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Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report
INTRODUCTION: Priapism is defined as a persistent tumescence or erection of the penis not associated to sexual desire and/or stimulation. Idiopathic recurrent priapism may also occasionally follow treatment of veno‐occlusive priapism and represents a diagnostic and therapeutic challenge. CASE PRESEN...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292072/ https://www.ncbi.nlm.nih.gov/pubmed/32743355 http://dx.doi.org/10.1002/iju5.12019 |
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author | Del Giudice, Francesco Busetto, Gian Maria Chung, Benjamin I Conti, Simon L Ferro, Matteo Maggi, Martina Sciarra, Alessandro Perito, Paul E Gross, Martin S Antonini, Gabriele De Berardinis, Ettore |
author_facet | Del Giudice, Francesco Busetto, Gian Maria Chung, Benjamin I Conti, Simon L Ferro, Matteo Maggi, Martina Sciarra, Alessandro Perito, Paul E Gross, Martin S Antonini, Gabriele De Berardinis, Ettore |
author_sort | Del Giudice, Francesco |
collection | PubMed |
description | INTRODUCTION: Priapism is defined as a persistent tumescence or erection of the penis not associated to sexual desire and/or stimulation. Idiopathic recurrent priapism may also occasionally follow treatment of veno‐occlusive priapism and represents a diagnostic and therapeutic challenge. CASE PRESENTATION: We report a single case of non‐ischemic priapism that resulted after distal shunting procedure for severe and prolonged ischemic priapism and yet occurred without evidence of a cavernosal–sinusoidal fistula that was successfully treated with a bilateral selective arterial embolization. Our protocol of delayed inflatable penile prosthesis placement after a vacuum erectile device program was implemented. CONCLUSIONS: The continuing use of a vacuum erectile device represented a bridge and an adjuvant therapy useful to facilitate later prosthesis placement. Anatomical and functional outcomes were optimal. No postoperative complaints or complications were reported. |
format | Online Article Text |
id | pubmed-7292072 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72920722020-07-30 Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report Del Giudice, Francesco Busetto, Gian Maria Chung, Benjamin I Conti, Simon L Ferro, Matteo Maggi, Martina Sciarra, Alessandro Perito, Paul E Gross, Martin S Antonini, Gabriele De Berardinis, Ettore IJU Case Rep Case Reports INTRODUCTION: Priapism is defined as a persistent tumescence or erection of the penis not associated to sexual desire and/or stimulation. Idiopathic recurrent priapism may also occasionally follow treatment of veno‐occlusive priapism and represents a diagnostic and therapeutic challenge. CASE PRESENTATION: We report a single case of non‐ischemic priapism that resulted after distal shunting procedure for severe and prolonged ischemic priapism and yet occurred without evidence of a cavernosal–sinusoidal fistula that was successfully treated with a bilateral selective arterial embolization. Our protocol of delayed inflatable penile prosthesis placement after a vacuum erectile device program was implemented. CONCLUSIONS: The continuing use of a vacuum erectile device represented a bridge and an adjuvant therapy useful to facilitate later prosthesis placement. Anatomical and functional outcomes were optimal. No postoperative complaints or complications were reported. John Wiley and Sons Inc. 2018-09-20 /pmc/articles/PMC7292072/ /pubmed/32743355 http://dx.doi.org/10.1002/iju5.12019 Text en © 2018 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Del Giudice, Francesco Busetto, Gian Maria Chung, Benjamin I Conti, Simon L Ferro, Matteo Maggi, Martina Sciarra, Alessandro Perito, Paul E Gross, Martin S Antonini, Gabriele De Berardinis, Ettore Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report |
title | Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report |
title_full | Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report |
title_fullStr | Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report |
title_full_unstemmed | Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report |
title_short | Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report |
title_sort | non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: a single case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292072/ https://www.ncbi.nlm.nih.gov/pubmed/32743355 http://dx.doi.org/10.1002/iju5.12019 |
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