Arterial priapism  as a complication of a stab wound in the perianal area

Yarovoi, S.K. Yarovoi; Khromov, R. A.; Шиповский, В. Н.

doi:10.18565/urology.2017.5.86-90

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CTA is a rapid, non-invasive imaging technique used to diagnose vascular diseases, to show the relationship between non-vascular diseases and vascular structures, and to reveal vascular anatomy; thus, this method can be useful in identifying patients who require endovascular treatment. Various publications report that CTA is an effective and reliable method for the diagnosis and treatment of priapism, arterial injury, and erectile dysfunction, as well as detecting venous leakage in venous erectile dysfunction [5][6][7][8]. In the current study, CTA with intracavernous contrast material was performed after penile revascularization surgery.…”

Section: Introductionmentioning

confidence: 96%

The Role of Computerized Tomography Angiography in the Management of Cases with Erectile Dysfunction with Penile Revascularization

Akdemir

Kayıgίl

Algın

et al. 2022

Preprint

View full text Add to dashboard Cite

Background In this study, the place and efficiency of computerized tomography angiography(CTA) in the postoperative management of patients with penile revascularization were evaluated. Methods Between 2014–2018, penile revascularization surgery was performed to 78 patients who applied with the complaint of erectile dysfunction(ED). The mean age of the patients was 47.17 ± 13.26(23–69). Patients with a regular sexual partner and relationship, who didn’t benefit from medical treatment and who had erectile dysfunction for at least three months were included in this study. The cases were divided into three groups (20–40, 41–60, > 61) according to their age. All cases were evaluated preoperatively by International Index Of Erectile Dsysfunction(IIEF)5–15, Cavernosometry, Corpus Cavernosum Electromyography (CC-EMG), Penil Color Doppler Ultrasonography(PCDU). In the postoperative 3rd month, IIEF 5–15 test was applied and the anostomosis patency was evaluated with CTA. Results In the postoperative 3rd month CTA, 56 patients had an open anostomosis. In 22 cases, the anostomosis area could not be observed. In patients with open anostomosis, the rate of IIEF-5 increasein the postoperative periodwas between 35,0% and 80,8%. In patients without anostomotic patency, the increase rates of IIEF-5 were between 12,5% and 23,3%. Increases in the IIEF 5–15 questionnaire were found to be significantly higher in patients with anostomotic opening in the CTA compared to patients without anostomotic opening. Conclusion CTA results and changes in IIEF rates after penile revascularization show a great correlation. Evaluating the patency of the anostomosis with CTA may guide the timing of more invasive procedures such as penile prosthesis implantation.

show abstract

Section: Introductionmentioning

confidence: 96%

The Role of Computerized Tomography Angiography in the Management of Cases with Erectile Dysfunction with Penile Revascularization

Akdemir

Kayıgίl

Algın

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Computed tomography angiography (CTA) is a rapid, non-invasive imaging technique used to diagnose vascular diseases, show the relationship between non-vascular diseases and vascular structures, and reveal the vascular anatomy; thus, this method can be useful in identifying patients who require endovascular treatment. Various publications report that CTA is an effective and reliable method for the diagnosis and treatment of priapism, arterial injury, and ED, as well as detecting venous leakage in venogenic ED [ 5 – 8 ]. In this study, CTA scan was performed using intra-cavernous contrast material after penile revascularization surgery.…”

Section: Introductionmentioning

confidence: 99%

The role of computerized tomography angiography in the management of cases undergoing penile revascularization due to erectile dysfunction: prospective cohort study

et al. 2022

View full text Add to dashboard Cite

Background In this study, the role and efficiency of computerized tomography angiography (CTA) in the postoperative management of patients with penile revascularization were evaluated. Methods Between 2014 and 2018, penile revascularization surgery was performed in 78 patients who presented with the complaint of erectile dysfunction (ED). The mean age of the patients was 47.17 ± 13.26 (23–69) years. Patients with a regular sexual partner and relationship, who hadn’t benefitted from medical treatment and who had ED complaints for at least three months were included in the study. The cases were divided into three groups according to their age (20–40, 41–60, and > 61 years). All the cases were evaluated preoperatively using the five and 15-item International Index of Erectile Dsysfunction (IIEF-5 and IIEF-15) questionnaire, cavernosometry, corpus cavernosum electromyography, and penil color doppler ultrasonography. At the postoperative third month, IIEF 5–15 questionnaire was repeated and anastomotic patency was evaluated by performing CTA scanning. Results CTA performed at the postoperative third month revealed anastomosis patency in 56. In 22 cases, the anastomosis area could not be observed. Among the patients with anastomosis patency, the rate of the IIEF-5 increase in the postoperative period was between 35.0 and 80.8%, while in those patients without anostomotic patency, the increase rate of IIEF-5 were between 12.5 and 23.3%. Increases in the IIEF-5 and IIEF-15 questionnaire scores were found to be significantly higher in the group in which anastomotic patency was observed on CTA compared to remaining patients. Conclusion The CTA results and changes in the IIEF rates after penile revascularization had a high correlation. Anastomotic patency with CTA can guide the timing of more invasive procedures such as penile prosthesis implantation.

show abstract

Embolization of Arteriocavernous Fistula in Arterial Priapism: A Clinical Case

Gamidov,

Akinfiev,

Shatylko

et al. 2024

Androl. genit. hir.

View full text Add to dashboard Cite

Arterial priapism occurs much less frequently than venous (non-ischemic, low-flow) priapism. Considering the absence of ischemia of the cavernous bodies in arterial priapism, emergency surgical intervention is usually not indicated, and a wait-and-see approach is acceptable. In the absence of spontaneous resolution of arterial priapism, invasive treatment may be performed upon the patient’s desire. Currently, the method of choice is super-selective embolization of branches of the internal pudendal, cavernous, or helical artery. This article presents a clinical case of arterial priapism, in which super-selective embolization of the cavernous artery with PVA (polyvinyl alcohol) embolization agent was performed, resulting in complete resolution of priapism after the operation.

show abstract

Arterial priapism as a complication of a stab wound in the perianal area

Cited by 3 publications

References 0 publications

The Role of Computerized Tomography Angiography in the Management of Cases with Erectile Dysfunction with Penile Revascularization

The Role of Computerized Tomography Angiography in the Management of Cases with Erectile Dysfunction with Penile Revascularization

The role of computerized tomography angiography in the management of cases undergoing penile revascularization due to erectile dysfunction: prospective cohort study

Embolization of Arteriocavernous Fistula in Arterial Priapism: A Clinical Case

Contact Info

Product

Resources

About