Cocaine-related ischemic priapism. Systematic review and presentation of a single center series

Actas urologicas espanolas Pub Date : 2024-05-01 DOI:10.1016/j.acuroe.2024.02.007

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

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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 h, and the mean number of procedures to solve priapism was 2,4; in our case series was 42.75 h 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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与可卡因相关的缺血性前列腺增生症。

简介缺血性勃起功能障碍是一种医学急症，如果不加以治疗，可能会导致永久性勃起功能障碍。可卡因与勃起功能障碍之间的关系众所周知，但有关患者特征、治疗和结果的数据却十分缺乏。这项研究旨在回答以下问题吸食可卡因并出现勃起功能障碍的患者有哪些特征、治疗策略和勃起功能预后？我们根据PRISMA指南进行了系统性综述，并描述了我们的病例系列：结果：我们选择了八项研究进行定性综述，这些研究提供了十名患者的信息。在我们的病例系列中，我们展示了四名患者的信息。从系统综述来看，患者的平均就诊时间为 42.6 小时，解决前列腺增生症的平均手术次数为 2 次和 4 次；而在我们的病例系列中，患者的平均就诊时间和手术次数分别为 42.75 小时和 2 次：结论：可卡因相关性前列腺增生症可能会延迟诊断，需要更多的手术治疗，预后较差。需要进行更广泛的前瞻性研究。

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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Actas urologicas espanolas

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