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J Paediatr Child Health 2021 Jun 12. Epub 2021 Jun 12.

Department of General Medicine, Women's and Children's Hospital, Adelaide, South Australia, Australia.

Urol Int 2021 Jun 9:1-4. Epub 2021 Jun 9.

Foundation Hospital San Carlos, Bogota, Colombia.

Infection by COVID-19, being a respiratory disease caused by SARS-CoV-2, can predispose to arterial and venous thrombotic disease, in response to excessive inflammation, platelet activation, endothelial dysfunction, and venous stasis. During the COVID-19 pandemic period, the technological and resource availability for the care of these patients with thrombotic disease is critical, marking a factor of morbidity and poor prognosis in these cases. We describe a case of priapism in a patient with COVID-19, during the course of systemic inflammatory response syndrome and respiratory distress syndrome with a procoagulant state, seeking to relate the pathophysiological factors of ischemic priapism in patients with infection with SARS-Cov-2. Read More

Pediatr Hematol Oncol 2021 May 20:1-6. Epub 2021 May 20.

Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Asian J Androl 2021 May 18. Epub 2021 May 18.

Department of Urology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China.

Urology 2021 May 13. Epub 2021 May 13.

Department of Urology, Westchester Medical Center, Valhalla, New York. Electronic address:

Objectives: To review medical malpractice trends and to identify the most common claims filed against medical providers for the management of patients with priapism.

Methods: Using the Westlaw legal database, a search was done for the keyword "priapism" between July 1, 1980 and July 1, 2020. Cases were evaluated for plaintiff demographics, reasons for filing claims, management outcomes, legal verdicts and awards and further categorized based upon the timing of the alleged malpractice. Read More

Sex Med 2021 May 11;9(3):100339. Epub 2021 May 11.

Sickle Cell Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica.

Introduction: Ischemic priapism is characterized by painful erections that may lead to erectile dysfunction. Men with sickle cell disease (SCD) are particularly prone to this condition, however, the knowledge among this population with respect to possible complications is not well known.

Aim: The objective of this study was to evaluate the knowledge of males with SCD about priapism and its possible consequences. Read More

Urologia 2021 May 12:3915603211016116. Epub 2021 May 12.

Department of Radiology, Hisar Intercontinental Hospital, Istanbul, Turkey.

High-flow priapism is a rare condition characterized by prolonged and painless erection. It is defined as contusion or thrombosis of the cavernous body of the penis usually secondary to blunt trauma. Due to the rarity of the disease, there is no well-defined consensus about treatment. Read More

Cureus 2021 Apr 7;13(4):e14335. Epub 2021 Apr 7.

Department of Hematology, National Centre for Cancer Care and Research, Hamad Medical Corporation, Doha, QAT.

Thalassemia is a hematologic disorder caused by genetic mutation resulting in impaired hemoglobin chain production. Patients with thalassemia commonly experience complications such as anemia, blood transfusion-related issues, hepatic or cardiac involvement, and psychosocial impacts. Rarely, priapism has been associated with thalassemia as an initial presentation or subsequently occurring at any time in the disease course. Read More

Prog Urol 2021 Jun-Jul;31(8-9):495-502. Epub 2020 Aug 18.

265, avenue des États-du-Languedoc, Montpellier, 34000, France.

Objective: To assist urologists in the management of andrological and sexual medicine pathologies during the COVID-19 crisis.

Material And Method: Use of the formalized consensus method.

Results: The medical and surgical management of patients in andrology and sexual medicine must be adapted. Read More

Prog Urol 2021 Jun-Jul;31(8-9):503-505. Epub 2021 Apr 30.

Service d'urologie, Centre hospitalier intercommunal André-Grégoire, Montreuil, France; Fédération interhospitalière d'urologie de Seine Saint-Denis, Paris, France.

Partial priapism is a rare pathology with less than 60 cases published in the literature; the etiology remains unknown, although certain favorable factors are identified as having in relation a prolonged perineal compression or a thrombopathy. The symptomatology is characterized by the appearance of pain, perineal edema and an induration of the root of the penis, which do not concern the distal part of the penis or the glans. MRI is the best complementary examination. Read More

Urologe A 2021 Apr 29. Epub 2021 Apr 29.

Klinik für Urologie, Universitätsmedizin Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Deutschland.

The insertion of a penile prosthesis (PP) is a definitive treatment option for erectile dysfunction (ED), induratio penis plastica, after phalloplasty or priapism. The aim is a "normal" erection with the possibility of a satisfactory sexual life. The costs of the operation are covered by the health insurance. Read More

Animals (Basel) 2021 Apr 1;11(4). Epub 2021 Apr 1.

Center for the Research and Technology of Agro-Environmental and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), 5000-801 Vila Real, Portugal.

This study aimed to define appropriate humane endpoints (HEs) for an animal model of colorectal carcinogenesis (CRC). Twenty-nine male Wistar rats were divided into two control groups (CTRL1 and CTRL2) injected with ethylenediamine tetraacetic acid (EDTA)-saline solutions and two induced groups (CRC1 and CRC2) injected with 1,2-dimethylhydrazine (DMH) for seven weeks. A score sheet with 14 biological parameters was used to assess animal welfare. Read More

Adv Pharm Bull 2021 Feb 26;11(2):261-266. Epub 2020 Jul 26.

Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.

Followed by developing modern medicine, leeches did not have extensive use as before; however, in the late 19th century, they were still used in most countries all over the world. Thus far, leeches were utilized in treating various diseases like skin disorders, arthritis, and cancer. In Egypt, using leeches for treatment dates back to early 1500 BC. Read More

J Surg Case Rep 2021 Apr 13;2021(4):rjab020. Epub 2021 Apr 13.

Department of Surgery, Division of Urology Surgery, Ministry of National Guard-Health Affairs, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been linked to thromboembolic complications. Priapism has been reported only once in link to SARS-CoV2. Here we report the second case of priapism in a patient with SARS-CoV2; our case is unique in being that the patient had priapism for 10 days while being hospitalized. Read More

Indian J Urol 2021 Jan-Mar;37(1):90-91. Epub 2021 Jan 1.

Department of Radiology, Jupiter Hospital, Thane, Maharashtra, India.

Drug-induced priapism is well known and papaverine is the most common drug known to cause priapism. Drotaverine, an analog of papaverine, is used extensively to treat Colicky pain. We report the first case of drotaverine. Read More

Am J Emerg Med 2021 Mar 24. Epub 2021 Mar 24.

Jesse Brown VA Medical Center, 820 South Damen Avenue, Chicago, IL 60612, United States of America.

Priapism is a severe urologic condition requiring emergency management. Ischemic priapism is the most common subtype which is characterized by a long-lasting, painful, and rigid erection which can be caused by medications with alpha-adrenergic properties such as hydroxyzine. Typically, medication-induced priapism is reported at therapeutic doses and few case reports exist implicating medication overdose as the cause. Read More

Urology 2021 Apr 3. Epub 2021 Apr 3.

Department of Urology, Detroit Medical Center, Detroit, MI.

Objective: To establish predictive factors of patients who failed intra-cavernosal injection therapy and ultimately required corporoglandular shunting during first-time ischemic priapism episodes.

Methods: A retrospective review was performed of all patients over the age of 18 who presented to our institution with first-time episode of ischemic priapism from 2009 to 2019. Variables assessed included: body mass index, diabetes, hypertension, race, insurance-type, hypertension, etiology, age, duration of erection prior to evaluation, total amount of phenylephrine injected, and use of corporal irrigation. Read More

Int J Impot Res 2021 Apr 5. Epub 2021 Apr 5.

Department of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.

Medicina (Kaunas) 2021 Mar 17;57(3). Epub 2021 Mar 17.

Department of Radiology, University of Trieste, ASUGI, Ospedale di Cattinara, 34149 Trieste, Italy.

Interventional radiology of the male urogenital system includes percutaneous and endovascular procedures, and these last consist mostly of transcatheter arterial embolizations. At the kidney level, arterial embolizations are performed mainly for palliative treatment of parenchymal tumors, for renal traumas and, less frequently, for arteriovenous fistulas and renal aneurysms and pseudoaneurysms. These latter may often require emergency intervention as they can cause renal or peri-renal hematomas or significant hematuria. Read More

Cardiovasc Hematol Disord Drug Targets 2021 Mar 31. Epub 2021 Mar 31.

All India Institute of Medical Sciences AIIMS Medical College, Jodhpur. India.

Chronic myeloid leukemia (CML) is predominantly a disease of adults and elderly. CML is uncommon in paediatric age. Priapism as an initial presentation is quite uncommon in CML and is rare in case of CML in paediatric and adolescents. Read More

BMJ Case Rep 2021 Apr 1;14(4). Epub 2021 Apr 1.

Cardiology, Galway Clinic, Galway, Ireland.

This case report summarises the case of a 56-year-old man with low-flow, ischaemic priapism requiring urgent insertion of a penile prosthesis following prophylactic anticoagulation with tinzaparin. Low-molecular-weight heparin (LMWH) has been proposed as a cause of ischaemic priapism, although reported cases of this are rare. This particular side effect of tinzaparin has been reported once in a case report in 2018, and there are scant other reports of LMWH-induced priapism. Read More

PLoS Negl Trop Dis 2021 Mar 25;15(3):e0009242. Epub 2021 Mar 25.

School of Pharmacy, University of Reading, Reading, United Kingdom.

Following a bite from a juvenile Russell's viper (Daboia russelii), a priapism (painful erection) developed rapidly in a 16-year-old male and only subsided after administration of antivenom 3 hours later. Potential mechanisms for this snakebite-induced priapism are unclear but likely due to venom toxins causing nitric oxide (NO) release and subsequent vasodilation of endothelium in the corpus cavernosum, although the possible involvement of other mechanisms cannot be ruled out. We strongly believe that this unusual case report may lead to further scientific research in order to improve the clinical understanding of the pathophysiology of envenomation due to Russell's viper bites. Read More

Emerg Med Australas 2021 Mar 23. Epub 2021 Mar 23.

Emergency Department, Townsville University Hospital, Townsville, Queensland, Australia.

This article reviews the pathophysiology of acute ischaemic priapism, as well as the role of medications as an adjunct to definitive treatment. A clear procedure for aspiration is described. Read More

Urol Case Rep 2021 Jul 5;37:101631. Epub 2021 Mar 5.

Department of Urology, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo General Medical Center, 100 High Street, Suite B280, Buffalo, NY, 14203, USA.

Ischemic priapism has rarely been reported in the setting of acute spinal cord injury. Herein, we present a 25 year-old male with cavernous blood gas evidence of ischemic priapism following a traumatic gunshot wound with a retained bullet fragment in the third cervical vertebra. The patient received definitive treatment with corporal aspiration and irrigation, with no evidence of priapism recurrence. Read More

J Surg Case Rep 2021 Mar 8;2021(3):rjab077. Epub 2021 Mar 8.

Intensive Care Unit, Gold Coast University Hospital, Southport 4215, Australia.

Post-traumatic high-flow priapism is a rare occurrence, with potentially debilitating long-term erectile dysfunction if left unaddressed. Even rarer, however, is for the priapism symptoms to be caused by a single cavernosal arterial pseudoaneurysm, with feeding vessels from the distal branched vessels of 'both' the left and right internal pudendal arteries. To the best of our knowledge, we present the first documented case of endovascular salvage utilizing superselective microcoil embolization in the treatment of high-flow priapism caused by a singular pseudoaneurysm with bilateral inflow. Read More

Afr J Emerg Med 2021 Jun 19;11(2):223-226. Epub 2021 Feb 19.

Kaduna State University, Nigeria.

Objectives: Emergency urologic conditions are relatively common, albeit rarely life threatening, there is often a need for prompt and expedient management in order to avert severe or permanent morbidities. This study aimed to evaluate the spectrum of Urologic emergencies and interventions offered in a tertiary hospital in Nigeria.

Patients And Methods: We retrospectively reviewed the records of patients who were managed in our institution for emergency urologic conditions over a period of 6 years (2011-2017). Read More

J Clin Med 2021 Feb 15;10(4). Epub 2021 Feb 15.

Haemoglobinopathy Service, Department of Haematology, Homerton University Hospital NHS Foundation Trust, London E9 6SR, UK.

Red cell transfusion represents one of the cornerstones of the chronic management of sickle cell disease, as well as its acute complications. Automated red cell exchange can rapidly lower the number of circulating sickle erythrocytes, without causing iron overload. Here, we describe our experience, having offered this intervention since 2011. Read More

Urol Case Rep 2021 May 5;36:101593. Epub 2021 Feb 5.

Brooke Army Medical Center, JBSA Fort Sam Houston, TX, 78234, USA.

Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease involving thrombosis at the proximal corpus cavernosum. We describe the case of a 39-year-old African American man presenting with right groin pain who was diagnosed with PSTCC. Classic sonographic, computed tomography (CT), and magnetic resonance imaging (MRI) features were present. Read More

J Med Imaging Radiat Oncol 2021 Feb 26. Epub 2021 Feb 26.

Barwon Medical Imaging, Geelong, Victoria, Australia.

Priapism is described as a persistent and non-sexual erection. It is a rare presenting complaint with a wide range of aetiologies. Malignant priapism was first used to describe persistent erections secondary to neoplastic infiltration of the penis by Peacock in 1938. Read More