The management of stuttering priapism

Liguori, Giovanni; Rizzo, Michele; Boschian, Riccardo; Cai, Tommaso; Palmieri, Alessandro; Bucci, Stefano; Pavan, Nicola; Claps, Francesco; Boltri, M.; Bertolotto, Michele; Trombetta, Carlo

doi:10.23736/s0393-2249.19.03323-x

Cited by 13 publications

(8 citation statements)

References 66 publications

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“…), and andrological diseases (including infertility) [4][5][6][7][8]10,[13][14][15][16][17][18][19], as well as other interventions for miscellaneous diseases ( Table 2). The only exception was represented by emergency surgical treatment of priapism [41].…”

Section: Functional Urology and Andrologymentioning

confidence: 99%

Forecasting the Future of Urology Practice: A Comprehensive Review of the Recommendations by International and European Associations on Priority Procedures During the COVID-19 Pandemic

Amparore

Campi

Checcucci

et al. 2020

European Urology Focus

107

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Context: The unprecedented health care scenario caused by the coronavirus disease 2019 (COVID-19) pandemic has revolutionized urology practice worldwide. Objective: To review the recommendations by the international and European national urological associations/societies (UASs) on prioritization strategies for both oncological and nononcological procedures released during the current emergency scenario. Evidence acquisition: Each UAS official website was searched between April 8 and 18, 2020, to retrieve any document, publication, or position paper on prioritization strategies regarding both diagnostic and therapeutic urological procedures, and any recommendations on the use of telemedicine and minimally invasive surgery. We collected detailed information on all urological procedures, stratified by disease, priority (higher vs lower), and patient setting (outpatient vs inpatient). Then, we critically discussed the implications of such recommendations for urology practice in both the forthcoming "adaptive" and the future "chronic" phase of the COVID-19 pandemic. Evidence synthesis: Overall, we analyzed the recommendations from 13 UASs, of which four were international (

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Section: Functional Urology and Andrologymentioning

confidence: 99%

Forecasting the Future of Urology Practice: A Comprehensive Review of the Recommendations by International and European Associations on Priority Procedures During the COVID-19 Pandemic

Amparore

Campi

Checcucci

et al. 2020

European Urology Focus

107

View full text Add to dashboard Cite

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“…Usually, the penis is rigid and very painful. A penile doppler ultrasound exam does not show blood flow [ 30 ]. As in humans, most cases reported in dogs are ischemic priapisms.…”

Section: Discussionmentioning

confidence: 99%

“…These findings are consistent with stuttering priapism described in humans. Stuttering priapism, also called recurrent or intermittent priapism, is a particular type of ischemic priapism that is characterized by repetitive episodes of prolonged erections [ 1 , 30 , 31 , 37 , 38 ]. Typically, the episodes are painful, sleep-related, last less than 3 h and are self-limiting [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Stuttering Priapism in a Dog—First Report

Roux

Breuil

Branchereau

et al. 2022

Veterinary Sciences

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A 5-year-old recently castrated male Doberman dog presented for prolonged erection of one week’s duration with associated pain and dysuria. This was the fourth episode within a year. Each episode was associated with an unusual event, which was stressful for the dog. Castration performed two months prior to the final episode did not prevent recurrence. Due to tissue necrosis, penile amputation and urethrostomy had to be performed. The dog recovered fully. Prolonged erection that persists beyond or that is unrelated to sexual stimulation is called “priapism”. This term refers to the Greek god Priapus, a god of fertility, memorialized in sculptures for his giant phallus. In humans, depending on the mechanism involved, priapism is classified as nonischemic or ischemic. Because prognosis and treatment are different, priapism must be determined to be nonischemic or ischemic. Nonischemic priapism is a rare condition observed when an increase in penile arterial blood flow overwhelms the capacity of venous drainage; it is often associated with penile trauma, and does not require medical intervention. Ischemic priapism is associated with decreased venous return. In humans, ischemic priapism accounts for 95% of cases, the majority of which are idiopathic. Ischemic priapism is a urological emergency; simple conservative measures such as aspiration of blood from the corpora cavernosa and intracavernosal injection of an adrenergic agent are often successful. Stuttering priapism, also called recurrent or intermittent priapism, is a particular form of ischemic priapism reported in humans that is characterized by repetitive episodes of prolonged erections. Management consists of treating each new episode as an episode of acute ischemic priapism, and preventing recurrence with oral medications such as dutasteride and/or baclofen, gabapentin, or tadalafil. To the authors’ knowledge, this case is the first report of stuttering priapism in a dog.

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“…Painful, recurrent, self-limiting long-lasting erections that may precede ischemic priapism is called stuttering (recurrent) priapism. 6,7 History, physical examination and blood taken from the corpora cavernosa can differentiate ischemic from non-ischemic priapism. Blood taken from the ischemic priapism has a pH<7.25, pO2<30 mmHg and is darkcolored, whereas in the non-ischemic variant, it has a pH>7.30, pO2>50 mmHg and is bright red.…”

Section: Discussionmentioning

confidence: 99%

Valproic Acid-Induced Priapism in a Child

et al. 2021

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A complete or partial involuntary erection that occurs in absence of a sexual stimulation and lasts longer than four hours is defined as priapism. Etiology usually includes sickle cell disease or hematologic malignancies. Less common causes include trauma, spinal cord injury, medications, congenital syphilis, parotitis, Fabry’s disease and retroperitoneal sarcoma. Priapism is a urologic emergency that varies by ischemic and non-ischemic episodes. Ischemic injury to cavernous tissues leads to erectile dysfunction. Early recognition of priapism, determination of the type and the treatment are crucial in preventing potential long-term complications caused by priapism. With this case of priapism caused by a treatment with valproic acid, it was aimed to point out priapism which is a urologic emergency.

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The management of stuttering priapism

Cited by 13 publications

References 66 publications

Forecasting the Future of Urology Practice: A Comprehensive Review of the Recommendations by International and European Associations on Priority Procedures During the COVID-19 Pandemic

Forecasting the Future of Urology Practice: A Comprehensive Review of the Recommendations by International and European Associations on Priority Procedures During the COVID-19 Pandemic

Stuttering Priapism in a Dog—First Report

Valproic Acid-Induced Priapism in a Child

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