Changing diagnostic and therapeutic concepts in high-flow priapism

International Journal of Impotence Research
Rainer KueferBjoern G Volkmer

Abstract

High-flow priapism (HFP) is defined as pathological increased arterial influx into the cavernosal bodies. Since 1960, 202 cases have been published in the literature. This study evaluates the effect of the changing diagnostic and therapeutic concepts. The data of 202 cases of HFP was evaluated regarding diagnostic and therapeutic procedures and long-term results. Success was defined as restored erectile function without recurrent priapism. The major etiology of HFP is trauma, especially in children or young adults; in older men, HFP is a rare event mainly caused by malignoma. Cavernosal blood-gas analysis, color-Doppler ultrasound and angiography were the most effective diagnostic tools to distinguish high- from low-flow priapism. The success rate was 20% for shunt operations and 89% for arterial embolization. In conclusion, embolization was effective in the majority of cases of traumatic HFP, while shunt surgery remained disappointing. For HFP caused by inherited diseases and malignoma conservative therapy is mandatory.

References

Feb 1, 1977·The Journal of Urology·J B WearB O Munson
Sep 1, 1977·The Journal of Urology·L Persky, E Kursh
Nov 1, 1989·British Journal of Urology·P A DewanD I Moss
Jul 1, 1986·The Journal of Urology·T F LueE A Tanagho
Jan 1, 1986·Urologia Internationalis·M MizutaniH Nihira
Jan 1, 1985·European Urology·P PuppoL Giuliani
Mar 1, 1968·The Journal of Urology·D A Grace, C C Winter
Nov 1, 1973·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·G W Wheeler, C R Simmons
Jan 31, 1981·British Medical Journal·J M Wafula, P Davies
Jan 1, 1983·Urologia Internationalis·D HauriW Brühlmann
Dec 1, 1982·The British Journal of Radiology·D P MacErleanD G Kelly
Aug 1, 1995·The Journal of Urology·S T MillerK I Glassberg
Sep 1, 1993·The Journal of Urology·G BrockE A Tanagho
Feb 1, 1996·The Journal of Urology·L S HakimI Goldstein
Apr 1, 1997·Mayo Clinic Proceedings·W J Harmon, A Nehra
Feb 19, 1998·Journal of Vascular and Interventional Radiology : JVIR·R K KerlanE J Ring
May 1, 1998·Urologia Internationalis·M GreschnerP Alken
Apr 9, 2002·Ultrasound in Medicine & Biology·Bjoern G VolkmerHans-Werner Gottfried
Jan 1, 1960·The Journal of Urology·F B BURTW W SCOTT

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Citations

Oct 19, 2004·World Journal of Urology·Georg BartschBjoern G Volkmer
Feb 14, 2006·Nature Clinical Practice. Urology·Derek J BochinskiTom F Lue
Dec 10, 2013·European Urology·Andrea SaloniaUNKNOWN European Association of Urology
Apr 25, 2012·Journal of Clinical Imaging Science·Aarthi GovindarajanS Santosh Joseph
Nov 25, 2005·Der Urologe. Ausg. A·O EngelB G Volkmer
Dec 6, 2005·Cardiovascular and Interventional Radiology·P O'SullivanM J Lee
Mar 12, 2013·The Journal of Urology·Jawad M QureshiMyra Feldman
Jan 5, 2008·The Journal of Sexual Medicine·Furuzan NumanAhmet Bas
Jan 23, 2010·The Journal of Sexual Medicine·Gregory A BroderickRany Shamloul
Aug 14, 2010·Primary Care·Julian Wan, Karl T Rew
Oct 18, 2008·Journal of Pediatric Surgery·Gideon SandlerDanny Cass
Oct 4, 2007·Journal of Vascular and Interventional Radiology : JVIR·Kyung Rae KimJae-Ik Bae
Apr 14, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Tetsuya TakaoAkihiko Okuyama
Sep 29, 2011·Journal of Clinical Ultrasound : JCU·Bastian KeckHans Martin Fritsche
Apr 2, 2016·Der Urologe. Ausg. A·A Kaminsky, H Sperling
May 20, 2015·Der Urologe. Ausg. A·A Kaminsky, H Sperling
May 15, 2015·The Indian Journal of Surgery·Jeyaseelan NadarajahAmit Gupta
Jan 1, 2012·Acta Radiologica Short Reports·Ulf Km Teichgräber, Maximilian de Bucourt
Mar 31, 2018·Pediatric Emergency Care·Ismail NalbantMuhammed Abdurrahim İmamoglu
Nov 28, 2015·Scottish Medical Journal·Suha Akpinar, Güliz Yilmaz
Dec 12, 2019·La Radiologia medica·Giuseppe De MagistrisRaffaella Niola
Mar 4, 2017·SAGE Open Medical Case Reports·Sebastián Sánchez-LópezJoaquín González-Gómez
Dec 10, 2017·International Journal of Impotence Research·Jennifer Purnell, Alym N Abdulla
Mar 22, 2020·Journal of Ultrasound·Ciro AcamporaLuigia Romano
May 13, 2021·Urologia·Basri CakirogluSuleyman Hilmi Aksoy
Jul 8, 2021·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·S WakrimY Khabbal
Aug 29, 2021·Sexual Medicine Reviews·Joseph KimOmer Raheem

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