Priapism: How Do We Manage and How Do We Learn How to Manage in 2024

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* A true urologic emergency

 

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Time-dependant changes

* Hypoxia, hypercarbia, acidosis

* 12 hours: trabecular interstitial edema

* 24 hours: destruction of sinusoidal endothelium, exposure of basement membrane, and thrombocyte adherence

*48 hours: SINUSOIDA THROMBOSIS, SMOOTH MUSCLE CELL NECROSIS, FIBROBLAST-LIKE CELL TRANSFORMATION,

 

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*Long-term erectile dysfunction

-About 35% if managed with systemic treatment alone

 

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Damn!




Tunneling

*Please where goggles and a gown because blood will hit the roof

 

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