ARTERIAL PRIAPISM AS A COMPLICATION OF A STAB WOUND IN THE PERIANAL AREA
- Authors: Yarovoi S.K1,2, Khromov R.A2, Shipovskii V.N2
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Affiliations:
- N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of the NMRRC of Minzdrav of Russia
- City Clinical Hospital №57, Moscow Health Department
- Issue: No 5 (2017)
- Pages: 86-90
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/322106
- DOI: https://doi.org/10.18565/urology.2017.5.86-90
- ID: 322106
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Abstract
The article describes a case of successful management of arterial priapism in a patient with a stab wound in the perianal area. Timely performed angiography revealed a pathological connection between a. Uretralis sinistra and spongy body. Disruption of the abnormal shunt resulted in immediate relief of erection with further preservation of erectile function. At the 3 and 6 months follow-up visits there were no signs of cavernous fibrosis or erectile dysfunction. The authors analyze the entire sequence of events in the management of the case, identify shortcomings, determine their significance and consider their prevention. The article is supplemented with a brief review of the literature on differential diagnosis of haemodynamic forms of priapism.
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About the authors
S. K Yarovoi
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of the NMRRC of Minzdrav of Russia; City Clinical Hospital №57, Moscow Health Department
Email: yarovoy.sk@yandex.ru
Dr.Med.Sci., Leading Researcher
R. A Khromov
City Clinical Hospital №57, Moscow Health DepartmentUrologist at the 1st Department of Urology
V. N Shipovskii
City Clinical Hospital №57, Moscow Health DepartmentDr.Med.Sci., Prof., Head of the Department of Interventional Radiology
References
- Broderick G.A., Kadioglu A., Bivalacqua T.J. Priapism: pathogenesis, epidemiology, and management. J Sex Med. 2010;7(1 Pt 2): 476-500.
- Guide to andrology/ Ed. Tiktinskii O.L. Leningrad. Meditsina, Leningradskoe otdelenie. 1990;113-114.
- Urology. National guide. Ed. Lopatkin N.A. M.: GEOTAR-Media. 2009;1021 p.
- Yunda I.F. Diseases of the male sexual organs. Kiev. Zdorov’ya. 1989;272 s.
- Halls J.E., Patel D.V., Walkden M., Patel U. Priapism: pathophysiology and the role of the radiologist. Br J Radiol. 2012;85(1):79-85.
- Fernandez R.E., Blanco D.A., Barbagelata L.A. High flow arterial priapism secondary to post-traumatic bilateral arterio-cavernous fistula. Highly selective embolization with autologous blood clot. Actas Urol Esp. 2004;28(2):152-156.
- Hanada E., Kageyama S., Narita M., Kim C.J., Yoshiki T. A Case report of post-traumatic arterial high-flow priapism. Hinyokika Kiyo. 2008;54(9):633-635.
- Berger R., Billups K., Brock G. Report of the American Foundation for Urologic Disease (AFUD) Thought Leader Panel for evaluation and treatment of priapism. Int J Impot Res. 2001;13(5):39-43.
- Maksimov V.A., Yarovoi S.K., Prokhorov A.V., Misyakova O.A., Moskaleva N.G. Emergency urological care for priapism (results of a retrospective analysis). Vrach. 2012;6:45-47.
- Montague D.K., Jarow J., Broderick G.A. American Urological Association guideline on the management of priapism. J Urol. 2003;170(4 Pt 1):1318-1324.
- Kirkham A.P., Illing R.O., Minhas S., Allen C. MR imaging of nonmalignant penile lesions. Radiographics. 2008;28(3):837-853.
- Maksimov V.A., Yarovoi S.K., Khromov R.A., Prokhorov A.V., Stranadko M.V. Status and prospects of development of emergency andrological care in Moscow. Urologiya. 2012;1:72-76.
- Maksimov V.A., Yarovoi S.K., Stranadko M.V., Misyakova O.A. Empirical antibacterial prophylaxis in urology. Eksperimental’naya i klinicheskaya urologiya. 2012;1:76-84.
- Yarovoi S.K. Empirical antibacterial therapy in urology. M.: Miklosh. 2011. 234 p.
- Handbook of antimicrobial therapy. Ed. Kozlov R.S., Dekhnich A.V. Smolensk. MAKMAKh. 2010. 416 p.
- Yarovoi S.K., Khromov R.A. Tactics of emergency urological care for ischemic priapism. Lechashchii vrach. 2014; 1:46-49.
- Yarovoi S.K., Khromov R.A., Dzidzariya A.G., Prokhorov A.V. Issues of urgent andrology. Moskva. Uromedia. 2016. 120 phttp://intra.elibrary.ru/projects/articulus/Unit.aspx?pid=362733&uo=6#
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