1/4. Megalophallus as a sequela of priapism in sickle cell anemia: use of blood oxygen level-dependent magnetic resonance imaging.priapism is a common complication of sickle cell anemia. We report a little known sequela of priapism: painless megalophallus, with significant penile enlargement. The patient had had an intense episode of priapism 9 years previously and his penis remained enlarged. blood oxygen level-dependent magnetic resonance imaging revealed enlarged, hypoxic corpora cavernosa. Megalophallus probably resulted from permanent loss of elasticity of the tunica albuginea due to severe engorgement during the episode of priapism. This sequela needs to be recognized by physicians because no intervention is necessary and sexual function seems to remain intact.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/4. priapism--a rare presentation in chronic myeloid leukemia: case report and review of the literature.priapism is a complication rarely seen in leukemia. We report a 21-year-old man presented with persistent painful erection of penis for 19 hours at home. The patient had undergone immediate irrigation and decompression of priapism by urologist at emergency department. This approach resulted in a flaccid penis later. During hospitalization, peripheral blood smear and bone marrow aspiration was confirmatory of chronic myeloid leukemia. No impotency nor other sequela was noted after his discharge. This case illustrates the importance of all physicians in the diagnosis and management of patients with priapism.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/4. priapism associated with typical and atypical antipsychotic medications.priapism is a urologic emergency, and a urologic consultation should be obtained as early as possible. Its etiologies are numerous and diverse. patients who use antipsychotic drugs should be informed about the complications of priapism, especially those patients with a history of prolonged erections associated with other alpha-adrenergic blocking agents or a history of sickle cell disease. If antipsychotic medication is considered to be needed in the treatment of patients with a history of priapism, physicians should select a drug with a low peripheral alpha-adrenergic blocking property. physicians should be aware of this rare but potentially serious complication of antipsychotic drugs. Early intervention and appropriate treatment are essential to prevent permanent impotence and other serious complications.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/4. priapism: diagnosis and management.Recent advances in the understanding of erectile physiology have improved the prompt diagnosis and treatment of priapism. During the initial assessment, the physician must distinguish between the two basic types of priapism--low and high flow--because their associated treatment and prognosis differ. To illustrate the diverse manifestation of priapism, we describe the management of four patients with a history of priapism due to varying causes. In addition, we propose an algorithm that provides a systematic and timely approach to treatment. Resumption of erectile function after a prolonged episode of priapism has traditionally been poor but has improved. patients must be informed that the long-term sequelae of priapism can be avoided with prompt medical or surgical treatment.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |