medicine and surgery

62. Priapism as the Presenting Manifestation of Multiple Myeloma Full Text available with Trip Pro

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

2016 Indian Journal of Hematology & Blood Transfusion

63. 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 Full Text available with Trip Pro

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

2016 The Journal of pharmacology and experimental therapeutics

64. Surgical Management of Stuttering Ischemic Priapism: A Case Report and Concise Clinical Review Full Text available with Trip Pro

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.

2016 Urology case reports

65. Steroids, drugs and stuttering priapism; the rock-and-roll lifestyle of a 24-year-old man Full Text available with Trip Pro

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.

2016 BMJ case reports

66. Priapism in Homozygous Sickle Cell Disease: A 40-year Study of the Natural History Full Text available with Trip Pro

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

2016 The West Indian medical journal

67. Intracavernosal metaraminol bitartrate for treatment of priapism resulting from circumcision: a case report Full Text available with Trip Pro

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

2016 SpringerPlus

68. Emergency Department Visits and Inpatient Admissions Associated with Priapism among Males with Sickle Cell Disease in the United States, 2006–2010 Full Text available with Trip Pro

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

2016 PloS one

69. Men with Sickle Cell Anemia and Priapism Exhibit Increased Hemolytic Rate, Decreased Red Blood Cell Deformability and Increased Red Blood Cell Aggregate Strength Full Text available with Trip Pro

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

2016 PloS one

70. Can Priapism Occur as an Idiosyncratic Reaction to Risperidone? Full Text available with Trip Pro

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

2016 Nöro Psikiyatri Arşivi

71. High Flow Priapism in a Pediatric Patient after Circumcision with Dorsal Penile Nerve Block Full Text available with Trip Pro

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.

2016 Case reports in pediatrics

72. Correction: Emergency Department Visits and Inpatient Admissions Associated with Priapism among Males with Sickle Cell Disease in the United States, 2006–2010 Full Text available with Trip Pro

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.].

2016 PloS one

73. Embolization Treatment of High-Flow Priapism Full Text available with Trip Pro

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.

2016 Seminars in interventional radiology

74. Risperidone-induced priapism in an autistic child: a case report Full Text available with Trip Pro

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.

2016 Journal of medical case reports

75. Clinical Management of Priapism: A Review Full Text available with Trip Pro

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

2016 The world journal of men's health

76. Priapism and renal colic in a patient treated with duloxetine Full Text available with Trip Pro

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

2016 The Mental Health Clinician

77. Priapism as a new symptom of anaphylaxis in a prepubescent child. (Abstract)

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

78. al-Ghorab Shunt for Priapism. (Abstract)

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

79. Risk Factors for Priapism Readmission. (Abstract)

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

80. Priapism – A Rare Presentation in Chronic Myeloid Leukemia: Case Report Full Text available with Trip Pro

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

2015 Urology case reports

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