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Current opinions on the management of prolonged ischemic priapism: does penoscrotal decompression outperform corporoglanular tunneling?
VanDyke, Maia E; Smith, Wesley J; Holland, Levi C; Langford, Brian T; Joshi, Eshan G; Dropkin, Benjamin M; Breyer, Benjamin N; Yafi, Faysal A; Johnsen, Niels V; Barham, David W; Joice, Gregory A; Fode, Mikkel; Franzen, Bryce P; Hudak, Steven J; Morey, Allen F.
Afiliación
  • VanDyke ME; Department of Urology, University of Texas Southwestern, Dallas, TX, USA. Maia.VanDyke@utsouthwestern.edu.
  • Smith WJ; Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
  • Holland LC; Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
  • Langford BT; Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
  • Joshi EG; Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
  • Dropkin BM; Department of Urology, University of Kentucky, Lexington, KY, USA.
  • Breyer BN; Department of Urology and Epidemiology and Biostatistics, University of California - San Francisco, San Francisco, CA, USA.
  • Yafi FA; Department of Urology, University of California -Irvine, Irvine, CA, USA.
  • Johnsen NV; Department of Urology, Vanderbilt University, Nashville, TN, USA.
  • Barham DW; Department of Urology, University of California -Irvine, Irvine, CA, USA.
  • Joice GA; Department of Urology, Columbia University, New York, NY, USA.
  • Fode M; Department of Urology, Herlev and Gentofte Hospital, Herlev, Denmark.
  • Franzen BP; Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
  • Hudak SJ; Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
  • Morey AF; Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
Int J Impot Res ; 36(1): 62-67, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38114594
ABSTRACT
Prolonged ischemic priapism presents a treatment challenge given the difficulty in achieving detumescence and effects on sexual function. To evaluate current practice patterns, an open, web-based multi-institutional survey querying surgeons' experience with and perceived efficacy of tunneling maneuvers (corporoglanular tunneling and penoscrotal decompression), as well as impressions of erectile recovery, was administered to members of societies specializing in male genital surgery. Following distribution, 141 responses were received. Tunneling procedures were the favored first-line surgical intervention in the prolonged setting (99/139, 71.2% tunneling vs. 14/139, 10.1% implant, p < .001). Although respondents were more likely to have performed corporoglanular tunneling than penoscrotal decompression (124/138, 89.9% vs. 86/137, 62.8%, p < .001), penoscrotal decompression was perceived as more effective among those who had performed both (47.3% Very or Extremely Effective for penoscrotal decompression vs. 18.7% for corporoglanular tunneling; p < .001). Many respondents who had performed both tunneling procedures felt that most regained meaningful sexual function after either corporoglanular tunneling or penoscrotal decompression (33/75, 44.0% vs. 33/74, 44.6%, p = .942). While further patient-centered investigation is warranted, this study suggests that penoscrotal decompression may outperform corporoglanular tunneling for prolonged priapism, and that recovery of sexual function may be higher than previously thought after tunneling procedures.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Priapismo Límite: Humans / Male Idioma: En Revista: Int J Impot Res Asunto de la revista: MEDICINA REPRODUTIVA / UROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Priapismo Límite: Humans / Male Idioma: En Revista: Int J Impot Res Asunto de la revista: MEDICINA REPRODUTIVA / UROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos