Pri̇api̇zmi̇n prati̇k tedav̇iṡi

Translated title of the contribution: Practical management of priapism

Ateş Kadioǧlu, Öner Şanli, Ahmet Ersay, Murat Çakan, Hakan Taşkapu, Tolga Akman

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Introduction: Priapism is a persistent unwanted erection that is not associated with sexual desire or sexual stimulation. The aim of this present review is to discuss the practical management of priapism with the current data obtained from the contemporary literature. Materials and methods: Based on MEDLINE database searches, all aspects of the management of priapism were examined. Results: Priapisin can be classified as ischemic or non-ischemic depending on the status of penile arterial flow. Ischemic priapism is a true urological emergency requiring a prompt and accurate diagnosis and treatment. Delayed treatments have little documented benefit in terms of potency preservation. After the diagnosis of ischemic priapism with corporal blood gas analysis, aspiration of the corporeal hypoxic blood and injection of a selective alpha-adrenergic sympathomimetic agent should precede surgical shunting or early insertion of penile prosthesis. For non-ischemic priapism, blood gas analysis should be followed by color Doppler ultrasonography to confirm the diagnosis. Intervention is not urgent and expectant management or embolisation of the fistula may be performed. In patients with recurrent priapism, treatment for ischemic episodes as well as specific treatment for underlying etiological factor should be initiated concurrently. Conclusion: Modern management of priapism depends on the difference between ischemic and non-ischemic episodes. To protect the erectile function of the patients with priapism, urologists should know how to manage this urgent condition.

Original languageTurkish
Pages (from-to)182-192
Number of pages11
JournalTurk Uroloji Dergisi
Volume32
Issue number2
StatePublished - Jun 1 2006

Fingerprint

Priapism
Blood Gas Analysis
Penile Prosthesis
Doppler Color Ultrasonography
Literature
Sympathomimetics
Therapeutics
MEDLINE
Adrenergic Agents
Fistula
Emergencies
Databases
Injections

Keywords

  • Erection
  • Priapism
  • Treatment

ASJC Scopus subject areas

  • Urology

Cite this

Kadioǧlu, A., Şanli, Ö., Ersay, A., Çakan, M., Taşkapu, H., & Akman, T. (2006). Pri̇api̇zmi̇n prati̇k tedav̇iṡi. Turk Uroloji Dergisi, 32(2), 182-192.

Pri̇api̇zmi̇n prati̇k tedav̇iṡi. / Kadioǧlu, Ateş; Şanli, Öner; Ersay, Ahmet; Çakan, Murat; Taşkapu, Hakan; Akman, Tolga.

In: Turk Uroloji Dergisi, Vol. 32, No. 2, 01.06.2006, p. 182-192.

Research output: Contribution to journalReview article

Kadioǧlu, A, Şanli, Ö, Ersay, A, Çakan, M, Taşkapu, H & Akman, T 2006, 'Pri̇api̇zmi̇n prati̇k tedav̇iṡi', Turk Uroloji Dergisi, vol. 32, no. 2, pp. 182-192.
Kadioǧlu A, Şanli Ö, Ersay A, Çakan M, Taşkapu H, Akman T. Pri̇api̇zmi̇n prati̇k tedav̇iṡi. Turk Uroloji Dergisi. 2006 Jun 1;32(2):182-192.
Kadioǧlu, Ateş ; Şanli, Öner ; Ersay, Ahmet ; Çakan, Murat ; Taşkapu, Hakan ; Akman, Tolga. / Pri̇api̇zmi̇n prati̇k tedav̇iṡi. In: Turk Uroloji Dergisi. 2006 ; Vol. 32, No. 2. pp. 182-192.
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