Priapismo isquémico asociado al consumo de cocaína. Revisión sistemática y presentación de una serie de casos de un solo centro

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2024-05-01 DOI:10.1016/j.acuro.2023.10.006

C. Altez-Fernandez , L. Lamas , M. Bohorquez , V. Chantada , D. Ralph

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引用次数: 0

Abstract

Introduction

Ischemic priapism is a medical emergency that, if not treated, could lead to permanent erectile dysfunction. The association between cocaine and priapism is well-known; however, data on patient characteristics, treatment, and outcomes is missing.

This work aimed to answer the research question: What are the characteristics, management strategies, and erectile prognosis of patients consuming cocaine and presenting with priapism?

Methods

We conducted a systematic review according to PRISMA guidelines and described our case series.

Results

Eight studies were selected for qualitative synthesis, presenting information on ten patients. In our case series, we showed information regarding four patients. From the systematic review, the mean presentation time was 42.6 hours, and the mean number of procedures to solve priapism was 2,4; in our case series was 42.75 hours and 2, respectively.

Conclusion

Cocaine-related priapism might present with a delayed diagnosis, need more procedures to be managed, and have a worse prognosis. More extensive and prospective studies are required.

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与使用可卡因有关的缺血性前列腺增生症。系统回顾和单中心系列病例介绍。

简介:缺血性阴茎勃起是一种医学紧急情况，如果不治疗，可能导致永久性勃起功能障碍。虽然可卡因和阴茎勃起之间的联系已经确定，但关于患者特征、治疗和结果的数据仍然未知。在过去的20年里，男性勃起功能障碍(勃起功能障碍)的患病率一直在上升，而男性勃起功能障碍(勃起功能障碍)的患病率一直在上升。方法:我们根据PRISMA指南进行了系统的回顾，并描述了我们的病例系列。结果:我们选择了8项研究进行定性合成，其中包括10名患者的信息。在我们的病例系列中，我们展示了四位患者的信息。根据系统综述，平均进化时间为42.6小时，解决阴茎勃起所需的平均程序次数为2.4次;在我们的一系列案例中，这些值分别为42.75小时和2小时。结论:与可卡因使用相关的阴茎勃起可能导致诊断延迟，需要更多的治疗程序，预后较差。需要进行更广泛的前瞻性研究。简介:缺血性阴茎勃起是一种医疗紧急情况，如果不治疗，可能导致永久性勃起功能障碍。可卡因和阴茎勃起之间的联系是众所周知的;然而，关于患者特征、治疗和结果的数据缺乏。本文旨在回答以下研究问题:服用可卡因并伴有阴茎勃起的患者的特点、管理策略和勃起预后是什么?方法:我们根据PRISMA指南和描述我们的案例系列进行了系统的审查。结果:选择8项研究进行定性综合，提供10例患者的信息。在我们的病例系列中，我们展示了4名患者的信息。从系统审查来看，平均提交时间为42.6小时，解决阴茎勃起问题的平均程序数为2.4小时;= =地理= =根据美国人口普查局的数据，这个城镇的总面积，其中土地和(1.)水。结论:可卡因相关阴茎勃起功能障碍的诊断可能延迟，需要更多的程序管理，预后较差。需要更多的广泛和未来的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.