Surgical Management of Ischemic Priapism: what are the New Options?
ABSTRACT Ischemic priapism is a true urologic emergency. Prompt intervention is required to alleviate the compartment syndrome and restore perfusion to the corporal bodies; failure to do so results in irreversible damage, fibrosis, and profound erectile dysfunction. This paper's objective is to...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Urologia
2025-01-01
|
| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000100302&lng=en&tlng=en |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832542232238882816 |
|---|---|
| author | Rohit Badia Sidney Roberts Alexandria Hertz Allen Morey Maia VanDyke |
| author_facet | Rohit Badia Sidney Roberts Alexandria Hertz Allen Morey Maia VanDyke |
| author_sort | Rohit Badia |
| collection | DOAJ |
| description | ABSTRACT Ischemic priapism is a true urologic emergency. Prompt intervention is required to alleviate the compartment syndrome and restore perfusion to the corporal bodies; failure to do so results in irreversible damage, fibrosis, and profound erectile dysfunction. This paper's objective is to review current literature surrounding the management options for ischemic priapism, focusing on newer surgical techniques. A PubMed database search was performed in June 2024, encompassing the terms "priapism," and "surgical management." Articles were reviewed by two authors independently and included if they were deemed to pertain specifically to management of ischemic priapism. In the acute setting (certainly for priapism lasting <24 hours), management is often successful using bedside maneuvers such as aspiration, irrigation, and injection of sympathomimetic agents. For more prolonged priapism, more aggressive intervention is often warranted. Newer tunneling techniques—including penoscrotal decompression and the corporal snake maneuver—have shown promising preliminary results, not just in terms of priapism resolution but also perhaps sexual function recovery. |
| format | Article |
| id | doaj-art-4133933259844f958b7689803dd42f8f |
| institution | Kabale University |
| issn | 1677-6119 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj-art-4133933259844f958b7689803dd42f8f2025-02-04T07:36:46ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192025-01-0151110.1590/s1677-5538.ibju.2024.0497Surgical Management of Ischemic Priapism: what are the New Options?Rohit BadiaSidney RobertsAlexandria HertzAllen MoreyMaia VanDykehttps://orcid.org/0000-0003-1778-7359ABSTRACT Ischemic priapism is a true urologic emergency. Prompt intervention is required to alleviate the compartment syndrome and restore perfusion to the corporal bodies; failure to do so results in irreversible damage, fibrosis, and profound erectile dysfunction. This paper's objective is to review current literature surrounding the management options for ischemic priapism, focusing on newer surgical techniques. A PubMed database search was performed in June 2024, encompassing the terms "priapism," and "surgical management." Articles were reviewed by two authors independently and included if they were deemed to pertain specifically to management of ischemic priapism. In the acute setting (certainly for priapism lasting <24 hours), management is often successful using bedside maneuvers such as aspiration, irrigation, and injection of sympathomimetic agents. For more prolonged priapism, more aggressive intervention is often warranted. Newer tunneling techniques—including penoscrotal decompression and the corporal snake maneuver—have shown promising preliminary results, not just in terms of priapism resolution but also perhaps sexual function recovery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000100302&lng=en&tlng=enPriapismErectile DysfunctionSurgical Procedures, Operative |
| spellingShingle | Rohit Badia Sidney Roberts Alexandria Hertz Allen Morey Maia VanDyke Surgical Management of Ischemic Priapism: what are the New Options? International Brazilian Journal of Urology Priapism Erectile Dysfunction Surgical Procedures, Operative |
| title | Surgical Management of Ischemic Priapism: what are the New Options? |
| title_full | Surgical Management of Ischemic Priapism: what are the New Options? |
| title_fullStr | Surgical Management of Ischemic Priapism: what are the New Options? |
| title_full_unstemmed | Surgical Management of Ischemic Priapism: what are the New Options? |
| title_short | Surgical Management of Ischemic Priapism: what are the New Options? |
| title_sort | surgical management of ischemic priapism what are the new options |
| topic | Priapism Erectile Dysfunction Surgical Procedures, Operative |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000100302&lng=en&tlng=en |
| work_keys_str_mv | AT rohitbadia surgicalmanagementofischemicpriapismwhatarethenewoptions AT sidneyroberts surgicalmanagementofischemicpriapismwhatarethenewoptions AT alexandriahertz surgicalmanagementofischemicpriapismwhatarethenewoptions AT allenmorey surgicalmanagementofischemicpriapismwhatarethenewoptions AT maiavandyke surgicalmanagementofischemicpriapismwhatarethenewoptions |