Management of Priapism: Results of a Nationwide Survey and Comparison with International Guidelines.
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Kalkanli Arif, Sönmez Salih Zeki, Guvel Mine, Aglamis Erdogan, Araz Seyhmuz, Asfuroglu Ahmet, Avci Huseyin Kursad, Aydin Memduh, Aydos Murat, Balci Ugur, Baran Caner, Bastug Yavuz, Baydilli Numan, Bayrak Omer, Benlioglu Can, Bozkurt Ibrahim Halil, Bursali Kerem, Can Utku, Coser Seref, Cakici Mehmet Caglar, Calik Gokhan, Cift Ali, Cilesiz Nusret Can, Demir Demirhan Orsan, Demir Murat, Demirel Huseyin Cihan, Dursun Murat, Demirelli Erhan, Ekenci Berk Yasin, Eksi Mithat, Ergin Giray, Ergin Ismail Emre, Erkan Anil, Fikri Onur, Gezmis Cem Tugrul, Gül Abdullah, Guzelsoy Muhammet, Ibis Muhammed Arif, Inkaya Abdurrahman, Ipekci Tumay, Karakeci Ahmet, Karkin Kadir, Kaya Coskun, Kazan Ozgur, Kirdag Mustafa Koray, Kizilcay Yigit Cagri, Koseoglu Burak, Kucuk Emrah, Gonultas Serkan, Ogras Mehmet Sezai, Olgun Ahmet, Ordek Eser, Ozbey Isa, Sarier Mehmet, Senel Samet, Tahra Ahmet, Toprak Tuncay, Yalcin Mehmet Yigit, Yavuzsan Abdullah Hizir, Yazar Selim, Hacıbey İbrahim, Yildirim Kadir, Yilmaz Kemal, Yilmaz Sercan, Yoldas Mehmet, Yuce Ahmet, Yucel Mehmet Ozgur, Yuceturk Cem Nedim, de la Rosette Jean, Kadioglu Ates
Аннотация
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.