81 results match your criteria Penile Injection and Aspiration


Unintended Consequences: A Review of Pharmacologically-Induced Priapism.

Sex Med Rev 2018 Nov 28. Epub 2018 Nov 28.

Department of Urology, Tulane University, New Orleans, LA, USA. Electronic address:

Background: Priapism has been linked to many commonly prescribed medications, as well as recreational drugs and toxins. Although the incidence of priapism as a result of medication is small, the increasing use of antidepressants, antipsychotics, and recreational drugs may lead to more cases of pharmacologically-induced priapism in the future.

Aim: To provide a comprehensive, up-to-date review of the most common causes of pharmacologically induced priapism and discuss incidence, pathophysiology, and basic management strategies. Read More

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http://dx.doi.org/10.1016/j.sxmr.2018.09.002DOI Listing
November 2018
3 Reads

A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man.

Cureus 2018 Jun 7;10(6):e2758. Epub 2018 Jun 7.

Graduate Medical Education, Florida Hospital-Orlando, Orlando, USA.

Priapism, a persistent erection of the penis which has no association with sexual activity and lasts longer than four hours, is a urologic emergency. It can be classified into ischemic, nonischemic, and stuttering categories. The pathophysiology of stuttering priapism is not well understood; however, the dysregulation of nitric oxide and phosophodiesterase-5 (PDE5) has been put forward as a possible mechanism. Read More

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http://dx.doi.org/10.7759/cureus.2758DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080740PMC
June 2018
1 Read

A Novel Task Trainer for Penile Corpus Cavernosa Aspiration.

Simul Healthc 2017 Dec;12(6):407-413

From the Department of Emergency Medicine, Christiana Care Health System, Newark, DE.

Introduction: Priapism is a rare yet time sensitive emergency with potentially significant morbidity. A novel task trainer was developed for corpus cavernosa aspiration and phenylephrine injection. The primary aim of this study was to assess model realism and usefulness for emergency medicine resident procedural education. Read More

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http://dx.doi.org/10.1097/SIH.0000000000000262DOI Listing
December 2017
17 Reads

Management of refractory ischemic priapism: current perspectives.

Res Rep Urol 2017 29;9:175-179. Epub 2017 Aug 29.

Department of Urology, University of Turin, Città della Salute e della Scienza, Turin, Italy.

Objectives: The aim of the present manuscript is to review the current literature on priapism, focusing on the state-of-the-art knowledge of both the diagnosis and the treatment of the refractory ischemic priapism (IP).

Methods: Pubmed and EMBASE search engines were used to search for words "priapism", "refractory priapism", "penile prosthesis", "diagnosis priapism", "priapism treatment", "penile fibrosis", "priapism therapy". All the studies were carefully examined by the authors and then included in the review. Read More

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http://dx.doi.org/10.2147/RRU.S128003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587151PMC
August 2017
12 Reads

Emergency department management of priapism [digest].

Emerg Med Pract 2017 Jan 22;19(1 Suppl Points & Pearls):S1-S2. Epub 2017 Jan 22.

Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

Priapism is a genitourinary emergency that demands a thorough, time-sensitive evaluation. There are 3 types of priapism: ischemic, nonischemic, and recurrent ischemic priapism; ischemic priapism accounts for 95% of cases. Ischemic priapism must be treated within 4 to 6 hours to minimize morbidity, including impotence. Read More

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January 2017
8 Reads

[Priapism in children and adolescents].

Aktuelle Urol 2017 Sep 16;48(5):469-472. Epub 2017 May 16.

Priapism is a prolonged erection without sexual stimulation. In most cases it requires prompt management in order to avoid long-term consequences such as erectile dysfunction or penile deformity. Priapism is rare in children, but haematological diseases play an important role. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-100636
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http://dx.doi.org/10.1055/s-0043-100636DOI Listing
September 2017
27 Reads

Recurrent Priapism Gone Wrong: ST-Elevation Myocardial Infarction and Cardiogenic Shock After Penile Corporal Phenylephrine Irrigation.

J Emerg Med 2017 Jun 22;52(6):859-862. Epub 2017 Mar 22.

Section of Emergency Medicine, University of Chicago, Chicago, Illinois.

Background: Recurrent priapism secondary to sickle cell trait in an African-American male has been reported in the literature. A common treatment for these low-flow priapism cases is aspiration and injection of the corpus cavernosum with a sympathomimetic agent. We report a rare complication not described previously in the literature of ST-elevation myocardial infarction (STEMI) and cardiogenic shock in a 29-year-old male with sickle cell trait undergoing a routine detumescence procedure. Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.01.055DOI Listing
June 2017
9 Reads

Emergency Department Management Of Priapism.

Emerg Med Pract 2017 Jan 1;19(1):1-16. Epub 2017 Jan 1.

Assistant Professor, Section of Emergency Medicine, Department of Medicine, University of Chicago, Chicago, IL.

Priapism is a genitourinary emergency that demands a thorough, time-sensitive evaluation. There are 3 types of priapism: ischemic, nonischemic, and recurrent ischemic priapism; ischemic priapism accounts for 95% of cases. Ischemic priapism must be treated within 4 to 6 hours to minimize morbidity, including impotence. Read More

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January 2017
3 Reads

Use of High-Dose Phenylephrine in the Treatment of Ischemic Priapism: Five-Year Experience at a Single Institution.

J Sex Med 2016 11 28;13(11):1704-1707. Epub 2016 Sep 28.

Boston Medical Center, Boston, MA, USA.

Introduction: Ischemic priapism is an uncommon urologic emergency characterized by a compartment syndrome-like ischemic insult to the corpora cavernosa of the penis. The goal of treatment in ischemic priapism is rapid detumescence to prevent long-term erectile dysfunction. Non-surgical treatment options include aspiration, irrigation, and intracavernous injections of sympathomimetic agents. Read More

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http://dx.doi.org/10.1016/j.jsxm.2016.09.010DOI Listing
November 2016
20 Reads

T-shaped Shunt With Intracavernosal Tunneling for a Pediatric Case of Refractory Ischemic Priapism.

Urology 2017 Dec 28;110:220-222. Epub 2016 Sep 28.

Cohen Children's Medical Center, Lake Success, NY.

We present the first reported case of refractory pediatric priapism treated by intracavernosal tunneling T shunt. A 12-year-old male, with sickle cell disease, presented with 72 hours of painful erection. The patient failed conservative measures including aspiration, injection of phenylephrine, as well as distal shunt procedure. Read More

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http://dx.doi.org/10.1016/j.urology.2016.08.047DOI Listing
December 2017

The Case Report of Priapus and a Modern Approach to an Ancient Affliction.

Sex Med Rev 2017 Jan 26;5(1):120-128. Epub 2016 Sep 26.

Department of Urology, Faculty of Medicine, Istanbul University, Istanbul, Turkey. Electronic address:

Introduction: Priapism, taking its name from God Priapus, is total or partial erection lasting longer than 4 hours independent of sexual stimulus and can result in erectile dysfunction. There are three subtypes of priapism.

Aim: To review the three subtypes of priapism, their pathophysiology, current treatment options, and complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20500521163004
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http://dx.doi.org/10.1016/j.sxmr.2016.08.003DOI Listing
January 2017
5 Reads

Noninvasive treatments for iatrogenic priapism: Do they really work? A prospective multicenter study.

Urol Ann 2016 Apr-Jun;8(2):193-6

Department of Surgery, Division of Urology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia.

Objectives: Intracorporeal injections (ICIs) of vasoactive substances during penile Doppler ultrasound (PDU) are a common investigation for erectile dysfunction (ED) diagnosis. ICI can be responsible of priapism, a pathological condition of prolonged penile erection not related to sexual stimulation. The aim of our study is to investigate the effectiveness of physical exercise and medical treatment as noninvasive therapy to restore detumescence in prolonged erections after ICI. Read More

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http://dx.doi.org/10.4103/0974-7796.176874DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4839238PMC
May 2016
12 Reads

Intracavernosal metaraminol bitartrate for treatment of priapism resulting from circumcision: a case report.

Springerplus 2016 12;5:436. Epub 2016 Apr 12.

State Key Laboratory of Reproductive Medicine, Department of Urology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029 People's Republic of China.

Introduction: Priapism is an uncommon disorder of involuntary prolonged erection beyond sexual excitement or desire. Herein, we present a rare case of priapism resulting from traditional circumcision under regional anesthesia with dorsal penile nerve block by xylocaine, which was successfully treated by intracavernosal injection of metaraminol bitartrate.

Case Description: A 37-year-old man visited our out-patient department for a penile erection, which had been observed during the surgery, lasting for 21 days. Read More

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http://link.springer.com/content/pdf/10.1186/s40064-016-2069
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http://springerplus.springeropen.com/articles/10.1186/s40064
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http://dx.doi.org/10.1186/s40064-016-2069-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828374PMC
April 2016
11 Reads

Role of dynamic sentinel node biopsy in carcinoma penis with or without palpable nodes.

Indian J Urol 2016 Jan-Mar;32(1):57-60

Department of Pathology, Cancer Institute (WIA), Adyar, Chennai, India.

Introduction: We aimed to evaluate the role of dynamic sentinel node biopsy (DSLNB) in patients diagnosed with carcinoma penis and clinically N0 disease using superficial inguinal dissection as the standard staging modality.

Materials And Methods: Twenty consecutive men (40 groins) with carcinoma penis having clinically N0 status were enrolled in the study. Patients underwent DSLNB if fine needle aspiration cytology from the groin nodes was negative, followed by injection of radiocolloid and blue dye. Read More

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http://dx.doi.org/10.4103/0970-1591.173111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756552PMC
March 2016
5 Reads

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

Urol Ann 2016 Jan-Mar;8(1):46-50

Department of Urology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.

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. Read More

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http://dx.doi.org/10.4103/0974-7796.165717DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719511PMC
February 2016
16 Reads

Effect of phenylephrine and terbutaline on ischemic priapism: a retrospective review.

Am J Emerg Med 2016 Feb 24;34(2):222-4. Epub 2015 Oct 24.

Emergency Medicine, Trinity Mother Frances Hospital, Tyler, TX.

Background: Ischemic priapism is the most common cause of priapism due to low blood flow. Current guidelines recommend penile aspiration and the use of intracavernous injection of vasoactive agents. The data to support these recommendations are limited and rely on expert consensus. Read More

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http://dx.doi.org/10.1016/j.ajem.2015.10.029DOI Listing
February 2016
2 Reads

[Priapism: Current diagnostics and therapy].

Urologe A 2015 Nov;54(11):1631-9; quiz 1640-1

Klinik für Urologie, Andrologie und Kinderurologie, Klinikum Weiden/Kliniken Nordoberpfalz AG, Söllnerstr. 16, 92637, Weiden, Deutschland.

Priapism is characterized by involuntary persistent penile erection after or independent of sexual stimulation. The diagnostic clarification, including patient history, physical findings, duplex ultrasonography and analysis of blood gases is decisive for the underlying pathophysiology and the appropriate therapeutic procedure. Non-hypoxic and non-acidotic blood gas parameters enable a conservative approach, hypoxic, hypercarbic and acidotic parameters may lead to fibrosis of the corpora cavernosa and, in turn, to a loss of penile function. Read More

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http://dx.doi.org/10.1007/s00120-015-3987-9DOI Listing
November 2015
2 Reads

A step-wise approach to sperm retrieval in men with neurogenic anejaculation.

Nat Rev Urol 2015 Nov 20;12(11):607-16. Epub 2015 Oct 20.

Department of Urology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, DK-2730 Herlev, Denmark.

Normal fertility is dependent on intravaginal delivery of semen through ejaculation. This process is highly dependent on an intact ejaculatory reflex arc, which can be disrupted through any type of trauma or disease causing damage to the CNS and/or peripheral nerves. Neurogenic anejaculation is most commonly associated with spinal cord injury. Read More

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http://dx.doi.org/10.1038/nrurol.2015.241DOI Listing
November 2015
4 Reads

Penile reconstruction using mesenchymal stem cells.

Acta Cir Bras 2015 Aug;30(8):529-36

Department of Surgery, UNIFESP, São Paulo, SP, BR.

Purpose: To compare the reconstruction of corpus cavernosum segments when seeded with mesenchymal stem cells and when stem cells are infused intravenously.

Methods: Sixteen New Zealand rabbits were submitted to reconstruction of the corpus cavernosum and distributed in Group A - decellularized matrices, Group B - decellularized matrices seeded with mesenchymal stem cells Group C - decellularized matrices submitted to intravenous infusion of mesenchymal stem cells. The mesenchymal stem cells were obtained by bone marrow aspiration. Read More

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http://www.scielo.br/pdf/acb/v30n8/0102-8650-acb-30-08-00529
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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/S0102-865020150080000003DOI Listing
August 2015
5 Reads

Airborne Priapism: A Case of Nonischemic Priapism After Military Static-Line Parachute Injury.

Mil Med 2015 Jul;180(7):e853-7

Department of Emergency Medicine, Bayne Jones Army Community Hospital, 1585 3rd Street, Fort Polk, LA 71459.

We report the case of a 21-year-old active duty U.S. Army soldier with painful and nonresolving priapism following blunt pelvic and lower extremity trauma from military static-line parachute injury during training. Read More

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https://academic.oup.com/milmed/article/180/7/e853-e857/4160
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http://dx.doi.org/10.7205/MILMED-D-14-00483DOI Listing
July 2015
4 Reads

[Diagnosis and management of priapism].

Urologe A 2015 May;54(5):654-61

Klinik für Urologie, Kliniken Maria Hilf, Viersener Str. 450, 41063, Mönchengladbach, Deutschland,

Priapism is defined as an erection for more than 4 h without sexual stimulation. The most common form with nearly 95% is the ischemic or low-flow form, which is very painful. The other 5% are comprised of nonischemic high-flow type usually caused by a blunt perineal trauma and the recurrent or intermittent so-called stuttering priapism. Read More

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http://link.springer.com/10.1007/s00120-015-3799-y
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http://dx.doi.org/10.1007/s00120-015-3799-yDOI Listing
May 2015
3 Reads

Management of priapism: an update for clinicians.

Ther Adv Urol 2014 Dec;6(6):230-44

The James Buchanan Brady Urological Institute, Johns Hopkins Hospital, 600 North Wolfe Avenue, Marburg 405, Baltimore, MD 21287, USA.

Priapism is a prolonged erection that persists beyond or is unrelated to sexual stimulation. It is associated with significant morbidity: psychological, socioeconomic, and physical, including pain and potentially irreversible compromise of erectile function. There are three major types of priapism: ischemic, nonischemic, and stuttering. Read More

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http://journals.sagepub.com/doi/10.1177/1756287214542096
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http://dx.doi.org/10.1177/1756287214542096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4236300PMC
December 2014
6 Reads

Priapism associated with pregabalin.

Urol Ann 2014 Oct;6(4):366-8

Department of Surgery, Division of Urology, King Khalid University Hospital, King Saud University, Kingdom of Saudi Arabia.

Priapism is a well-known cause of erectile dysfunction. There are a wide variety of causes, including hemoglobinopathy, neurological diseases, and drugs. We present a case report of an Asian man who presented with priapism that was continuous for 3 days after taking three doses of pregabalin for chronic back pain. Read More

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http://www.urologyannals.com/text.asp?2014/6/4/366/141012
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http://dx.doi.org/10.4103/0974-7796.141012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216548PMC
October 2014
4 Reads

Surgical correction of persistent Peyronie's disease following collagenase clostridium histolyticum treatment.

J Sex Med 2015 Jan 27;12(1):259-64. Epub 2014 Oct 27.

Department of Urology, Rush University Medical Center, Chicago, IL, USA.

Introduction: Collagenase clostridium histolyticum (CCH) is an Food and Drug Administration-approved intralesional injection for treatment of Peyronie's disease (PD) that has been shown to reduce penile curvature deformity and PD symptom bother in phase 2b and phase 3 placebo-controlled clinical trials. For some patients, nonsurgical treatment with CCH may not sufficiently improve penile curvature, and surgical correction may be pursued following CCH therapy.

Aim: This study aims to examine intraoperative and postsurgical outcomes of surgical correction of persistent penile curvature in patients with PD who had previously received CCH. Read More

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http://dx.doi.org/10.1111/jsm.12721DOI Listing
January 2015
16 Reads

Recurrent priapism from therapeutic quetiapine.

West J Emerg Med 2014 Feb;15(1):114-6

Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado.

Priapism is rarely related to use of non-erectile related medications. The objective was to educate about the multiple possible causes of priapism and to provide treatment recommendations for the different types of priapism. We present the case of a 43-year-old African American male with a history of schizoaffective disorder who presented to our emergency department multiple times over a three year period with priapism, each episode related to the ingestion of quetiapine. Read More

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http://www.escholarship.org/uc/item/8gs3209r
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http://dx.doi.org/10.5811/westjem.2013.8.18548DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935783PMC
February 2014
6 Reads

Priapism: current updates in clinical management.

Korean J Urol 2013 Dec 10;54(12):816-23. Epub 2013 Dec 10.

Department of Urology, Yeungnam University College of Medicine, Daegu, Korea.

Priapism is a persistent penile erection that continues for hours beyond, or is unrelated to, sexual stimulation. Priapism requires a prompt evaluation and usually requires an emergency management. There are two types of priapism: 1) ischemic (veno-occlusive or low-flow), which is found in 95% of cases, and 2) nonischemic (arterial or high-flow). Read More

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http://dx.doi.org/10.4111/kju.2013.54.12.816DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866283PMC
December 2013
3 Reads

European Association of Urology guidelines on priapism.

Eur Urol 2014 Feb 16;65(2):480-9. Epub 2013 Nov 16.

2nd Department of Urology, Aristotle University of Thessaloniki, Thessaloniki, Greece. Electronic address:

Context: Priapism is defined as a penile erection that persists beyond or is unrelated to sexual interest or stimulation. It can be classified into ischaemic (low flow), arterial (high flow), or stuttering (recurrent or intermittent).

Objective: To provide guidelines on the diagnosis and treatment of priapism. Read More

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http://dx.doi.org/10.1016/j.eururo.2013.11.008DOI Listing
February 2014
22 Reads

[Priapisms].

Authors:
S Droupy F Giuliano

Prog Urol 2013 Jul 15;23(9):638-46. Epub 2013 Jun 15.

Service d'urologie andrologie, université Montpellier 1, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France. Ele

Objectives: Priapism is a rare condition for which urgent diagnosis and treatment is required. This paper reviews the literature regarding ischaemic, non-ischaemic and stuttering priapism in order to provide management recommendations.

Methods: A Medline search was carried out to identify all relevant papers with management guidelines for priapism and combined with expert opinion of the authors. Read More

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http://dx.doi.org/10.1016/j.purol.2013.01.026DOI Listing
July 2013
4 Reads

Testicular sperm retrieval and intra cytoplasmic sperm injection provide favorable outcome in spinal cord injury patients, failing conservative reproductive treatment.

Spinal Cord 2013 Aug 21;51(8):642-4. Epub 2013 May 21.

IVF and Andrology Units, Urology and Rehabilitation Department, The Chaim Sheba Medical Center (affiliated to Sackler School of Medicine, Tel Aviv University, Tel Aviv), Tel Hashomer, Israel.

Study Design: Retrospective cohort analysis.

Objectives: The objective of this study was to determine the in vitro fertilization (IVF) outcome after testicular sperm extraction (TESE) in a group of spinal cord injury (SCI) male patients not compatible with conservative fertility treatment.

Setting: University-affiliated medical center. Read More

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http://dx.doi.org/10.1038/sc.2013.44DOI Listing
August 2013
2 Reads

Standard operating procedures for priapism.

J Sex Med 2013 Jan 29;10(1):180-94. Epub 2012 Mar 29.

Johns Hopkins University School of Medicine, Baltimore, MD, USA.

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17436095153012
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http://dx.doi.org/10.1111/j.1743-6109.2012.02707.xDOI Listing
January 2013
5 Reads

A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment.

Minim Invasive Ther Allied Technol 2012 Sep 5;21(5):366-8. Epub 2011 Dec 5.

Department of Urology, Ninewells Hospital and Dundee Medical School, Dundee, Scotland, UK.

Priapism is an urological emergency with detrimental consequences, if not managed expeditiously. Though a rare condition with an incidence between 0.3 and 1. Read More

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http://dx.doi.org/10.3109/13645706.2011.636821DOI Listing
September 2012
11 Reads

Sibutramine for the treatment of recurrent high-flow priapism.

Authors:
Saleh Binsaleh

J Androl 2012 Jul-Aug;33(4):566-9. Epub 2011 Oct 6.

Department of Surgery, Faculty of Medicine, King Saud University, PO Box 36175, Riyadh, 1149, Saudi Arabia.

High-flow priapism most often occurs following perineal and penile trauma. We report the case of a 29-year-old man who presented with recurrent priapism and was initially treated with corporal aspiration and intracavernosal injections on multiple emergency department visits and then condition-controlled with sibutramine while on treatment for weight loss. His condition relapsed after the medication was withdrawn from the market, necessitating medical intervention. Read More

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http://dx.doi.org/10.2164/jandrol.111.013177DOI Listing
November 2012

Priapism and sickle-cell anemia: diagnosis and nonsurgical therapy.

J Sex Med 2012 Jan 23;9(1):88-103. Epub 2011 Jun 23.

Department of Urology, Mayo Clinic, FL 32224, USA.

Introduction: Priapism describes a persistent erection lasting longer than 4 hours. Ischemic priapism and stuttering priapism are phenotypic manifestations of sickle-cell disease (SCD).

Aims: To define the types of priapism associated with SCD, to address pathogenesis, and to recommend best practices. Read More

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http://dx.doi.org/10.1111/j.1743-6109.2011.02317.xDOI Listing
January 2012
9 Reads

Primary tuberculosis of glans penis after intravesical Bacillus Calmette Guerin immunotherapy.

Indian J Dermatol Venereol Leprol 2011 Jan-Feb;77(1):47-50

Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India.

A 55-year-old male with carcinoma in situ of urinary bladder was treated with weekly intravesical injections of Bacillus Calmette Guerin (BCG) vaccine. Three days after the sixth injection, he developed low grade fever and multiple grouped punched out, 2-3 mm ulcers around meatus and corona glandis. In addition, multiple, firm, indurated, nontender papules and few deeper nodules were present on the proximal part of glans penis, along with bilateral enlarged, matted and nontender inguinal lymph nodes. Read More

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http://www.ijdvl.com/text.asp?2011/77/1/47/74979
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http://dx.doi.org/10.4103/0378-6323.74979DOI Listing
June 2011
2 Reads

Diagnosis and staging of penile cancer.

Urology 2010 Aug;76(2 Suppl 1):S15-23

Department of Urology, Stellenbosch University and Tygerberg Hospital, Tygerberg, South Africa.

A comprehensive literature study was conducted to evaluate the levels of evidence (LEs) in publications on the diagnosis and staging of penile cancer. Recommendations from the available evidence were formulated and discussed by the full panel of the International Consultation on Penile Cancer in November 2008. The final grades of recommendation (GRs) were assigned according to the LEs of the relevant publications. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S009042951000305
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http://dx.doi.org/10.1016/j.urology.2010.03.002DOI Listing
August 2010
7 Reads

The actual incidence of papaverine-induced priapism in patients with erectile dysfunction following penile colour Doppler ultrasonography.

Andrologia 2010 Feb;42(1):1-4

Department of first Urology, Ataturk Teaching and Research Hospital, Bilkent, Ankara, Turkey.

Penile color Doppler sonography is a valuable method for evaluating erectile dysfunction. However, there are some concerns about the safety of this method due to the intracorporeal pharmacological injection, which may cause priapism as a complication, resulting in penile fibrosis. To evaluate the actual incidence of papaverine-induced priapism in patients with erectile dysfunction (ED) who underwent penile colour Doppler sonography and to determine the safety of this diagnostic tool, a retrospective study was conducted using the database of our institution. Read More

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http://doi.wiley.com/10.1111/j.1439-0272.2009.00940.x
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http://dx.doi.org/10.1111/j.1439-0272.2009.00940.xDOI Listing
February 2010
3 Reads

Priapism and penile gangrene due to thrombotic thrombocytopenic purpura.

Urology 2010 Jan 6;75(1):71-2. Epub 2009 Nov 6.

Nepean Private Hospital, Kingswood NSW.

A 51-year-old man presented with 4 days of idiopathic ischemic priapism. Partial detumescence was achieved with aspiration and injection with intracorporeal adrenaline. On further evaluation, the patient was diagnosed with thrombotic thrombocytopenic purpura. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S009042950900548
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http://dx.doi.org/10.1016/j.urology.2009.04.036DOI Listing
January 2010
4 Reads

Priapism in dogs.

Authors:
James A Lavely

Top Companion Anim Med 2009 May;24(2):49-54

Animal Care Center, Rohnert Park, CA, USA.

Priapism is a persistent penile erection lasting longer than 4 hours, without sexual stimulation. Priapism is categorized as either nonischemic (arterial, high flow) or ischemic (veno-occlusive, low flow). Ischemic priapism is considered an emergency in people. Read More

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http://dx.doi.org/10.1053/j.tcam.2008.11.001DOI Listing
May 2009
8 Reads

Evaluation and management of priapism: 2009 update.

Nat Rev Urol 2009 May;6(5):262-71

Department of Urology, University of California, San Francisco, CA 94143, USA.

Priapism is defined as a persistent penile erection (typically 4 h or longer) that is unrelated to sexual stimulation. Priapism can be classified as either ischemic or nonischemic. Ischemic priapism, the most common subtype, is typically accompanied by pain and is associated with a substantial risk of subsequent erectile dysfunction. Read More

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http://dx.doi.org/10.1038/nrurol.2009.50DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905796PMC
May 2009
2 Reads

T-shaped shunt and intracavernous tunneling for prolonged ischemic priapism.

J Urol 2009 Apr 23;181(4):1699-705. Epub 2009 Feb 23.

Northstar Urology, Vail, Colorado.

Purpose: Conservative management of prolonged ischemic priapism is rarely effective. Interventions include corporal aspiration/irrigation, injection of vasoconstrictive agents or surgical procedures. We describe a technique that fulfills several important criteria in the surgical management of ischemic priapism in that immediate resolution of ischemic pain is achieved, a wide area, reliably patent shunt is created, the procedure is technically simple and it may be performed with the patient under a local anesthetic. Read More

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http://dx.doi.org/10.1016/j.juro.2008.12.021DOI Listing
April 2009
22 Reads

Recurrent priapism in sickle cell trait with protein S deficiency.

J Pak Med Assoc 2008 Dec;58(12):701-2

Department of Haematology, Sultan Qaboos University Hospital, Sultanate of Oman.

We report the case of a young Omani man, a regular blood donor, who presented twice in two months, with painful penile erection lasting more than 12 hours. The patient is known to have sickle cell trait [HbS 34.6%]. Read More

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December 2008
1 Read

[Priapism associated with antipsychotic medications: a series of four patients].

Prog Urol 2008 Nov 10;18(10):669-73. Epub 2008 Jun 10.

Service urologie-andrologie, centre hospitalier régional La Source, B.P. 6709, 45067 Orléans cedex 2, France.

Introduction: Ischemic (veno-occlusive, low flow) priapism is a painful and persistent penile erection unrelated to sexual desire or stimulation. In some cases, it is an adverse event of antipsychotic medications.

Material: Between 1st January 2000 and 30th September 2007, four men (range 25/55 years), treated with antipsychotic agents (amisulpride, clozapine, levomepromazine, olanzapine, pipotiazine, risperidone or zuclopenthixol), presented one or several episodes of ischemic priapism. Read More

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http://dx.doi.org/10.1016/j.purol.2008.04.010DOI Listing
November 2008
3 Reads

[Diagnosis and treatment of veno-occlusive priapism (a report of 17 cases)].

Zhonghua Nan Ke Xue 2007 Jun;13(6):535-7

Department of Urology, General Hospital of PLA, Beijing 100853, China.

Objective: To explore the diagnosis and treatment of veno-occlusive priapism.

Methods: The diagnosis and treatment of 17 cases of veno-occlusive priapism were analyzed retrospectively.

Results: All the 17 patients were evaluated by physical examination, cavernous blood gas analysis and color Doppler ultrasonography, and treated by conservative therapy, intracavernosal aspiration and injection, surgical operation. Read More

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June 2007
5 Reads

Evaluation of the vervet (Clorocebus aethiops) as a model for the assisted reproductive technologies.

Am J Primatol 2007 Aug;69(8):917-29

Division of Reproductive Sciences, Oregon National Primate Research Center, Beaverton, OR 97006, USA.

The vervet monkey was evaluated as a primate model for use in assisted reproductive technologies (ARTs). Eight adult female vervets were hormonally monitored for their potential use as egg donors and those six females displaying regular menstrual cycles were subjected to controlled ovarian stimulation with recombinant human gonadotropins. Three animals failed to respond while laparoscopic follicular aspiration was performed on the other three females at 27-30 h post-human chorionic gonadotropin administration. Read More

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https://www.ohsu.edu/xd/research/centers-institutes/stem-cel
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http://doi.wiley.com/10.1002/ajp.20413
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http://dx.doi.org/10.1002/ajp.20413DOI Listing
August 2007
7 Reads

Simple aspiration technique to address voiding dysfunction associated with transurethral injection of dextranomer/hyaluronic acid copolymer.

Urology 2006 Jul 13;68(1):186-8. Epub 2006 Jun 13.

Mayo Clinic Jacksonville, Jacksonville, Florida 32224, USA.

Dextranomer/hyaluronic acid copolymer (Zuidex) is currently under Food and Drug Administration investigation for use as a transurethral bulking agent to treat female stress urinary incontinence secondary to intrinsic sphincter deficiency. Urethral obstruction is a recognized complication of bulking agents. We describe an aspiration method to address iatrogenic voiding dysfunction resulting from this therapy. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S009042950600065
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http://dx.doi.org/10.1016/j.urology.2006.01.003DOI Listing
July 2006
4 Reads

Intracavernosal irrigation by cold saline as a simple method of treating iatrogenic prolonged erection.

J Sex Med 2005 Mar;2(2):248-53

Department of Andrology Cairo University, Cairo, Egypt.

Aims And Methods: The aim of this study was to evaluate the efficacy of aspiration and irrigation of the corpora cavernosa with cold saline as a simple outpatient method for treating prolonged penile erection after intracavernous injection of vasoactive agents.

Results: Aspiration and irrigation was needed in 70 out of 122 cases with iatrogenic priapism in whom cooling of the penis and perineum failed to achieve detumescence. According to the temperature of the saline used, patients were randomized into four different groups: A, B, C, and D with a saline temperature 10, 15, 20, and 37 degrees C, respectively. Read More

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http://dx.doi.org/10.1111/j.1743-6109.2005.20235.xDOI Listing
March 2005
5 Reads

Priapism in southwestern Nigeria.

East Afr Med J 2003 Oct;80(10):518-24

Department of Surgery, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

Objectives: To determine the aetiology, pattern of presentation, treatment regimen and outcome of management of priapism in our environment and to compare our findings with previous studies in this country and elsewhere.

Design: A 10-year retrospective study from January 1991 to December 2000.

Setting: Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria. Read More

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October 2003
4 Reads

[Penile angiography and superselective embolization therapy in arterial priapism].

Rofo 2003 Aug;175(8):1120-4

Institut für Diagnostische Radiologie, Inselspital, Universität Bern, Switzerland.

Purpose: To report feasibility, benefit and complications of penile angiography and superselective penile embolization in arterial priapism.

Materials And Methods: Four consecutive patients (aged 28, 29, 40 and 49 years), who underwent penile angiography for arterial priapism (high-flow priapism) within a four-year period, were identified by a keyword search of our radiology information system. One patient had sustained a direct penile trauma (severe blow to the erected penis) and three patients suffered from recurrent spontaneous priapism. Read More

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http://dx.doi.org/10.1055/s-2003-40911DOI Listing
August 2003
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Priapism caused by infection and an inflammatory process in the pelvic region.

Urol Int 2003 ;70(3):238-40

Department of Urology, Medical Center Rijnmond-Zuid, locatie Clara, Olympiaweg 350, NL-3078 HT Rotterdam, The Netherlands.

Priapism caused by an inflammatory process is rare. We report on a 25-year-old man with priapism due to an infiltration in the pelvic region, enclosing the right sacral plexus. Blood cultures revealed Staphylococcus aureus to be the causal organism. Read More

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https://www.karger.com/Article/FullText/68759
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http://dx.doi.org/10.1159/000068759DOI Listing
July 2003
2 Reads

[Methylene blue: an effective therapeutic alternative for priapism induced by intracavernous injection of vasoactive agents].

Arch Esp Urol 2002 Apr;55(3):303-8

Departamento de Urología, Clínica Universitaria de Kiel, Universidad de Kiel, Alemania.

Objective: Priapism is defined as prolonged and persistent erection of the penis without sexual stimulation. Etiologies of this condition are numerous. Recent advances in the understanding of erectile physiology have improved the prompt diagnosis and treatment of priapism. Read More

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April 2002
5 Reads