Priapism of the Proximal Penis

Lladó, Juan Saumell; Peterson, Lloyd J.; Fair, William R.

doi:10.1016/s0022-5347(17)56130-3

Cited by 28 publications

(31 citation statements)

References 2 publications

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“…There are some treatment options like surgical corporotomy, cavernosum-spongiosum shunt and intracavernous injection of etilefrin [7][8][9] . Non invasive systemic anticoagulation therapy can provide erectile function.…”

Section: Discussionmentioning

confidence: 99%

Priapizmle başvuran bir orak hücreli anemili hastada korpus kavernozum trombozu

İlhan¹

2017

Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi)

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AbstractÖz Priapism is prolonged painful erection and can be seen as a sickle cell anemia complication.Thrombosis of the corpus cavernosum is a rare condition. A thirty years old male with of sickle cell anemia was admitted to our clinic with priapism. Corpus cavernosum aspiration and exchange transfusion were performed. Painful erection declined but the pain didn't improved. Corpus cavernosum thrombosis was detected and his pain relieved after systemic anticoagulation treatment. Thrombosis of corpus cavernozum must be in the mind especially for patients who have complaints despite conventional treatment methods.Priapizm orak hücreli aneminin bir komplikasyonu olarak görülebilen uzamış ağrılı ereksiyondur. Korpus kavernozum trombozu nadir görülen bir durumdur.Otuz yaşında bir orak hücreli anemi hastası priapizm şikayeti ile kliniğimize başvurdu. Hastaya korpus kavernozum aspirasyonu ve exchange transfüzyon uygulandı. Hastanın ağrılı ereksiyonu geriledi ancak ağrısı düzelmedi. Hastada korpus kavernozum trombozu saptandı ve sistemik antikoagülasyon tedavisi sonrası hastanın ağrısı düzeldi. Özellikle konvansiyonel tedavi yöntemleri ile şikayetleri devam eden hastalarda korpus kavernozum trombozu akılda tutulmalıdır.

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Section: Discussionmentioning

confidence: 99%

Priapizmle başvuran bir orak hücreli anemili hastada korpus kavernozum trombozu

İlhan¹

2017

Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi)

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“…Surgical exploration and irrigation of the corpus cavernosum has been used in the past when sophisticated imaging modalities were not available [1][2][3][4][5]. Percutaneous corporal aspiration and irrigation may be used in cases of (complete) priapism [10].…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Partial Thrombosis of the Corpus cavernosum

Thiel

Kahn²,

Vögeli³

1998

Urol Int

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A case of spontaneous, partial, unilateral thrombosis of the corpus cavernosum is described. A 35-year-old white male presented with a painful mass in the perineum without priapism. Diagnostic evaluation with sonography and magnetic resonance imaging revealed a thrombosis in the left posterior corporal body. Treatment consisted of intravenous heparin followed by prophylactic acetylsalicylic acid. The thrombosis resolved spontaneously over several months without sequelae. Conservative management of this rare disease appears to be possible and safe.

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“…8,9 An additional concept for priapism resulting from disturbed blood flow is high-flow, nonischemic priapism, in which arterial overflow is considered to be pathogenic. 12,13 Trauma seems to be the primary basis for this entity, either commonly from blunt trauma to the perineum or genitalia [14][15][16] or from vascular laceration such as that resulting from needle passage with intracavernosal pharmacotherapy 17 (see Table 2). Following trauma, the penile vasculature is structurally damaged, which permits uncontrolled blood entry and filling within the corpora cavernosa.…”

Section: Abnormal Penile Blood Flowmentioning

confidence: 99%

Priapism pathophysiology: clues to prevention

Burnett

2003

Int J Impot Res

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Priapism, in which penile erection persists in the absence of sexual excitation, is an enigmatic yet devastating erectile disorder. Current endeavors to manage the disorder suffer from a poor fundamental knowledge of the etiology and pathogenesis of priapism. These endeavors have remained essentially reactive, which commonly fail to avert its pathological consequences of erectile tissue damage and erectile disability, not to mention its psychological toll. The role of preventative management seems paramount with respect to priapism. As a prerequisite to formulating prevention strategies, gaining understanding of its pathogenic features and likely pathophysiologic mechanisms is viewed to be quite important. This review combined an analysis of clinicopathologic reports as well as a summary of clinical and basic science investigations on the subject to date. These assessments support the basic classification of priapism into low-flow (ischemic) and high-flow (nonischemic) hemodynamic categories, resulting from venous outflow occlusion and unregulated arterial overflow of the penis, respectively. In addition, consistent with the hypothesis that dysregulative physiology of penile erection accounts for some presentations of priapism, several plausible molecular mechanisms influencing the functional state of the erectile tissue are discussed. Current progress in the field suggests prevention possibilities using androgenic suppressive therapy, adrenergic agonist therapies, and effectors of the nitric oxide-dependent erection regulatory pathway in the penis. New ideas for prevention may emerge from targeting molecular mechanisms involved in regulating erectile tissue function.

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Priapism of the Proximal Penis

Cited by 28 publications

References 2 publications

Priapizmle başvuran bir orak hücreli anemili hastada korpus kavernozum trombozu

Priapizmle başvuran bir orak hücreli anemili hastada korpus kavernozum trombozu

Idiopathic Partial Thrombosis of the Corpus cavernosum

Priapism pathophysiology: clues to prevention

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