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At least 613 records · Page 34Linked to original sources
PubMed1990

[Priapism following intracavernous injection of vasoactive substances as a urologic emergency].

From 1986 to 1989 papaverine was used alone or in combination with phentolamine in 165 patients in diagnosis and treatment of erectile dysfunction. In 14 patients a prolonged erection did occur after diagnostical introduction of SKAT therapy. Treatment consisted of intracavernous injection of 2-4 mg metaraminol, partly additional by puncture of cavernous bodies and evacuation of viscous blood. As single complication of metaraminol injection a hypertensive crisis could observed. A glando-cavernous shunt was not necessary in any case. After exact dosage adjustment the danger of drug-induced priapism is low.

Adult↗
PubMed1989

Spontaneous priapism produced by stenosis of the lumbar canal.

A case of a 64-year-old man with stenosis of the lumbar canal and symptoms of compression of the cauda equina is described. This symptomatology increased after walking and was associated with spontaneous priapism. All symptoms were relieved after surgical decompression.

Cauda Equina↗
PubMed1989

[Treatment of priapism].

The authors describe the development of conservative and surgical treatment of priapism. They analyze the aetiopathogenesis of its development. They report on their own experience with the surgical treatment in four patients, where they made three times a spongiocavernous anastomosis on one side according to Quackels' method, twice spongio cavernous anastomosis via the glands penis according to Ebbehøj-Winter. They prefer glandocavernous anastomoses because it is a simpler, less time consuming operation.

Adult↗
PubMed1988

[Segmental unilateral priapism--a case report].

A case of segmental priapism in a 24-year-old man with congenital spherocytosis is presented. Preoperative cavernosography and computer tomography clearly revealed thrombosis of the left proximal corpus cavernosum. Because the lesion had already been in existence for 5 weeks irrigation to flush out the thrombosis was no longer possible.

Adult↗
PubMed1988

[Priapism--erectile potency following conservative and surgical treatment].

Priapism is a rare urologic disease, which is characterized by a pathological, increasingly painful permanent erection of the penis, is appearing without sexual sensations and does not recede spontaneously. The cavernous bodies are affected, not, however, the corpus spongiosum penis and the glans penis. A permanent loss of the erection caused by fibrosation of the trabeculae in the corpora cavernosa is the main complication of the disease. At the instance of 16 cases of the disease conservative and operative methods of therapy are discussed and described as method of choice the cavernosoglandular shunt of puncture after Ebbehøj/Winter is described. It is referred to the prognostic significance of an early, primarily operative treatment.

Adult↗
PubMed1988

Priapism.

The evaluation of priapism is unfamiliar to many emergency physicians. Rapid assessment and treatment are essential in the hope of preserving sexual function. A thorough history and physical examination reveal an underlying vascular or neurologic etiology in most cases. Treatment generally consists of adequate oxygenation, hydration, and analgesia, with early urologic consultation.

Emergencies↗
PubMedDate not supplied

A new caverno-spongiosum shunt with saphenous vein patch graft for established priapism.

Caverno-spongiosum shunt is the procedure of choice to achieve detumescence in established priapism before fibrosis of erectile tissue causes impotence. The corpora cavernosum and spongiosum, however, possess different suture holding properties. This results in excessive stretch of the urethra postoperatively. This caused a localized urethro-cutaneous fistula in one of our patients. A new technique for constructing the caverno-spongiosum shunt using autogenous saphenous vein patch graft in the remaining patients has been found to be more satisfactory than the conventional procedure. The new procedure, its advantages and its only drawback of increased operating time are described.

Adult↗
PubMed1988

[Priapism after cavernography. Report of an original case].

The authors report a case of priapism following cavernography with secondary fibrosis of the corpora cavernosa demonstrated histologically. They stress the importance of a rigorous cavernography technique which must take account of the respective tissue toxicity of the various contrast media used.

Adult↗
PubMed1987

[Priapism in neuroleptic therapy].

The case of a 47-year old schizophrenic patient, who developed priapism on the fourth day of treatment with 40 mg Haloperidol and 50 mg Levomepromazin daily, is presented. Clinical aspects and possible mechanisms of pathogenesis are discussed.

Drug Therapy, Combination↗
PubMed1985

[Priapism through the centuries].

Priapism is known from egyptian antiquity, but greek doctors give the name of god Priape, to this pathology. The physiopathology is controversial, between Paré and the authors of Middle age tradition medical. The treatment is at first the use of quack medicines, and the Velpeau used surgery.

History, 17th Century↗
PubMed1979

[Potency disturbances following saphenocavernous bypass in priapism (Grayhack procedure) (author's transl)].

Five patients with priapism operated by the Grayhack procedure are presented disturbances were explored. Two of these patients having no fibrosis of the cavernous bodies had total impotence 8 months and 14 months after the operation. The cavernosogram revealed a patent shunt. Potency returned after ligation and division of the saphenous vein. In the other cases cavernosogram revealed normal venous return and thrombosis of the shunt. Fibrosis of the cavernous tissues was here the cause of the impotence. In all cases where erection does not occur within 3 months of the Grayhack procedure the shunt should be ligated.

Adolescent↗
PubMedDate not supplied

[Priapism: analysis and results of surgical treatment in 9 cases].

A review is made of nine cases of priapism, seven of which were idiopathic and two secondary. The different etiological and clinical aspects are analyzed. All the patients underwent surgical treatment, with 42.8% of good, long-term results and the authors always recommend aggressive and early, surgical treatment.

Adult↗
PubMed1981

[Priapism--a urologic emergency].

In the present paper the priapism is described as a urological emergency case. Only by an aimed operative treatment in combination with a basis therapy during the first 48 hours the loss of potency is to be avoided. After a short description of the physiology, etiology, diagnostics and therapy the experiences of seven treated patients are discussed.

Adult↗
PubMed1981

[Priapism in the young adolescent (author's transl)].

Priapism is exceptional before puberty and a new case is here related. Facing the failure of the medical treatment, a caverno-saphenous shunt is realized at the 72e hour. In connection to this case, we present a review of etiological and pathological knowledges applying to this anomaly of erection. An early surgical treatment is obviously necessary to prevent fibrosis, ground for later impotence. Likewise, we must insist on the usually temporary practice of this accident which may lead to discuss about the suppression of the shunt in some secondary deficiency of erection.

Adolescent↗
PubMed1980

[Priapism in a child].

The physiologic limitations of erection are wide-reaching. Priapism is reversible in its early stages and its aetiology is unclear. A single patient is presented who was treated by irrigation with heparin and a bilateral sapheno-corporal shunt. Half a year later normal erections occurred again and the late result should be satisfactory.

Child↗
PubMed1978

Priapism.

Since priapism often leads to impotence immediate therapy should be given with few exceptions (patients with sickle cell disease, neoplasm and infections). A careful history and a search for the etiology are important. The physician should protect himself against legal retribution by obtaining the patient's signature on an informed and witnessed consent to treat.

Adolescent↗
PubMed1995

Penile scintigraphy for priapism in sickle cell disease.

UNLABELLED: Penile scintigraphy with [99mTc]pertechnetate/99mTc-RBCs was performed in patients with sickle cell disease patients who had priapism to assess the role of this imaging procedure in directing the clinical management of these patients. METHODS: Fifteen studies were performed in 13 patients who were treated according to a protocol not dependent on the imaging results. The scintigraphic findings of penile vascular perfusion (stagnant or nonstagnant patterns) were collated retrospectively with the form of treatment needed for relief of the condition. RESULTS: Four of five patients with the nonstagnant perfusion pattern responded to analgesics and intravenous hydration. Four of eight patients with the stagnant pattern did not require any aggressive interventions such as corporeal aspiration/irrigation, intracorporeal epinephrine or glans-cavernosa shunt. CONCLUSION: Whereas the nonstagnant scintigraphic finding appeared to be a favorable indicator for conservative treatment, the stagnant finding was apparently noncontributory. In addition, no correlation was found between these two types of scintigraphic patterns and the subsequent sexual potency of these patients.

Adolescent↗