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Hospital Medicine (London, England :... Apr 2002Priapism is defined as a prolonged penile erection that fails to subside despite orgasm. It is a medical emergency which should be diagnosed and treated early to... (Review)
Review
Priapism is defined as a prolonged penile erection that fails to subside despite orgasm. It is a medical emergency which should be diagnosed and treated early to preserve erectile function and avoid corporal fibrosis resulting from anoxia of the corporal tissue. Decompression is usually successful with no permanent damage if treatment is provided within 12 hours of onset.
Topics: Emergencies; Humans; Male; Physical Examination; Priapism
PubMed: 11995273
DOI: 10.12968/hosp.2002.63.4.2041 -
Andrologia Oct 2022Priapism is defined as a full or partial erection lasting greater than 4 h due to a fault in the normal detumescence mechanism of the penis. We describe the case of a...
Priapism is defined as a full or partial erection lasting greater than 4 h due to a fault in the normal detumescence mechanism of the penis. We describe the case of a confused 73-year-old gentleman presenting with painless priapism, a 2 cm non-tethered lesion in the scrotum and a vague palpable pelvic mass. On the presumption that this was a case of high-flow non-ischaemic priapism secondary to pelvic malignancy, the urology registrar attempted corporal body aspiration. Clear fluid was aspirated and the penis became flaccid instantly. A CT scan performed to determine the presence of a pelvic mass, revealed a penile prosthesis and artificial reservoir. While iatrogenic penile prosthesis malfunctions are well established in the literature, a case managed as an acute priapism is yet to be reported. This case teaches us the importance of taking an adequate medical history and clinical examination prior to formulating a diagnosis and administering treatment.
Topics: Aged; Humans; Male; Penile Erection; Penile Prosthesis; Penis; Priapism; Urology
PubMed: 35747930
DOI: 10.1111/and.14505 -
Therapeutische Umschau. Revue... Jun 1998Priapism is the persistence of an erection that does not result from sexual desire. Diagnosis is based on history, clinical examination, diagnostic aspiration of blood... (Review)
Review
Priapism is the persistence of an erection that does not result from sexual desire. Diagnosis is based on history, clinical examination, diagnostic aspiration of blood and measurement of blood gas levels. The purpose of treatment is to increase corporeal outflow by aspiration and injection of alpha stimulating agents. In some rare cases selective angiographic embolisation or surgical resection of a bleeding intracavernous artery is required. Prognosis is good if diagnosis and treatment are not delayed.
Topics: Diagnosis, Differential; Humans; Male; Priapism; Prognosis
PubMed: 9658980
DOI: No ID Found -
International Urology and Nephrology Dec 2023Priapism in children is a rare disease, which seldom presents during the pediatric surgery practice. It is, however, a surgical and urological emergency. Early diagnosis...
BACKGROUND
Priapism in children is a rare disease, which seldom presents during the pediatric surgery practice. It is, however, a surgical and urological emergency. Early diagnosis and prompt management can prevent the devastating sequelae of this potentially fatal condition.
MATERIALS AND METHODS
A prospective study was conducted between March 1st, 2007 and February 28th, 2019 at the Department of Pediatric Surgery, Khyber Teaching hospital, Peshawar. All the patients between 3 and 15 years of age, with the diagnosis of priapism, were enrolled in the study with ethical approval.
RESULTS
A total of ten patients were enrolled in the study period from March 1st, 2007 to February 28th, 2019. The age ranged between 3 and 15 years and the mean age of presentation was 8 years. The mean duration of symptoms was 4 h. The mean hospital stay was 4 days. The modified Winter procedure by creating a corporoglanular shunt was performed in all cases. Successful detumescence was achieved in eight patients, while two patients needed further detumescence and manual evacuation. Symptomatic relief was achieved in all the children.
CONCLUSION
Priparism in children is a rare urological emergency that can lead to permanent erectile dysfunction if prompt medical intervention is not done. The modified Winter procedure technically is a less invasive procedure to achieve satisfactory clinical outcome in terms of achieving good erectile functions.
Topics: Male; Humans; Child; Child, Preschool; Adolescent; Priapism; Penis; Prospective Studies; Erectile Dysfunction; Penile Erection
PubMed: 37542596
DOI: 10.1007/s11255-023-03728-5 -
Canadian Journal of Surgery. Journal... Jun 1992The authors describe a rare case of priapism in a newborn infant. Treatment with intravenous ketamine hydrochloride produced rapid detumescence. The literature is... (Review)
Review
The authors describe a rare case of priapism in a newborn infant. Treatment with intravenous ketamine hydrochloride produced rapid detumescence. The literature is reviewed with respect to priapism in the newborn and its management, and the authors propose injection of ketamine hydrochloride as an alternative method of management for this condition in newborn infants.
Topics: Clinical Protocols; Emergencies; Humans; Infant, Newborn; Injections, Intravenous; Ketamine; Male; Priapism
PubMed: 1617542
DOI: No ID Found -
AMB : Revista Da Associacao Medica... 1990
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Urologiia I Nefrologiia 1970
Review
Topics: Adolescent; Adult; Age Factors; Androgens; Brain Neoplasms; Endocrine System Diseases; Hematologic Diseases; Humans; Infant, Newborn; Male; Middle Aged; Nervous System Diseases; Phlebography; Priapism; Spinal Diseases; Time Factors; Urologic Diseases
PubMed: 4946792
DOI: No ID Found -
Khirurgiia 1989
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BMJ Case Reports Apr 2022Priapism is an urgent urological condition with varied aetiology that may be classified as low flow (ischaemic) or high flow (non-ischaemic). Diagnosis requires detailed...
Priapism is an urgent urological condition with varied aetiology that may be classified as low flow (ischaemic) or high flow (non-ischaemic). Diagnosis requires detailed clinical history and examination combined with appropriate investigations such as cavernosal blood gas sampling and penile Doppler ultrasound. In the case of high-flow priapism CT angiography can identify sources of abnormal arterial blood flow and cases may be managed conservatively, with surgery or through arterial embolisation. We detail a case of a young man presented 2 weeks after perineal trauma with high-flow priapism with an equivocal penile Doppler ultrasound. Cavernosal blood gas sampling was consistent with arterial blood and CT angiography was performed showing an arteriovenous fistula. The patient was then successfully managed with arterial embolisation resulting in detumescence and preserving sexual function.
Topics: Angiography; Arteriovenous Fistula; Embolization, Therapeutic; Humans; Male; Penis; Priapism
PubMed: 35440436
DOI: 10.1136/bcr-2022-249513 -
Priapism as a complication after total hip arthroplasty: a case report and review of the literature.Orthopedics Apr 2008Priapism is defined as a prolonged engorgement or erection of the penis or clitoris that is unrelated to sexual arousal. Recent studies have determined the incidence of... (Review)
Review
Priapism is defined as a prolonged engorgement or erection of the penis or clitoris that is unrelated to sexual arousal. Recent studies have determined the incidence of priapism to be between 1.5 and 2.9 per 100,000 person years. The incidence of priapism following elective orthopedic surgery is rare. Defining the etiology of a case of postoperative priapism following orthopedic surgery can be difficult, and many times cannot be determined. This case represents the first report of priapism following an elective total hip arthroplasty (THA) performed under spinal anesthesia, and focuses on a review of the literature and potential etiologies of this rare complication. A 44-year-old man with a history of right hip osteoarthritis underwent elective minimally invasive cementless right THA under spinal anesthesia (1 mg of Intrathecal Morphine and 100 mg of intravenous Fentanyl) without initial complication. A preoperative Foley catheter was placed without incident and the patient was placed into the left lateral decubitus position. Surgical time was recorded at 60 minutes. Nine hours after the Foley catheter was removed, the patient developed a persistent painless erection. Successful emergent treatment included a penile Winter shunt, to irrigate blood from the corpora. A computed tomography scan of the pelvis ruled out pelvic deep vein thrombosis as an etiology. This case represents the first report of priapism after an elective THA. The incidence of priapism as a complication is well described and has been associated with numerous medical conditions discussed in this article.
Topics: Adult; Arthroplasty, Replacement, Hip; Humans; Male; Priapism
PubMed: 19292271
DOI: 10.3928/01477447-20080401-13