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Medical management of ischemic stuttering priapism： a ：ontemporary review of the literature

Asian Journal of Andrology 2012年第1期14卷 156-163,180页

作者： Helen R Levey Omer Kutlu Trinity J Bivalacqua The Arthur Smith Institute for Urology North Shore- Long Island Jewish Health System New Hyde Park NY 11010 USA The James Buchanan Brady Urological Institute Department of Urology Johns Hopkins Hospital Baltimore MD 21287 USA

priapism is defined as a prolonged and persistent erection of the penis without sexual stimulation. This is a poorly understood disease process with little information on the pathophysiology of this erectile disorder. Complications from this disorder are devastating due to the irreversible erectile damage and resultant erectile dysfunction （ED）. Stuttering priapism, though relatively rare, affects a high prevalence of men with sickle-cell disease （SCD） and presents a challenging problem with guidelines for treatment lacking or resulting in permanent ED. The mechanisms involved in the development of priapism in this cohort are poorly characterized; therefore, medical management of priapism represents a therapeutic challenge to urologists. Additional research is warranted, so we can effectively target treatments for these patients with prevention as the goal. This review gives an introduction to stuttering priapism and its clinical significance, specifically with regards to the patient with SCD. Additionally, the proposed mechanisms behind its pathophysiology and a summary of the current and future targets for medical management are discussed.

关键词： erectile dysfunction ischemic priapism medical management recurrent priapism sickle cell disease stuttering priapism therapy treatment

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Modified technique in treating recurrent priapism： a technique report

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Asian Journal of Andrology 2015年第2期17卷 329-331页

作者： Wei Chen Shu-Ben Sun Li-An Sun Jian-Ming Guo Guo-Min Wang Department of Urology Zhongshan Hospital of Fudan University Shanghai China Department of Urology The Affiliated Hospital of School of Medicine of Ningbo University Ningbo China.

Recurrent ischemic priapism is a problem in clinical treatment. Most of the cases require more invasive surgery to shunt the blood stasis. We introduce a modified technique in treating recurrent ischemic priapism. The technique described is applied to acute ischaemic priapic episodes in patients with a history of stuttering priapism. It was carried out by a Winter＇s shunt combined with a continuous cavernosal irrigation system. priapism was effectively resolved on the patients without recurrence. ]he four patients who received this treatment recovered most sexual function after 6 months follow-up.

关键词： AL-GHORAB SHUNT ischemic priapism MANAGEMENT COMPLICATION

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