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101. Priapism (Follow-up)

Priapism (Follow-up) Priapism Treatment & Management: Approach Considerations, Prehospital Care, Low-Flow Priapism Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDM3MjM3LXRyZWF0bWVudA== processing > Priapism (...) Treatment & Management Updated: Nov 28, 2016 Author: Hosam S Al-Qudah, MD; Chief Editor: Edward David Kim, MD, FACS Share Email Print Feedback Close Sections Sections Priapism Treatment Approach Considerations Appropriate treatment of priapism varies, depending on whether the patient has low-flow or high-flow priapism. Most priapism cases are the low-flow ischemic type. Treatment of low-flow priapism should progress in a stepwise fashion, starting with therapeutic aspiration, with or without irrigation

2014 eMedicine.com

102. Priapism (Follow-up)

Priapism (Follow-up) Priapism: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDM3MjM3LW92ZXJ2aWV3 processing > Priapism Updated: Nov 28, 2016 Author: Hosam S Al (...) -Qudah, MD; Chief Editor: Edward David Kim, MD, FACS Share Email Print Feedback Close Sections Sections Priapism Overview Practice Essentials Priapism (see the image below) is an involuntary, prolonged erection unrelated to sexual stimulation and unrelieved by ejaculation. This condition is a true urologic emergency, and early intervention allows the best chance for functional recovery. Priapism. Corporeal relaxation causes external pressure on the emissary veins exiting the tunica albuginea

2014 eMedicine Emergency Medicine

103. Priapism (Overview)

Priapism (Overview) Priapism: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDM3MjM3LW92ZXJ2aWV3 processing > Priapism Updated: Nov 28, 2016 Author: Hosam S Al (...) -Qudah, MD; Chief Editor: Edward David Kim, MD, FACS Share Email Print Feedback Close Sections Sections Priapism Overview Practice Essentials Priapism (see the image below) is an involuntary, prolonged erection unrelated to sexual stimulation and unrelieved by ejaculation. This condition is a true urologic emergency, and early intervention allows the best chance for functional recovery. Priapism. Corporeal relaxation causes external pressure on the emissary veins exiting the tunica albuginea

2014 eMedicine Emergency Medicine

104. Priapism (Diagnosis)

Priapism (Diagnosis) Priapism: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDM3MjM3LW92ZXJ2aWV3 processing > Priapism Updated: Nov 28, 2016 Author: Hosam S Al (...) -Qudah, MD; Chief Editor: Edward David Kim, MD, FACS Share Email Print Feedback Close Sections Sections Priapism Overview Practice Essentials Priapism (see the image below) is an involuntary, prolonged erection unrelated to sexual stimulation and unrelieved by ejaculation. This condition is a true urologic emergency, and early intervention allows the best chance for functional recovery. Priapism. Corporeal relaxation causes external pressure on the emissary veins exiting the tunica albuginea

2014 eMedicine Emergency Medicine

105. Priapism (Diagnosis)

Priapism (Diagnosis) Priapism: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDM3MjM3LW92ZXJ2aWV3 processing > Priapism Updated: Nov 28, 2016 Author: Hosam S Al (...) -Qudah, MD; Chief Editor: Edward David Kim, MD, FACS Share Email Print Feedback Close Sections Sections Priapism Overview Practice Essentials Priapism (see the image below) is an involuntary, prolonged erection unrelated to sexual stimulation and unrelieved by ejaculation. This condition is a true urologic emergency, and early intervention allows the best chance for functional recovery. Priapism. Corporeal relaxation causes external pressure on the emissary veins exiting the tunica albuginea

2014 eMedicine.com

106. Priapism (Treatment)

Priapism (Treatment) Priapism: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDM3MjM3LW92ZXJ2aWV3 processing > Priapism Updated: Nov 28, 2016 Author: Hosam S Al (...) -Qudah, MD; Chief Editor: Edward David Kim, MD, FACS Share Email Print Feedback Close Sections Sections Priapism Overview Practice Essentials Priapism (see the image below) is an involuntary, prolonged erection unrelated to sexual stimulation and unrelieved by ejaculation. This condition is a true urologic emergency, and early intervention allows the best chance for functional recovery. Priapism. Corporeal relaxation causes external pressure on the emissary veins exiting the tunica albuginea

2014 eMedicine Emergency Medicine

107. A prospective diary study of stuttering priapism in adolescents and young men with sickle cell anemia: report of an international randomized control trial--the priapism in sickle cell study. (PubMed)

A prospective diary study of stuttering priapism in adolescents and young men with sickle cell anemia: report of an international randomized control trial--the priapism in sickle cell study. Priapism is defined as a prolonged, persistent, and purposeless penile erection. It is a common (35%) but frequently understated complication in young men and adults with sickle cell disease. We had previously demonstrated an association between stuttering attacks (<4 hours) and an acute catastrophic event (...) with its consequent problems of erectile dysfunction and impotence. We describe a randomized, placebo-controlled, clinical study looking at medical prophylaxis with 2 oral α-adrenergic agonists, etilefrine and ephedrine, in preventing stuttering attacks of priapism. One hundred thirty-one patients were registered into a 2-phase (observational and intervention phase) study, and 86 patients (66%) completed Phase A diary charts. Forty-six patients (59%) completed a 6-month treatment phase (Phase B

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2011 Journal of andrology

108. Proceedings: Surgical treatment of initial priapism and recurrent priapism. (PubMed)

Proceedings: Surgical treatment of initial priapism and recurrent priapism. 4519102 1974 02 01 2018 11 13 0035-9157 66 10 1973 Oct Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Proceedings: Surgical treatment of initial priapism and recurrent priapism. 1051-2 Griffiths D A DA Webb A J AJ eng Journal Article England Proc R Soc Med 7505890 0035-9157 9005-49-6 Heparin ZTI6C33Q2Q Guanethidine IM Adult Guanethidine adverse effects Hemodialysis, Home adverse effects Heparin adverse (...) effects Humans Leukemia, Myeloid complications Male Middle Aged Priapism surgery Saphenous Vein surgery 1973 10 1 1973 10 1 0 1 1973 10 1 0 0 ppublish 4519102 PMC1645605 J Urol. 1972 Jul;108(1):97-100 4556046 Invest Urol. 1964 Mar;1:509-13 14130594

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1973 Proceedings of the Royal Society of Medicine

109. Priapism in acute spinal cord injury

Priapism in acute spinal cord injury Emergency Medicine Blog: Priapism in acute spinal cord injury Sunday, June 16, 2013 Priapism in acute spinal cord injury Why priapism in acute spinal cord injury? The pathophysiology It is assumed that the mechanism of priapism in most patients with SCI is that abrupt loss of sympathetic input to the pelvic vasculature leads to increased parasympathetic input and uncontrolled arterial inflow directly into the penile sinusoidal spaces. The sympathetic outflow (...) arises from the thoracolumbar spine, that is, the spinal cord from approximately T2 to the conus (L1-2). The sympathetic outflow to the penis and clitoris arises from the lowest levels of the spinal cord, the conus, which is the reason why a lesion at any level in the spinal cord from the brainstem to the conus can be associated with priapism. (Ref: Keoghane SR, Sullivan ME, Miller MA. The aetiology, pathogenesis and management of priapism. BJU Int 2002; 90: 149–154.) Therefore, if a patient

2013 Emergency Medicine Blog

110. Anxiety related to sexual abuse: A case of recurrent priapism (PubMed)

Anxiety related to sexual abuse: A case of recurrent priapism Recurrent priapism is notoriously difficult to treat and very distressing to the sufferer. There is little literature about emotional contributors to this condition. We report a case of a man with sexual abuse and severe anxiety who responded acutely to emotion-focused treatment with persistent cessation of severe recurrent priapism episodes. A second case treated with the same method had a similar response to treatment. Emotional (...) factors may be relevant in certain cases of recurrent priapism and these factors warrant clinical management and formal study.

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2013 Canadian Urological Association Journal

111. Ziprasidone-Induced Ischemic Priapism Requiring Surgical Intervention: A Case Report (PubMed)

Ziprasidone-Induced Ischemic Priapism Requiring Surgical Intervention: A Case Report 23724347 2013 06 04 2018 11 13 2155-7772 15 1 2013 The primary care companion for CNS disorders Prim Care Companion CNS Disord Ziprasidone-induced ischemic priapism requiring surgical intervention: a case report. 10.4088/PCC.12l01443 PCC.12l01443 Denton Kevin K University of Nebraska Medical Center, Omaha, Nebraska, USA. Kolli Venkata V Sharma Ashish A eng Journal Article United States Prim Care Companion CNS

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2013 The Primary Care Companion for CNS Disorders

112. Autologous blood-clot embolisation of cavernosal artery pseudoaneurysm causing delayed high-flow priapism (PubMed)

Autologous blood-clot embolisation of cavernosal artery pseudoaneurysm causing delayed high-flow priapism High-flow priapism is a rare condition characterized by a prolonged and painless erection. Since it may permanently impair erectile function, it must be managed and treated as soon as possible, in order to restore potency. The case we are presenting here was successfully treated by embolizing the penile artery using an autologous clot.A case of delayed painless high-flow priapism (...) by embolization of the penile artery with an autologous clot in two sessions with a 3-day interval.This experience along with a survey of the literature made us conclude that embolization of cavernous artery by means of an autologous clot is a very effective procedure and a method of choice for treatment of high-flow priapism and for restoration of penile erectile function. What makes our case even more interesting and important, is the fact that priapism of one month's duration could well be treated by means

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2013 Polish Journal of Radiology

113. Priapism associated with risperidone: a case report, literature review and review of the South London and Maudsley hospital patients’ database (PubMed)

Priapism associated with risperidone: a case report, literature review and review of the South London and Maudsley hospital patients’ database Priapism is a urological emergency defined as persistent penile erection that is unrelated to sexual stimulation and typically involving only the corporal cavernosa. It can occur as a rare side effect of antipsychotic medications and is mediated via their α-adrenergic antagonist effect. In this paper we describe a case of priapism in a patient started (...) on risperidone and sodium valproate. We also review the South London and Maudsley Case Register Interactive Search database to assess how many other cases of priapism were reported in patients taking risperidone. We add this information to a literature review of cases of priapism associated with risperidone.

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2013 Therapeutic Advances in Psychopharmacology

114. Treatment of clozapine-induced priapism by goserline acetate injection (PubMed)

Treatment of clozapine-induced priapism by goserline acetate injection Clozapine (Denzapine) is a treatment for resistant schizophrenia. Among the serious but rare side effects of clozapine are agranulocytosis and priapism. We hereby present the case of a 30-year-old man with a diagnosis of schizophrenia who has spent nearly 12 years of his adult life on various psychiatric in-patient units including open wards, secure units, psychiatric intensive care units and rehab wards. Diagnosed (...) at the age of 15, he only responded to clozapine at the age of 18. Whilst being on clozapine he developed priapism in June 2010 and needed emergency surgical treatment in the form of surgical decompression. He again responded only to clozapine and fortunately he did not redevelop priapism; however, he was readmitted in February 2011 due to relapse, and he remained resistant to other antipsychotics. He was rechallenged with clozapine and recovered, but unfortunately redeveloped priapism which required

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2013 Therapeutic Advances in Psychopharmacology

115. Testosterone replacement with 1% testosterone gel and priapism: no definite risk relationship. (PubMed)

Testosterone replacement with 1% testosterone gel and priapism: no definite risk relationship. Although testosterone replacement therapy (TRT) is the preferred treatment for hypogonadism, information for patients using testosterone includes too frequent or prolonged erections as a potential side effect.To assess the frequency and risk of priapism or related adverse events (AEs) in hypogonadal men treated with a 1% testosterone gel.Safety and tolerability data for AndroGel 1% were assessed (...) and receiving concomitant sildenafil 100 mg (N = 75). Postmarketing AndroGel pharmacovigilance reporting data from 2001 to 2011 was searched for events coded as priapism.The incidence of priapism and/or related symptoms reported as urogenital or reproductive system AEs.In the 283 men exposed to AndroGel 1% over the three trials, mean exposure ranged from 84 days to 149 days. No AEs described as priapism or related symptoms were reported in the three trials. In the postmarketing data, representing 40 million

2013 Journal Of Sexual Medicine

116. Nationwide emergency department visits for priapism in the United States. (PubMed)

Nationwide emergency department visits for priapism in the United States. The epidemiology of priapism is not well characterized. A small number of studies based on inpatient data or small population samples have estimated the incidence to range from 0.34 to 1.5 cases per 100,000 males.To estimate the current epidemiology and impact on resource utilization of priapism in the United States (US).Rate of emergency department encounters for priapism in the US.Emergency department (ED) visits (...) for priapism were analyzed using discharge data from the Nationwide Emergency Department Sample (NEDS), Healthcare Cost and Utilization Project (HCUP). Priapism encounters were identified by ICD9 code. Priapism encounters were analyzed for patient and hospital characteristics, associated diagnoses, and hospital charge. Established weighting in the sample was used to calculate nationwide estimates.A total of 8,738 ED encounters for priapism were identified between 2006 and 2009 in the NEDS. This translated

2013 Journal Of Sexual Medicine

117. Salvage management of prolonged ischemic priapism: Al-Ghorab shunt plus cavernous tunneling with blunt cavernosotomy. (PubMed)

Salvage management of prolonged ischemic priapism: Al-Ghorab shunt plus cavernous tunneling with blunt cavernosotomy. The management of ischemic priapism (IP), especially in cases of prolonged IP (PIP), is enigmatic. The T-shaped shunt and intracavernous tunneling and the corporal "snake" maneuver have been reported as effective surgical procedures for PIP; however, management of the PIP that is refractory to these procedures is controversial.The present study is a report of two PIP cases

2013 Journal Of Sexual Medicine

118. Standard operating procedures for priapism. (PubMed)

Standard operating procedures for priapism. To provide standard operating procedures for the diagnosis and management of priapism.Review of the literature.Reduction of priapism and preservation of erectile function.Priapism is a persistent penile erection that continues hours beyond, or is unrelated to, sexual stimulation. Priapism requires prompt evaluation and usually requires emergency management. There are two types of priapism: (i) ischemic (veno-occlusive or low flow), which is found (...) in 95% of cases, and (ii) nonischemic (arterial or high flow). Stuttering (intermittent) priapism is a recurrent form of ischemic priapism. To initiate appropriate management, the physician must determine whether the priapism is ischemic or nonischemic. Necessary diagnostic steps are an accurate history, physical examination, and cavernous blood gas analysis and/or color duplex ultrasonography of the corpora cavernosa. Management of ischemic priapism should achieve resolution as promptly as possible

2013 Journal Of Sexual Medicine

119. Androgen Regulation of Priapism in Sickle Cell Disease

Androgen Regulation of Priapism in Sickle Cell Disease Androgen Regulation of Priapism in Sickle Cell Disease - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Androgen Regulation of Priapism in Sickle Cell (...) Study Details Study Description Go to Brief Summary: It is believed that when androgen (testosterone) levels are below normal there is a disturbance of normal bodily functioning that is associated with priapism in some men. Conversely, it is believed that testosterone replacement will improve the condition of priapism when the testosterone levels are brought to normal. In turn, this will also improve psychological well being in men with sickle cell disease (SCD). Condition or disease Intervention

2013 Clinical Trials

120. Priapism Induced by Boceprevir-CYP3A4 inhibition and Alpha-Adrenergic Blockade. (PubMed)

Priapism Induced by Boceprevir-CYP3A4 inhibition and Alpha-Adrenergic Blockade. A 44-year-old white man presented to the emergency department with a 3-day history of priapism requiring a surgically performed distal penile shunt. A drug-drug interaction is the suspected cause whereby CYP3A4 inhibition by boceprevir led to increased exposures of doxazosin, tamsulosin, and/or quetiapine, resulting in additional α-adrenergic blockade.

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2013 Clinical Infectious Diseases

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