Priapism

Broderick, Gregory A.

doi:10.1016/b978-1-4160-6911-9.00025-6

Cited by 14 publications

(31 citation statements)

References 147 publications

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“…1 While terbutaline may be effective for medication-induced priapism in the pediatric demographic, this has not been conclusively demonstrated.…”

Section: Commentmentioning

confidence: 98%

“…There is a growing body of literature surrounding medicationinduced priapism in children, including psychotherapeutic medications, antidepressants, and several others. 1,2 The 2013 US Food and Drug Administration warning suggests an association between methylphenidate, a norepinephrine and dopamine reuptake inhibitor commonly used to manage attention deficit hyperactivity disorder (ADHD), and childhood priapism and a similar association between the nonstimulant medication atomoxetine, a norepinephrine reuptake inhibitor, and priapism. 3 Currently, only 2 case reports support an association between atomoxetine and priapism.…”

mentioning

confidence: 99%

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Pediatric Priapism Secondary to Psychotherapeutic Medications

Armstrong

Grimsby

Jacobs

2015

Urology

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“…1 While terbutaline may be effective for medication-induced priapism in the pediatric demographic, this has not been conclusively demonstrated.…”

Section: Commentmentioning

confidence: 98%

mentioning

confidence: 99%

Pediatric Priapism Secondary to Psychotherapeutic Medications

Armstrong

Grimsby

Jacobs

2015

Urology

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“…It is defined as a full or partial erection that persists more than 4 h either beyond sexual stimulation and orgasm or is unrelated to sexual activity. [1] The erection is typically purposeless and often painful.…”

Section: Introductionmentioning

confidence: 99%

“…[2345] The low-flow (Ischemic type) is the most common,[67] with the other types being the high flow and the stuttering priapism. [15]…”

Section: Introductionmentioning

confidence: 99%

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Prognostic factors and outcome of management of ischemic priapism in Zaria, Nigeria

et al. 2017

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Objectives:The objective of this study was to determine the nuances of management, prognostic factors, and outcome of ischemic priapism in patients seen at Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.Patients and Methods:We retrospectively studied the case notes of all patients managed for ischemic priapism in the Ahmadu Bello University Teaching Hospital, Zaria, over a period of 10 years (2006–2015). The data extracted included patients’ age, occupation, duration of painful penile erection, and previous episodes. Addition information including precipitating factors, hemoglobin genotype, treatment, and complications was also retrieved. Data obtained were analyzed using SPSS version 20.Results:The records of a total of forty patients managed for priapism over the period under review were retrieved. Thirty-three (82.5%) of these patients had an operative intervention. The mean age was 23.7 years with a range of 8–53 years. Sixty percent of patients were young adults in their third decade of life. The minimum duration of erection at presentation was 18 h and a maximum period of 10 days with a mean of 105.5 h (4 days). Thirty-three patients (82.5%) had sickle cell anemia (HbSS). Erectile dysfunction (ED) accounted for 60% of all forms of postpriapism complications. Five patients (12.5%) had residual tumescence from fibrosis, and three patients had recurrence outside the immediate postoperative period. Duration of symptoms before surgical intervention, SSA and previous episodes were the most important prognostic factors.Conclusion:Priapism is a disease of the young, mostly sickle cell anemic patients. Late presentation remains the norm in our environment, hence a higher incidence of ED. The distal penile shunt is an effective means of achieving detumescence even with failed conservative management. Favorable outcome is highly dependent on the duration of erection and early intervention.

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