Priapism: The 4-Hour Emergency
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madman
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Unpacking the Causes
Causes
* the majority of cases are linked to underlying conditions and medications
Other Potential Causes
Sickle cell disease
* about one-third, one out of every three adult men with the disease wi;; experience priapism at some point, its a really significant and serious complication
Causes
* the majority of cases are linked to underlying conditions and medications
Other Potential Causes
Sickle cell disease
* about one-third, one out of every three adult men with the disease wi;; experience priapism at some point, its a really significant and serious complication
madman
Super Moderator
Emergency Treatment
Ischemic Treatment
* combining therapies dramatically increases the chance of a successful resolution
The Corporal Burnett "Snake" Maneuver is a modified surgical technique used to treat refractory ischemic priapism, a urological emergency involving a persistent, painful, and rigid erection. It improves upon the Al-Ghorab distal penile shunt by using a Hegar sound to create a passage from the distal corpus cavernosum to the glans, effectively draining trapped, deoxygenated blood.
A top urologist’s prescription for better sexual health and overall wellness.
According to research studies, men with health problems, and more specifically sexual health problems, are more likely than women to have had no recent contact with a doctor regardless of income or ethnicity. This reluctance to seek medical help means that for men, their diseases often go undetected until it is significantly progressed, and this late discovery has serious consequences.
To make matters worse...
Ischemic Treatment
* combining therapies dramatically increases the chance of a successful resolution
The Corporal Burnett "Snake" Maneuver is a modified surgical technique used to treat refractory ischemic priapism, a urological emergency involving a persistent, painful, and rigid erection. It improves upon the Al-Ghorab distal penile shunt by using a Hegar sound to create a passage from the distal corpus cavernosum to the glans, effectively draining trapped, deoxygenated blood.
Fig. 3. (A) Corporal snake with Hegar dilator; (B) post-dilation blood flow pathway. (From Burnett AL, Pierorazio PM. Corporal “snake” maneuver: corporoglanular shunt surgical modification for ischemic priapism.
The Manhood Rx: Every Man's Guide to Improving Sexual Health and Overall Wellness: Burnett, Arthur: 9781538166598: Amazon.com: Books
The Manhood Rx: Every Man's Guide to Improving Sexual Health and Overall Wellness [Burnett, Arthur] on Amazon.com. *FREE* shipping on qualifying offers. The Manhood Rx: Every Man's Guide to Improving Sexual Health and Overall Wellness
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A top urologist’s prescription for better sexual health and overall wellness.
According to research studies, men with health problems, and more specifically sexual health problems, are more likely than women to have had no recent contact with a doctor regardless of income or ethnicity. This reluctance to seek medical help means that for men, their diseases often go undetected until it is significantly progressed, and this late discovery has serious consequences.
To make matters worse...
madman
Super Moderator
The Aftermath
* for patients who wait more than 24 hrs before getting treatment for ischemic priapism there is a 90% chance they will have permanent irreversible erectile dysfunction and that damage comes from something called corporal fibrosis (scarred tissue) , beyond ED patients can also experience penile shortening and in very rare extreme cases necrosis (death of the tissue)
Consequence of Delay
* corporal fibrosis, penile shortening and necrosis
* the duration of the condition before therapy is the single most important prognostic indicator
* for patients who wait more than 24 hrs before getting treatment for ischemic priapism there is a 90% chance they will have permanent irreversible erectile dysfunction and that damage comes from something called corporal fibrosis (scarred tissue) , beyond ED patients can also experience penile shortening and in very rare extreme cases necrosis (death of the tissue)
Consequence of Delay
* corporal fibrosis, penile shortening and necrosis
* the duration of the condition before therapy is the single most important prognostic indicator
madman
Super Moderator
Priapism or Prolonged Erection: Is 4 – 6 Hours of Cavernous Ischemia the Time Point of Irreversible Tissue Injury?
AbstractIntroduction. Ischemic priapism remains a significant cause of morbidity among men. To date, the precise time when penile ischemia results in perma
academic.oup.com
Priapism or Prolonged Erection: Is 4−6 Hours of Cavernous Ischemia the Time Point of Irreversible Tissue Injury? (2022)
Snir Dekalo, MD, Noah Stern, MD, Gregory A. Broderick, MD, and Gerald Brock, MD, FRCPC
ABSTRACT
Introduction
Ischemic priapism remains a significant cause of morbidity among men. To date, the precise time when penile ischemia results in permanent, non-reversible cavernosal smooth muscle injury, compromising subsequent erectile integrity...
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