Document Detail


Stuttering priapism--a review of the therapeutic options.
MedLine Citation:
PMID:  18479367     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Priapism is a urological emergency which is commonly classified into low-flow and high-flow priapism. Immediate intervention is required for low-flow cases as the development of ischaemia ultimately leads to long-term erectile dysfunction. Stuttering or recurrent priapism is less well understood. This subtype is characterised by short-lived painful erections and is commonly encountered in patients with sickle cell disease. METHODS: A systematic review of the treatment options available for stuttering priapism is presented combined with our own experience in managing this condition over a period of 25 years. RESULTS: Although numerous medical treatment options have been reported, the majority are through small trials or anecdotal reports. CONCLUSIONS: Stuttering priapism is a condition which is still not well understood and there is no standardised algorithm for the management of this condition. A multicentre randomised trial is required to evaluate the treatment options.
Authors:
A Muneer; S Minhas; M Arya; D J Ralph
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-05-08
Journal Detail:
Title:  International journal of clinical practice     Volume:  62     ISSN:  1742-1241     ISO Abbreviation:  Int. J. Clin. Pract.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-18     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9712381     Medline TA:  Int J Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  1265-70     Citation Subset:  IM    
Affiliation:
University College London Hospitals, London, UK. asif@amuneer.co.uk
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MeSH Terms
Descriptor/Qualifier:
Anemia, Sickle Cell / complications
Digoxin / therapeutic use
Drug Delivery Systems / methods
Etilefrine / therapeutic use
Hormones / therapeutic use*
Humans
Male
Orchiectomy / methods*
Penile Prosthesis*
Phosphodiesterase Inhibitors / therapeutic use
Priapism / etiology,  therapy*
Procyclidine / therapeutic use
Pseudoephedrine / therapeutic use
Terbutaline / therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
0/Hormones; 0/Phosphodiesterase Inhibitors; 20830-75-5/Digoxin; 23031-25-6/Terbutaline; 709-55-7/Etilefrine; 77-37-2/Procyclidine; 90-82-4/Pseudoephedrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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