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Modern Strategies for the Surgical Treatment of Priapism

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Textbook of Male Genitourethral Reconstruction

Abstract

Priapism, a prolonged penile erection unrelated to sexual stimulation, is a challenging urologic condition. Though amongst the most common urologic emergencies, priapism is a rare condition to encounter, and its pathophysiologic mechanisms remain poorly understood. If priapism is not diagnosed and treated appropriately and in a timely manner, there is a risk of progressive penile corporal fibrosis and eventual erectile dysfunction. In this chapter, we review the three distinct clinical presentations of priapism (ischemic, non-ischemic, and stuttering), and we describe concise and practical treatment algorithms for each based on the most recent and best quality scientific and clinical research. We hope that reading this chapter will not only streamline intervention for priapism but also stimulate further research into the pathophysiology of and potential therapies for priapism.

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Correspondence to Amanda B. Reed-Maldonado .

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Reed-Maldonado, A.B., Lue, T.F. (2020). Modern Strategies for the Surgical Treatment of Priapism. In: Martins, F.E., Kulkarni, S.B., Köhler, T.S. (eds) Textbook of Male Genitourethral Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-21447-0_42

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  • DOI: https://doi.org/10.1007/978-3-030-21447-0_42

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