Management of partial segmental priapism

Lewis, James H.; Javidan, Javid; Keoleian, Charles M.; Shetty, Sugandh D.

doi:10.1016/s0090-4295(00)00851-7

Cited by 31 publications

(43 citation statements)

References 11 publications

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“…In addition to a painful mass in the perineum, which was how the condition presented in all cases, some of the patients experienced erectile dysfunction, and a few complained about dysuria or a decrease in the calibre of the urinary stream. IPT has been associated with haematological diseases such as homocysteinaemia [1], sickle cell disease [2] and congenital spherocytosis [3], cocaine [4] and marijuana abuse [2], a prior history of priapism [2,5], (vigorous or prolonged) sexual activity [2,[4][5][6][7][8][9][10], tamsulosin [11], bicycle riding [12][13][14][15] and aeroplane flight [12]. IPT is always located in the proximal part of the CC while the distal CC remains flaccid.…”

Section: Literature Reviewmentioning

confidence: 99%

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Idiopathic partial thrombosis of the corpus cavernosum: Aetiology, diagnosis and treatment

Hulth¹,

Albersen

Fode³

et al. 2012

Scandinavian Journal of Urology

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Idiopathic partial thrombosis of the corpus cavernosum (IPT) is a rare cause of perineal pain involving thrombosis within the proximal corpora cavernosa. This article clarifies the aetiology and makes recommendations on diagnosis and treatment. Three cases are described and a systematic review of the literature is presented. Magnetic resonance imaging (MRI) scans of the penis conducted for reasons other than IPT were also reviewed, to compare the normal anatomy of the corpora cavernosa with that of IPT patients.Twenty-nine IPT cases were identified, including the three described here. All patients presented with perineal pain and in all cases the thrombus was located in the proximal part of the corpora cavernosa.IPT has been associated with haematological diseases, drugs, prior priapism, sexual activity, bicycle riding and aeroplane flights. A fibrous septum within the corporeal tissue has been identified with advanced imaging modalities. Ultrasound, computed tomography and MRI have proven useful in the diagnosis. Both surgical and medical treatments have been attempted and the results have usually been good. However, two cases of surgical treatment have resulted in erectile dysfunction. It is suggested that ITP is based on the development of penile thrombosis and/or priapism in the presence of a pre-existing fibrous septum in the corpora cavernosa. MRI should be used to confirm the presence of a thrombus and a septum. First choice of treatment is pain medication and systemic anticoagulation; more invasive treatments should only be attempted only if this approach fails.

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Section: Literature Reviewmentioning

confidence: 99%

“…In the remaining 10 cases the issue was not addressed and the images of the condition were unclear with regard to a septum [1][2][3][11][12][13]21,22].…”

Section: Literature Reviewmentioning

confidence: 99%

Idiopathic partial thrombosis of the corpus cavernosum: Aetiology, diagnosis and treatment

Hulth¹,

Albersen

Fode³

et al. 2012

Scandinavian Journal of Urology

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show abstract

“…hyperhomocysteine and sickle cell anaemia (Lewis et al, 2001;Dubois et al, 2007;Blaut et al, 2008)). Other cases reported an idiopathic aetiology but did not specify whether a deeper coagulation investigation was carried out.…”

Section: Discussionmentioning

confidence: 99%

Partial thrombosis of the corpus cavernosum: should we dig deeper into coagulopathy disorders?

et al. 2016

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Partial thrombosis of the corpus cavernosum, also known as partial priapism is a rare condition. The condition is known to be unilateral, and its aetiology is not well known. Usually, symptoms are pain and perineal mass and Magnetic Resonance is needed to confirm the diagnosis. In most cases the treatment is conservative with anticoagulation therapy. We present a case of partial thrombosis of the corpus cavernosum with a Factor V Leyden mutation.

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“…Toch lijkt het ontstaan meestal idiopathisch [1][2][3][4][5][6][7][8][9][10][11]. Wel verdient het aanbeveling om hematologische tests te verrichten of de patiënt voor dergelijke tests door te verwijzen naar de hematoloog.…”

Section: Discussieunclassified

“…Indien de pijn onvoldoende onder controle te krijgen is, kan chirurgisch worden ingegrepen. Opties zijn dan een corporotomie of het aanleggen van een cavernosum-spongiosumshunt [4][5][6]8]. Chirurgisch ingrijpen lijkt echter vaak niet nodig en is niet de eerste keus, omdat erectiestoornissen vaker voorkomen na chirurgie dan na behandeling met anticoagulantia [4,6].…”

Section: Discussieunclassified

Case report. Het herkennen en behandelen van een idiopathische partiële trombose van het corpus cavernosum, een zeldzaam en wellicht onbekend fenomeen in de acute urologie

Jongerius¹,

Selm

Beck

2017

Tijdschr Urol

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Management of partial segmental priapism

Cited by 31 publications

References 11 publications

Idiopathic partial thrombosis of the corpus cavernosum: Aetiology, diagnosis and treatment

Idiopathic partial thrombosis of the corpus cavernosum: Aetiology, diagnosis and treatment

Partial thrombosis of the corpus cavernosum: should we dig deeper into coagulopathy disorders?

Case report. Het herkennen en behandelen van een idiopathische partiële trombose van het corpus cavernosum, een zeldzaam en wellicht onbekend fenomeen in de acute urologie

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