Early arabian medicine Contribution to urology

Hanafy, Hanafy Mohamed; Saad, Saad Mohamed; El-Rifaie, M. El-Saad; Al-Ghorab, M.M.

doi:10.1016/0090-4295(76)90059-5

Cited by 22 publications

(13 citation statements)

References 2 publications

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“… Percutaneous distal shunts (Winter [116], Ebbehoj [117], Lue [118]) Open distal shunt (Al‐Ghorab [119,120], Burnett [121]) Open proximal shunt (Quackles [122], Sacher [123]) Saphenous vein (Grayhack [124]), superficial or deep dorsal vein (Barry [125]) …”

Section: Medical Treatmentsmentioning

confidence: 99%

Priapism: Pathogenesis, Epidemiology, and Management

Broderick

Kadıoğlu

Bivalacqua

et al. 2010

The Journal of Sexual Medicine

299

379

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Introduction Priapism describes a persistent erection arising from dysfunction of mechanisms regulating penile tumescence, rigidity, and flaccidity. A correct diagnosis of priapism is a matter of urgency requiring identification of underlying hemodynamics. Aims To define the types of priapism, address its pathogenesis and epidemiology, and develop an evidence-based guideline for effective management. Methods Six experts from four countries developed a consensus document on priapism; this document was presented for peer review and debate in a public forum and revisions were made based on recommendations of chairpersons to the International Consultation on Sexual Medicine. This report focuses on guidelines written over the past decade and reviews the priapism literature from 2003 to 2009. Although the literature is predominantly case series, recent reports have more detailed methodology including duration of priapism, etiology of priapism, and erectile function outcomes. Main Outcome Measures Consensus recommendations were based on evidence-based literature, best medical practices, and bench research. Results Basic science supporting current concepts in the pathophysiology of priapism, and clinical research supporting the most effective treatment strategies are summarized in this review. Conclusions Prompt diagnosis and appropriate management of priapism are necessary to spare patients ineffective interventions and maximize erectile function outcomes. Future research is needed to understand corporal smooth muscle pathology associated with genetic and acquired conditions resulting in ischemic priapism. Better understanding of molecular mechanisms involved in the pathogenesis of stuttering ischemic priapism will offer new avenues for medical intervention. Documenting erectile function outcomes based on duration of ischemic priapism, time to interventions, and types of interventions is needed to establish evidence-based guidance. In contrast, pathogenesis of nonischemic priapism is understood, and largely attributable to trauma. Better documentation of onset of high-flow priapism in relation to time of injury, and response to conservative management vs. angiogroaphic or surgical interventions is needed to establish evidence-based guidance.

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Section: Medical Treatmentsmentioning

confidence: 99%

Priapism: Pathogenesis, Epidemiology, and Management

Broderick

Kadıoğlu

Bivalacqua

et al. 2010

The Journal of Sexual Medicine

299

379

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“…Specifically, it is crucial to document the chances of permanent erectile dysfunction (ED) irrespective of which intervention is chosen. Distal shunts can be either percutaneous [79,80] or open [81–83]. Three techniques for percutaneous shunts have been described: the Winter shunt, the Ebbehøj shunt, and the T‐shunt [84].…”

Section: Priapismmentioning

confidence: 99%

Penile Priapism, Clitoral Priapism, and Persistent Genital Arousal Disorder: A Contemporary Review

Yafi

April

Powers

et al. 2015

Sexual Medicine Reviews

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“…Four subdivisions of shunt procedures are described and attributed to various contributors: (i) percutaneous distal (corporoglanular) shunts (i.e., Winter [9]; Ebbehoj [10]; Lue [11]); (ii) open distal (corporoglanular) shunts (i.e., Al‐Ghorab [12]; Burnett [13]); (iii) open proximal (corporospongiosal) shunts (i.e., Quackels [14]; Sacher [15]); and (iv) and vein anastomoses/shunts (i.e., saphenous [Grayhack [16]]; superficial or deep dorsal vein [Barry [17]]). Surgeon preference and familiarity may dictate the selection of shunt procedure.…”

Section: Ischemic Priapismmentioning

confidence: 99%

Standard Operating Procedures for Priapism

Burnett

Sharlip²

2013

The Journal of Sexual Medicine

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Aim To provide standard operating procedures for the diagnosis and management of priapism. Methods Review of the literature. Main Outcome Measures Reduction of priapism and preservation of erectile function. Results 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. Initial treatment is therapeutic aspiration with or without irrigation of the corpora. If this fails, intracavernous injection of sympathomimetic drugs is the next step. Surgical shunts should be performed if nonsurgical treatment has failed. The initial management of nonischemic priapism should be observation. Selective arterial embolization is recommended for the management of nonischemic priapism in patients who request treatment. The goal of management for a patient with recurrent (stuttering) priapism is prevention of future episodes. Conclusion Management of priapism has become increasingly successful as scientific understanding of the pathophysiology and molecular biology of priapism improves. The key to further success in the treatment of priapism is basic research of this uncommon but potentially devastating condition.

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Early arabian medicine Contribution to urology

Cited by 22 publications

References 2 publications

Priapism: Pathogenesis, Epidemiology, and Management

Priapism: Pathogenesis, Epidemiology, and Management

Penile Priapism, Clitoral Priapism, and Persistent Genital Arousal Disorder: A Contemporary Review

Standard Operating Procedures for Priapism

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