Recent Advances in the Medical and Surgical Treatment of Priapism

Shrewsberry, Adam B.; Weiss, Aaron D.; Ritenour, Chad W.M.

doi:10.1007/s11934-010-0142-4

Cited by 6 publications

(2 citation statements)

References 47 publications

(66 reference statements)

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“…An intermittent variant of ischemic type is called “stuttering” priapism. [ 7 8 ] Ischemic priapism is the most common form of priapism (>95%) in all priapism episodes. Although most ischemic priapisms are idiopathic without any precipitating cause, various other etiologies have been attributed for ischemic priapism.…”

Section: Discussionmentioning

confidence: 99%

Outcome and erectile function following treatment of priapism: An institutional experience

2016

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Introduction:Priapism has a devastating consequence on the sexual function of men if not promptly managed. We are presenting our experience of the treatment of priapism and the status of sexual function even following successful detumescence achieved after treatment.Materials and Methods:Nineteen patients, who presented with priapism from January 2012 to December 2014, were included in the study. After obtaining a detailed history; color Doppler ultrasonography of penis and blood gas analysis of the initial corporal aspirate were done to ascertain the type of priapism. Standard protocol in our institute for management of priaprism was to start with conservative treatment by corporal aspiration and intracorporeal injection (ICI) of phenylephrine. On the failure of conservative management, distal shunts were performed. Proximal shunts were performed on the failure of distal shunt procedures. Erectile function was evaluated with International Index of Erectile Function-5 questionnaire on admission and during follow-up.Results:All the patients had ischemic type priapism. Age of the patients ranged from 22 to 55 years. Duration of priapism varied from 20 to 480 h (mean 96.7). Etiologies attributed were; over-the-counter sildenafil use, chlorpromazine, opium intake and intracorporeal papaverine injection, chronic myeloid leukemia, and idiopathic. Five patients had preserved erectile function during follow-up. Preservation of normal erectile function following aspiration and ICI, proximal and distal shunt procedures were 66.7%, 18.1% and 20%, respectively.Conclusion:Patients with late presentation and those patients requiring higher treatment modalities (e.g., proximal shunts) for achieving detumescence will subsequently have a poor erectile function. These patients should be counseled about the early penile prosthesis placement during initial surgical management.

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Section: Discussionmentioning

confidence: 99%

Outcome and erectile function following treatment of priapism: An institutional experience

2016

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“…Phenylephrine and etilefrine (etilefrine is not available in the United States) are generally preferred because of their selectivity for the α-1 adrenergic receptor and minimal adverse inotrophic and chronotrophic effects. 20 -24 If neither is available, other sympathomimetics that may be used, depending on pharmaceutical availability in various regions of the world, include epinephrine, ephedrine, norepinephrine, terbutaline, or metaraminol. 24…”

Section: Discussionmentioning

confidence: 99%

Priapism Associated With the Use of Stimulant Medications and Atomoxetine for Attention-Deficit/Hyperactivity Disorder in Children

2014

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Priapism has been associated with stimulants, amphetamines, and atomoxetine use for ADHD in children. Providers and health care practitioners should educate male patients prescribed these ADHD medications as well as caregivers regarding the signs, symptoms, and complications with priapism. Discontinuation and evaluation of the medication is warranted if this adverse drug reaction occurs. Depending on the priapism subtype, other products may be initiated or medications not associated with priapism may be utilized.

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Priapism

Garaffa¹,

Ralph²

2013

Problem Based Urology

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Recent Advances in the Medical and Surgical Treatment of Priapism

Cited by 6 publications

References 47 publications

Outcome and erectile function following treatment of priapism: An institutional experience

Outcome and erectile function following treatment of priapism: An institutional experience

Priapism Associated With the Use of Stimulant Medications and Atomoxetine for Attention-Deficit/Hyperactivity Disorder in Children

Priapism

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