V11-05 PROMISING NEW TREATMENT PARADIGM FOR REFRACTORY ISCHEMIC PRIAPISM AFTER FAILED DISTAL SHUNT: PENOSCROTAL DECOMPRESSION

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Extracorporeal transient distal penile corporoglanular shunt in early ischemic priapism treatment.

PURPOSE Ischemic priapism, which is a compartment syndrome, needs urgent treatment in order to nourish corpora cavernosa. As the first step, the aspiration of blood and/or the irrigation of the cavernosal bodies are performed to prevent fibrotic activity and secure erectile capability. While performing aspiration and irrigation, there are some risks of the procedure in which most refrained one ...

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Commentary on refractory ischemic priapism

In our experience treating more than 100 cases of ischemic priapism, we noted that most with less than 24-hour duration responded well to aspiration/evacuation and injection of a diluted alpha-adrenergic agent (phenylephrine). In those of less than 48-hour duration, the majority could be reversed by a standard T-shunt with #10 blade. In those who failed T-shunt or had more than 48-hour duration...

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Management of refractory ischemic priapism: current perspectives

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", "peni...

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Al-Ghorab Shunt plus intracavernous tunneling for prolonged ischemic priapism.

To investigate the efficacy and safety of the corpus cavernosum-corpus spongiosum shunt (Al-Ghorab Shunt) plus intracavernous tunneling (CC-CSS+ICT) for prolonged ischemic priapism (PIP). Twelve patients with PIP were enrolled in this study. The mean age of patients was 38.3 ± 9.2 years old and the mean duration of PIP was 2.8 ± 1.0 days (range, 1.5-4 days). All patients received CC-CSS+ICT for...

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Transient Distal Penile Corporoglanular Shunt as an Adjunct to Aspiration and Irrigation Procedures in the Treatment of Early Ischemic Priapism

PURPOSE Ischemic priapism, a compartment syndrome, requires urgent treatment in order to nourish the corpora cavernosa. As the first step, aspiration of blood and irrigation of the cavernosal bodies is performed to prevent fibrotic activity and secure erectile capability. During aspiration, there are risks of cardiovascular side effects of adrenergic agonists. We aimed to evaluate a transient d...

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ژورنال

عنوان ژورنال: Journal of Urology

سال: 2018

ISSN: 0022-5347,1527-3792

DOI: 10.1016/j.juro.2018.02.2853