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61. Role of Penile Prosthesis in Priapism: A Review Full Text available with Trip Pro

Role of Penile Prosthesis in Priapism: A Review Ischemic priapism is a urological emergency that has been associated with long-standing and irreversible adverse effects on erectile function. Studies have demonstrated a linear relationship between the duration of critically ischemic episodes and the subsequent development of corporal fibrosis and irreversible erectile function loss. Placement of a penile prosthesis is a well-established therapeutic option for the management of erectile (...) dysfunction secondary to ischemic priapism, and will be the focus of this review. Review of the current literature demonstrates a growing utilization of penile prostheses in the treatment of erectile dysfunction secondary to ischemic priapism. Unfortunately, there is a paucity of randomized-controlled trials describing the use of prosthesis in ischemic priapism. As a result, there is a lack of consensus regarding the type of prosthesis (malleable vs. inflatable), timing of surgery (acute vs. delayed

2017 The world journal of men's health

62. Is there a relation between priapism occurring after penile doppler ultrasonography and international erectile function index score and erection hardness score levels? Full Text available with Trip Pro

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

2017 Turkish journal of urology

63. 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

64. Effect of lysyl oxidase (LOX) on corpus cavernous fibrosis caused by ischaemic priapism Full Text available with Trip Pro

Effect of lysyl oxidase (LOX) on corpus cavernous fibrosis caused by ischaemic priapism Penile fibrosis caused by ischemic priapism (IP) adversely affects patients' erectile function. We explored the role of lysyl oxidase (LOX) in rat and human penes after ischemic priapism (IP) to verify the effects of anti-LOX in relieving penile fibrosis and preventing erectile dysfunction caused by IP in rats. Seventy-two rats were randomly divided into six groups: control group, control + β

2017 Journal of cellular and molecular medicine

65. A Case Report of Priapism With Unusual Presentation and Clinical Course Full Text available with Trip Pro

A Case Report of Priapism With Unusual Presentation and Clinical Course This is a case report on a patient with an unusual presentation and clinical course of priapism. It further discusses treatment options with reflection on current literatures and guidelines. 48 year old patient presented with a history of more than 50 episodes of priapism, each lasting for five minutes. Patient had history of brain tumor that was resected and had since been in remission. On examination and further (...) biochemistry assessment revealed conflicting clinical findings, making it difficult to ascertain the type of priapism in this case. The patient, however, recovered from the acute attacks of priapism after 24 hours of conservative management and no obvious cause had been identified on post-discharge follow-up. Priapism, despite being rare, is a medical emergency. This case report reflected upon the limitations of treatment guidelines and the lack of level one evidence to support treatment decisions.

2017 Urology case reports

66. 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

67. 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

68. 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

69. 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

70. 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

71. 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

72. 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

73. 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

74. 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

75. 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

76. 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

77. 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

78. 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

79. 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

80. 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

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