Penile Blood Gas Sample to Assess Recurrent Priapism

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Blood gas analysis on penile samples.

Penile blood gas can aid in the determination of the subtype of priapism to further guide treatment. A pH 7.25, PO2 30, and PCO2 60 indicate low-flow (ischemic) priapism, which needs to be treated immediately by administration of phenylephrine and draining of blood from the penis. High-flow priapism (1, 2) is usually self-limiting. The sequential samples were obtained to determine the effective...

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Insights of priapism mechanism and rationale treatment for recurrent priapism.

Priapism is defined as abnormal prolonged penile erection occurring beyond or unrelated to sexual interest. The disorder is enigmatic yet devastating because of its elusive etiology, irreversible erectile tissue damage, and resultant erectile dysfunction (ED). Current management strategies suffer from a poor understanding of the pathophysiology, especially at the molecular level. The traditiona...

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Recurrent Priapism from Therapeutic Quetiapine

Priapism is rarely related to use of non-erectile related medications. The objective was to educate about the multiple possible causes of priapism and to provide treatment recommendations for the different types of priapism. We present the case of a 43-year-old African American male with a history of schizoaffective disorder who presented to our emergency department multiple times over a three ...

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Priapism with penile gangrene: An unusual presentation of multiple myeloma

Penile gangrene is very rare sequel of ischemic priapism. Previous published reports have shown its occurrence in patients with sickle cell disease, urethral carcinoma, bladder carcinoma, thrombotic thrombocytopenic purpura, idiopathic, traumatic, etc. Ischemic priapism with penile gangrene as an initial presentation of multiple myeloma has not been reported. We present a 44-year-old patient of...

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Role of Penile Prosthesis in Priapism: A Review

Ischemic priapism is a urological emergency that has been associated with long-standing and irreversible adverse effects on erectile function. Studies have demonstrated a linear relationship between the duration of critically ischemic episodes and the subsequent development of corporal fibrosis and irreversible erectile function loss. Placement of a penile prosthesis is a well-established thera...

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ژورنال

عنوان ژورنال: Clinical Chemistry

سال: 2019

ISSN: 0009-9147,1530-8561

DOI: 10.1373/clinchem.2019.306662