Priapism and Urinary Retention: Nuances in Management

madman · Jan 30, 2025

This month's main episode podcast on Urologic Emergencies - Priapism and Urinary Retention asks:

* for priapism how much time to do we have to fix it before there’s irreversible tissue damage?

* How is priapism managed differently depending on the cause?

* What is the value of a corporal blood gas for managing priapism?

* What are the indications for cavernosal phenylephrine injections?

* What are the common medications that cause urinary retention that we often miss leading to needless recurrent urinary retention?

* Why is a suprapubic catheter in many respects safer than a urethral catheter for managing urinary retention?

* Which patients are at high risk for complications of post-obstructive diuresis? and many more...

madman · Jan 30, 2025

Thread 'Priapism: How Do We Manage and How Do We Learn How to Manage in 2024'

Jun 8, 2024

Thread 'Priapism Role of IR'

May 18, 2024

*Ischemic priapism--->UROLOGICAL ER!

Thread 'Effective Strategies for Priapism'

May 3, 2024

Summary

R. Caleb Kovell, MD, discusses management strategies for acute refractory ischemic priapism, including shunting, tunneling, and prosthesis. Dr. Kovell begins his lecture by reviewing the erectile recovery windows and imaging techniques for establishing acute ischemic priapism.

Dr. Kovell then turns to effective treatment options after intracavernosal phenylephrine and corporal aspiration fail. He outlines various types of distal shunting, corporal tunneling, penoscrotal decompression, and early prosthesis placement.

Dr...

Thread 'Is 4−6 Hours of Prolonged Erection the Time Point of Irreversible Tissue Injury?'

Apr 22, 2023

Priapism or Prolonged Erection: Is 4 – 6 Hours of Cavernous Ischemia the Time Point of Irreversible Tissue Injury?

AbstractIntroduction. Ischemic priapism remains a significant cause of morbidity among men. To date, the precise time when penile ischemia results in perma

academic.oup.com

Priapism or Prolonged Erection: Is 4−6 Hours of Cavernous Ischemia the Time Point of Irreversible Tissue Injury? (2022)
Snir Dekalo, MD, Noah Stern, MD, Gregory A. Broderick, MD, and Gerald Brock, MD, FRCPC

ABSTRACT

Introduction

Ischemic priapism remains a significant cause of morbidity among men. To date, the precise time when penile ischemia results in permanent, non-reversible cavernosal smooth muscle injury, compromising subsequent erectile integrity...

Thread 'Navigating priapism'

Sep 28, 2024

In this final episode, titled "Navigating priapism. Tailored approaches for both ischaemic and non-ischaemic cases", the complexities of diagnosing and managing priapism are explored. Our distinguished speakers, Dr. R. Rees (GB) and Dr. V. Sahdev (GB), provide a comprehensive overview of both ischaemic (low-flow) and non-ischaemic (high-flow) priapism, discussing their distinct etiologies and clinical presentations. They share details on the latest treatment protocols, from emergency interventions to long-term management strategies, ensuring that...