Management of priapism: Results of a nationwide survey and comparison with international guidelines

dc.authorid0000-0002-9976-9666
dc.authorid0000-0002-5158-5630
dc.contributor.authorKalkanlı, Arif
dc.contributor.authorSönmez, Salih Zeki
dc.contributor.authorGüvel, Mine
dc.contributor.authorAğlamış, Erdoğan
dc.contributor.authorAraz, Şeyhmuz
dc.contributor.authorAsfuroğlu, Ahmet
dc.contributor.authorAvcı, Hüseyin Kürşad
dc.contributor.authorAydın, Memduh
dc.contributor.authorAydos, Murat
dc.contributor.authorYazar, Selim
dc.date.accessioned2023-10-09T12:47:26Z
dc.date.available2023-10-09T12:47:26Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractObjective: 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 considered 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 preferred 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 participants (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.
dc.identifier.citationKalkanlı, A., Sönmez, S. Z., Güvel, M., Ağlamış, E., Araz, Ş., Asfuroğlu, A. ... Yazar, S. (2023). Management of priapism: Results of a nationwide survey and comparison with international guidelines. Urology Research and Practice, 49(4), 225-232. https://doi.org/10.5152/tud.2023.22209
dc.identifier.doi10.5152/tud.2023.22209
dc.identifier.endpage232
dc.identifier.issn2980-1478
dc.identifier.issue4
dc.identifier.scopus2-s2.0-85172092241
dc.identifier.scopusqualityN/A
dc.identifier.startpage225
dc.identifier.urihttps://doi.org/10.5152/tud.2023.22209
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11540
dc.identifier.volume49
dc.identifier.wos001056098400002en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorÇalık, Gökhan
dc.institutionauthorTahra, Ahmet
dc.language.isoen
dc.publisherAVES
dc.relation.ispartofUrology Research and Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectAnd Rology
dc.subjectPenile Prosthesis
dc.subjectPriapism
dc.titleManagement of priapism: Results of a nationwide survey and comparison with international guidelines
dc.typeArticle

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