Characteristics and Long Term Follow up of Men Who Suffer Ischemic Priapism Secondary to Recreational Use of Intracavernosal Injectable Medications

Masterson, John M.; Zhao, Hanson; Choi, Eunice; Kim, Howard H.; Anger, Jennifer T.

doi:10.1016/j.urology.2021.06.036

Cited by 4 publications

(9 citation statements)

References 22 publications

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“…In particular, SGM individuals reported using substances to conform with peer pressure, such as expectations on substance use in social settings [ 25 , 31 , 40 ] or to “fit in” [ 37 , 38 ]. Among GBMSM, peers’ expectation on sexual performance was reported as one of the conformity motives [ 39 ].…”

Section: Resultsmentioning

confidence: 99%

Considerations and recommendations for mHealth interventions for substance use among Sexual and Gender Minority (SGM) individuals: A narrative review of the past 5 years

et al. 2023

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Purposeof Review The prevalence of problematic substance use is disproportionately higher among sexual and gender minority (SGM) adults compared to adults in the general population. mHealth as a treatment modality could reduce barriers to accessing substance use treatments among SGM populations. Through a qualitative literature search, the current narrative review aimed to understand the lived experiences of SGM individuals who use substances and to synthesize recommendations made in the literature to inform future mHealth interventions. Recent Findings Positive and negative reinforcement motives were prominent reasons for substance use, which included SGM identity expression and conformity motives. Individual- and system-level treatment barriers included a lack of safe and nonjudgmental environment, shame and stigma, and limited knowledge about treatment options. Barriers were directly linked to the reported substance use treatment needs in this population. Summary On-demand app features, real-time intervention and assessment, and anonymity should be considered in future mHealth trials. Supplementary Information The online version contains supplementary material available at 10.1007/s40429-023-00497-0.

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Section: Resultsmentioning

confidence: 99%

Considerations and recommendations for mHealth interventions for substance use among Sexual and Gender Minority (SGM) individuals: A narrative review of the past 5 years

et al. 2023

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“…Moreover, nurses play a vital role in assessing patients' needs, informing the patients about the plan of care, and providing standardized patients' care; this means that nurses need continuous training on how to prevent and treat priapism (8,13) . Priapism is a complication in order to deserves nearby attention due to its significant impact on the life of the patient and, therefore, should be further clarified (11).…”

Section: Significance Of the Studymentioning

confidence: 99%

“…They were interviewed for 15 to 25 minutes using pre-designed tools. Based on related nursing and medical literature reviews and guidelines; priapism's structured educational module was developed and adapted in to simplified Arabic language to be applicable to clearable to the study (4,10,11,12) . A panel of Medical-Surgical nursing and Urology-Andrology medicine experts revised it to ensure clarity, comprehension, and applicability.…”

Section: Tool Of Data Collectionmentioning

confidence: 99%

“…Primordially, priapism is diagnosed through history taking and physical examination, but corporal blood gas analysis, hematological screening, and a penile ultrasound are sometimes beneficial (9) . Ischemic priapism is a urological emergency that must be treated immediately using invasive procedures such as surgical needle aspiration to drain excess blood; saline flushed into penile veins to improve blood flow blood, surgical shunt to vent blood from the penis, or/and treat underlying causes, while nonischemic priapism often goes away treatment such as simple ice compress, lower limb exercise and pressure on the perineum may help end the erection to low risk of developing irreversible erectile dysfunction (10,11) .…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of Priapism's Structured Educational Module on Nurses' Knowledge, Attitude, Beliefs, and Patient’s Profile

Elbqry

Ibrahim

Sherif

et al. 2022

Tanta Scientific Nursing Journal

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“…Methamphetamine is a stimulant that increases sympathetic tone and acts to constrict peripheral blood vessels, which seemingly include vessels within the corpus cavernosum [ 4 ]. The impaired relaxation of the corpus cavernosum is believed to be the primary mechanism of how methamphetamine leads to erectile dysfunction [ 4 ]. There is currently a paucity of literature investigating the interaction between methamphetamine and Trimix and the mechanism is poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Successful Management of Prolonged Acute Ischemic Priapism With Penoscrotal Decompression: A Case Report and Review of the Literature

Qian¹,

Reddy²,

Izquierdo-Pretel³

et al. 2023

Cureus

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Intracavernosal injection of Trimix (a combination of phentolamine, papaverine, and alprostadil) is used for the treatment of erectile dysfunction. A rare but serious side effect of Trimix is priapism, a persistent erection lasting for more than four hours. Penoscrotal decompression is a newer technique being used to treat refractory and persistent ischemic priapism. Here, we report a unique case of priapism treated with penoscrotal decompression in a patient following an unmeasured injection of Trimix.A 36-year-old male presented to the emergency room complaining of a persistent painful erection over the previous five days following a Trimix injection and illicit methamphetamine use. At bedside, aspiration and irrigation were attempted without any improvement. Phenylephrine injection was contraindicated due to sinus tachycardia. The patient then underwent bilateral penoscrotal decompression on day six post-Trimix injection. The procedure was successful with a resolution of the erection, though some moderate corporal fibrosis was noted. At a 10-day follow-up, the patient reported moderate pain in his penis but had regained complete potency.Misuse of Trimix can cause persistent ischemic priapism. Penoscrotal decompression is a novel technique used to treat persistent ischemic priapism and has been shown to have positive efficacy in the resolution of priapism as well as in salvaging erectile function. To our knowledge, treatment of persistent priapism with penoscrotal decompression after using Trimix has not yet been reported in the literature. Given the rarity of this, our report highlights a unique case that has potential benefit for future practitioners who are faced with this clinical scenario.

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Characteristics and Long Term Follow up of Men Who Suffer Ischemic Priapism Secondary to Recreational Use of Intracavernosal Injectable Medications

Cited by 4 publications

References 22 publications

Considerations and recommendations for mHealth interventions for substance use among Sexual and Gender Minority (SGM) individuals: A narrative review of the past 5 years

Considerations and recommendations for mHealth interventions for substance use among Sexual and Gender Minority (SGM) individuals: A narrative review of the past 5 years

The Effectiveness of Priapism's Structured Educational Module on Nurses' Knowledge, Attitude, Beliefs, and Patient’s Profile

Successful Management of Prolonged Acute Ischemic Priapism With Penoscrotal Decompression: A Case Report and Review of the Literature

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