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. 2023 Jul;49(4):225-232.
doi: 10.5152/tud.2023.22209.

Management of Priapism: Results of a Nationwide Survey and Comparison with International Guidelines

Arif Kalkanli  1 , Salih Zeki Sönmez  2 , Mine Guvel  3 , Erdogan Aglamis  4 , Seyhmuz Araz  5 , Ahmet Asfuroglu  6 , Huseyin Kursad Avci  7 , Memduh Aydin  1 , Murat Aydos  8 , Ugur Balci  9 , Caner Baran  10 , Yavuz Bastug  11 , Numan Baydilli  12 , Omer Bayrak  13 , Can Benlioglu  14 , Ibrahim Halil Bozkurt  15 , Kerem Bursali  16 , Utku Can  17 , Seref Coser  18 , Mehmet Caglar Cakici  19 , Gokhan Calik  20 , Ali Cift  15 , Nusret Can Cilesiz  21 , Demirhan Orsan Demir  22 , Murat Demir  23 , Huseyin Cihan Demirel  24 , Murat Dursun  25 , Erhan Demirelli  26 , Berk Yasin Ekenci  27 , Mithat Eksi  28 , Giray Ergin  29 , Ismail Emre Ergin  30 , Anil Erkan  9 , Onur Fikri  1 , Cem Tugrul Gezmis  1 , Abdullah Gül  31 , Muhammet Guzelsoy  9 , Muhammed Arif Ibis  32 , Abdurrahman Inkaya  33 , Tumay Ipekci  34 , Ahmet Karakeci  35 , Kadir Karkin  36 , Coskun Kaya  37 , Ozgur Kazan  38 , Mustafa Koray Kirdag  39 , Yigit Cagri Kizilcay  40 , Burak Koseoglu  6 , Emrah Kucuk  41 , Serkan Gonultas  42 , Mehmet Sezai Ogras  4 , Ahmet Olgun  4 , Eser Ordek  43 , Isa Ozbey  44 , Mehmet Sarier  45 , Samet Senel  6 , Ahmet Tahra  20 , Tuncay Toprak  46 , Mehmet Yigit Yalcin  47 , Abdullah Hizir Yavuzsan  17 , Selim Yazar  48 , İbrahim Hacıbey  49 , Kadir Yildirim  50 , Kemal Yilmaz  51 , Sercan Yilmaz  52 , Mehmet Yoldas  53 , Ahmet Yuce  54 , Mehmet Ozgur Yucel  15 , Cem Nedim Yuceturk  55 , Jean de la Rosette  56 , Ates Kadioglu  57
Affiliations

Management of Priapism: Results of a Nationwide Survey and Comparison with International Guidelines

Arif Kalkanli et al. Urol Res Pract. 2023 Jul.

Abstract

Objective: The aim of this study is to evaluate current urologic practice regarding the management of priapism in Turkey and compare with international guidelines.

Methods: Urologists and urology residents were invited to an online survey consisting of 30 multiple-choice questions on priapism-related clinical practices that were consid- ered most important and relevant to practices by using Google Forms.

Results: Total number of responses was 340. Respondents reported that they recorded a detailed patient's medical history and physical examination findings (n = 340, 100%) and laboratory testing, which includes corporal blood gas analysis (n=323, 95%). Participants announced that they performed Doppler ultrasound for 1/4 cases (n = 106, 31%), but 22% of the participants (n=75) replied that they performed in >75% of cases. Participants (n=311, 91%) responded that the first-line treatment of ischemic priapism is decompression of the corpus cavernosum. Moreover, most respondents (n = 320, 94%) stated that sympathomimetic injection drugs should be applied as the second step. About three-quarters of respondents (n = 247, 73%) indicated adrenaline as their drug of choice. Phosphodiesterase type 5 inhibitors seems to be the most pre- ferred drug for stuttering priapism (n=141, 41%). Participants (n=284, 84%) replied that corpora-glanular shunts should be preferred as the first. A large number of par- ticipants (n = 239, 70%) declared that magnetic resonance imaging can be performed in cases with delayed (>24 hours) priapism to diagnose corporal necrosis. Most of the participants (84%) responded that penile prosthesis should be preferred to shunts in cases with delayed (>48 hours) priapism.

Conclusion: It would be appropriate to improve the training offered by professional associations and to give more training time to the management of priapism during residency.

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Figures

Figure 1.
Figure 1.
Penile color doppler ultrasound usage rate in the diagnosis of a patient with priapism.
Figure 2.
Figure 2.
Use of penile magnetic resonance imaging in the evaluation of a patient with priapism.
Figure 3.
Figure 3.
Which medical treatment do you prefer for sympathomimetic drug injection for the medical treatment of ischemic (low-flow) priapism?
Figure 4.
Figure 4.
What pharmacological agents do you use for the medical treatment of stuttering priapism?
See this image and copyright information in PMC

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