Partial thrombosis of the corpus cavernosum

Autran, Tatiana Bagrichevsky; Melo, Alessandro Severo Alves de; Noro, Fábio; Tessarollo, Bernardo; Miguez, Márcio

doi:10.1590/0100-3984.2016.0075

Cited by 4 publications

(9 citation statements)

References 8 publications

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“…However, MRI appears to be the modality of choice, as the membranous or fibrosis septum, if present, can be visualised. 1,3,[11][12][13] A number of treatment modalities have been described in the literature such as surgical excision of the corpora, surgical excision of the transverse membrane, aspiration and cavernosum-spongiosum shunting, irrigation or evacuation of thrombosis. However, most studies agree that conservative management is optimal, with surgical intervention reserved for those with refractory pain, failed conservative management or recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…However, most studies agree that conservative management is optimal, with surgical intervention reserved for those with refractory pain, failed conservative management or recurrence. 8,9,[12][13][14][15][16] Conservative management also varies among the limited number of studies reported in the literature. An antiplatelet agent, an anti-coagulant, non-steroidal anti-inflammatories, pseudoephedrine and PDE 5 inhibitors have all been discussed.…”

Section: Discussionmentioning

confidence: 99%

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Partial priapism of the penis: A case report and review

Scanlon

Compton

Croghan

et al. 2021

Journal of Clinical Urology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Partial priapism of the penis: A case report and review

Scanlon

Compton

Croghan

et al. 2021

Journal of Clinical Urology

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“…A lack of blood flow, the absence of normal compressibility, and the presence of an intraluminal thrombus indicate dorsal vein thrombosis (Figure 6). The use of MRI has also been reported, although only in complex cases and cases in which the initial findings are inconclusive ( 9 , 10 ) .…”

Section: Penile Emergenciesmentioning

confidence: 99%

Penile emergencies: a review of the main conditions

et al. 2019

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Acute penile conditions, which typically have a traumatic, vascular, or infectious etiology, are rather uncommon and often require prompt medical evaluation. Penile emergencies can be treated conservatively or surgically, and their management often relies on the results of imaging examinations. Because of its high spatial resolution and wide availability, as well as the fact that it does not involve the use of ionizing radiation, ultrasound is the imaging modality of choice in the initial evaluation of penile emergencies. Inconclusive cases can be further evaluated with magnetic resonance imaging. The main purpose of this pictorial essay is to review the main penile emergencies, by presenting illustrative cases, focusing on radiologic findings, and discussing the roles played by the various imaging methods.

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“…Additionally, MRI shows an increase in the volume of the corpus cavernosum associated with thrombi. 5,6 Therefore, the similarity in etiology, pathophysiological mechanisms, clinical presentations, and diagnoses motivated us to determine whether these are three isolated conditions or belong within the same clinical context. Consequently, we aimed to describe the association between partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, imaging features show an increased volume of an affected corpus cavernosum, with heterogeneous material and without vascularization on color Doppler. Additionally, MRI shows an increase in the volume of the corpus cavernosum associated with thrombi 5,6 …”

Section: Introductionmentioning

confidence: 99%

Association between partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome: A scoping review

2022

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Aim:To describe the association between partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome.Methods: A scoping review was performed according to the recommendations of the Joanna Briggs Institute. Moreover, we performed a search strategy using the MED-LINE, EMBASE, and CENTRAL databases. We included the available information, evaluating the conditions of partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome, and their molecular and physiological mechanisms and clinical presentation. Results:We identified 207 articles and chose eight studies published between 2001 and 2021. The total number of patients was 34, and their mean age was 28.2 years.Moreover, in 84% of the studies, the pathophysiology of the events was related to microtrauma or prolonged perineal compression. Additionally, 94.2% of the patients had some degree of erectile dysfunction. In addition, out of all patients, 94% underwent magnetic resonance imaging (MRI). However, patients with hard flaccid syndrome did not show relevant findings in these studies. Conversely, MRI showed asymmetry in the proximal corpora cavernosa, thrombosed corpus cavernosum segments, and mainly cavernous fibrous septum in patients with partial cavernous thrombosis and partial priapism. Conclusion:Partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome occurred more frequently in young patients, possibly related to microtraumas that generate cavernous fibrosis and trigger alterations in the erection of the distal portion of the penis. Additionally, they cause proximal hardening of the pelvis, perineal pain, painful ejaculations, and cavernous asymmetry. Moreover, the imaging characteristics are similar in patients with partial priapism and partial cavernous thrombosis.

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Partial thrombosis of the corpus cavernosum

Cited by 4 publications

References 8 publications

Partial priapism of the penis: A case report and review

Partial priapism of the penis: A case report and review

Penile emergencies: a review of the main conditions

Association between partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome: A scoping review

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