Gangrene of the Penis following Cavernospongiosum Shunt in a Case of Priapism

Fortuño, Roberto F.; Carrillo, R.

doi:10.1016/s0022-5347(17)60859-0

Cited by 14 publications

(1 citation statement)

References 11 publications

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“…The various conservative meth ods of treatment of priapism have met with only tempo rary success and often the results are unpredictable. Cavemo-saphenous shunt [7] and cavemo-spongiosum shunt [12] were popular in the past but were associated with complications such as pulmonary embolism [8], slough ing of penile skin [9], gangrene of the penis [4], urethrocavemo-cutaneous fistula and urethral stricture [13]. Bolligher [1] suggested that priapism could be treated by establishing a shunt between corpus cavemosum and spongiosum since glans penis does not become turgid during erection.…”

mentioning

confidence: 99%

Creation of Caverno-Glandular Shunt for Treatment of Priapism

Chary¹,

Rao²,

Kumar³

et al. 1981

Eur Urol

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mentioning

confidence: 99%

Creation of Caverno-Glandular Shunt for Treatment of Priapism

Chary¹,

Rao²,

Kumar³

et al. 1981

Eur Urol

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Priapismus — Klinisches Referat

Frohmüller¹

1982

Verhandlungsbericht Der Deutschen Gesellschaft Für Urologie

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Drug-Induced Priapism Its Aetiology, Incidence and Treatment

1989

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Priapism is characterised by a persistent erection that cannot be relieved by sexual intercourse or masturbation. Although priapism subsides spontaneously in a few days, impotence frequently follows. Both vascular and neural mechanisms are implicated in the pathophysiology of priapism, but it is not clear which initiates the process. Idiopathic cases of priapism are the most frequent (near 50%); other medical conditions that can result in priapism are haematological diseases (mainly sickle cell anaemia and leukaemia), traumatism, and neoplastic processes. Drug-induced priapism comprises about 30% of cases. The drugs most frequently implicated are psychotropic drugs (phenothiazines and trazodone), antihypertensives (mainly prazosin) and heparin. Recently, the intracavernosal injection of vasoactive drugs (papaverine and phentolamine) has been described in patients treated for impotence. With the exception of heparin, an alpha-adrenergic blocking mechanism has been suggested in the priapism-inducing action of these drugs. A significant number of anecdotal case reports link priapism and drugs, and it is possible that certain cases of idiopathic priapism could be reclassified if accurate pharmacological anamnesis were to be performed. Priapism must be considered a urological emergency. Surgical procedures are the most preferred treatment for this condition but, in selected cases, drug treatment seems to be an alternative approach.

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Gangrene of the Penis following Cavernospongiosum Shunt in a Case of Priapism

Cited by 14 publications

References 11 publications

Creation of Caverno-Glandular Shunt for Treatment of Priapism

Creation of Caverno-Glandular Shunt for Treatment of Priapism

Priapismus — Klinisches Referat

Drug-Induced Priapism Its Aetiology, Incidence and Treatment

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