AI Article Synopsis

  • High-flow (nonischemic) priapism is a rare condition (<5% of cases) marked by painful, prolonged erections typically linked to pelvic or genitourinary trauma.
  • While some cases can be managed conservatively, selective embolization is increasingly favored as it provides a quick resolution.
  • The text discusses a specific case involving a 42-year-old male with trauma-induced HFP treated with selective embolization and reviews current management strategies for this condition.

Article Abstract

High-flow, or nonischemic, priapism occurs in <5% of observed clinical presentations of all priapism and is characterized by prolonged, painless erection in the context of pelvic and genitourinary trauma. While conservative management can be safely attempted for many cases of high-flow priapism (HFP), selective embolization is becoming the preferred approach as it allows for rapid resolution. We, herein, present a case of a 42-year-old male patient who presented with trauma-induced HFP treated with selective embolization and briefly review the current literature regarding the management of HFP.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978970PMC
http://dx.doi.org/10.4103/UA.UA_45_19DOI Listing

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Article Synopsis
  • The study analyzed in-hospital outcomes and trends for patients with low-flow and high-flow priapism using data from Germany's nationwide inpatient records between 2008-2021.
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  • The findings indicated that 22.4% of low-flow patients required shunt surgery, especially among those with sickle cell disease, while high-flow cases were primarily managed conservatively, showing no significant differences in hospital stay or complications related to treatment.
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