Arif Kalkanli, Salih Zeki Sönmez, Mine Guvel, Erdogan Aglamis, Seyhmuz Araz, Ahmet Asfuroglu, Huseyin Kursad Avci, Memduh Aydin, Murat Aydos, Ugur Balci, Caner Baran, Yavuz Bastug, Numan Baydilli, Omer Bayrak, Can Benlioglu, Ibrahim Halil Bozkurt, Kerem Bursali, Utku Can, Seref Coser, Mehmet Caglar Cakici, Gokhan Calik, Ali Cift, Nusret Can Cilesiz, Demirhan Orsan Demir, Murat Demir, Huseyin Cihan Demirel, Murat Dursun, Erhan Demirelli, Berk Yasin Ekenci, Mithat Eksi, Giray Ergin, Ismail Emre Ergin, Anil Erkan, Onur Fikri, Cem Tugrul Gezmis, Abdullah Gül, Muhammet Guzelsoy, Muhammed Arif Ibis, Abdurrahman Inkaya, Tumay Ipekci, Ahmet Karakeci, Kadir Karkin, Coskun Kaya, Ozgur Kazan, Mustafa Koray Kirdag, Yigit Cagri Kizilcay, Burak Koseoglu, Emrah Kucuk, Serkan Gonultas, Mehmet Sezai Ogras, Ahmet Olgun, Eser Ordek, Isa Ozbey, Mehmet Sarier, Samet Senel, Ahmet Tahra, Tuncay Toprak, Mehmet Yigit Yalcin, Abdullah Hizir Yavuzsan, Selim Yazar, İbrahim Hacıbey, Kadir Yildirim, Kemal Yilmaz, Sercan Yilmaz, Mehmet Yoldas, Ahmet Yuce, Mehmet Ozgur Yucel, Cem Nedim Yuceturk, Jean de la Rosette, Ates Kadioglu
{"title":"Management of Priapism: Results of a Nationwide Survey and Comparison with International Guidelines.","authors":"Arif Kalkanli, Salih Zeki Sönmez, Mine Guvel, Erdogan Aglamis, Seyhmuz Araz, Ahmet Asfuroglu, Huseyin Kursad Avci, Memduh Aydin, Murat Aydos, Ugur Balci, Caner Baran, Yavuz Bastug, Numan Baydilli, Omer Bayrak, Can Benlioglu, Ibrahim Halil Bozkurt, Kerem Bursali, Utku Can, Seref Coser, Mehmet Caglar Cakici, Gokhan Calik, Ali Cift, Nusret Can Cilesiz, Demirhan Orsan Demir, Murat Demir, Huseyin Cihan Demirel, Murat Dursun, Erhan Demirelli, Berk Yasin Ekenci, Mithat Eksi, Giray Ergin, Ismail Emre Ergin, Anil Erkan, Onur Fikri, Cem Tugrul Gezmis, Abdullah Gül, Muhammet Guzelsoy, Muhammed Arif Ibis, Abdurrahman Inkaya, Tumay Ipekci, Ahmet Karakeci, Kadir Karkin, Coskun Kaya, Ozgur Kazan, Mustafa Koray Kirdag, Yigit Cagri Kizilcay, Burak Koseoglu, Emrah Kucuk, Serkan Gonultas, Mehmet Sezai Ogras, Ahmet Olgun, Eser Ordek, Isa Ozbey, Mehmet Sarier, Samet Senel, Ahmet Tahra, Tuncay Toprak, Mehmet Yigit Yalcin, Abdullah Hizir Yavuzsan, Selim Yazar, İbrahim Hacıbey, Kadir Yildirim, Kemal Yilmaz, Sercan Yilmaz, Mehmet Yoldas, Ahmet Yuce, Mehmet Ozgur Yucel, Cem Nedim Yuceturk, Jean de la Rosette, Ates Kadioglu","doi":"10.5152/tud.2023.22209","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to evaluate current urologic practice regarding the management of priapism in Turkey and compare with international guidelines.</p><p><strong>Methods: </strong>Urologists and urology residents were invited to an online survey consisting of 30 multiple-choice questions on priapism-related clinical practices that were consid- ered most important and relevant to practices by using Google Forms.</p><p><strong>Results: </strong>Total number of responses was 340. Respondents reported that they recorded a detailed patient's medical history and physical examination findings (n = 340, 100%) and laboratory testing, which includes corporal blood gas analysis (n=323, 95%). Participants announced that they performed Doppler ultrasound for 1/4 cases (n = 106, 31%), but 22% of the participants (n=75) replied that they performed in >75% of cases. Participants (n=311, 91%) responded that the first-line treatment of ischemic priapism is decompression of the corpus cavernosum. Moreover, most respondents (n = 320, 94%) stated that sympathomimetic injection drugs should be applied as the second step. About three-quarters of respondents (n = 247, 73%) indicated adrenaline as their drug of choice. Phosphodiesterase type 5 inhibitors seems to be the most pre- ferred drug for stuttering priapism (n=141, 41%). Participants (n=284, 84%) replied that corpora-glanular shunts should be preferred as the first. A large number of par- ticipants (n = 239, 70%) declared that magnetic resonance imaging can be performed in cases with delayed (>24 hours) priapism to diagnose corporal necrosis. Most of the participants (84%) responded that penile prosthesis should be preferred to shunts in cases with delayed (>48 hours) priapism.</p><p><strong>Conclusion: </strong>It would be appropriate to improve the training offered by professional associations and to give more training time to the management of priapism during residency.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 4","pages":"225-232"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544432/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology research & practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5152/tud.2023.22209","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"0","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The aim of this study is to evaluate current urologic practice regarding the management of priapism in Turkey and compare with international guidelines.
Methods: Urologists and urology residents were invited to an online survey consisting of 30 multiple-choice questions on priapism-related clinical practices that were consid- ered most important and relevant to practices by using Google Forms.
Results: Total number of responses was 340. Respondents reported that they recorded a detailed patient's medical history and physical examination findings (n = 340, 100%) and laboratory testing, which includes corporal blood gas analysis (n=323, 95%). Participants announced that they performed Doppler ultrasound for 1/4 cases (n = 106, 31%), but 22% of the participants (n=75) replied that they performed in >75% of cases. Participants (n=311, 91%) responded that the first-line treatment of ischemic priapism is decompression of the corpus cavernosum. Moreover, most respondents (n = 320, 94%) stated that sympathomimetic injection drugs should be applied as the second step. About three-quarters of respondents (n = 247, 73%) indicated adrenaline as their drug of choice. Phosphodiesterase type 5 inhibitors seems to be the most pre- ferred drug for stuttering priapism (n=141, 41%). Participants (n=284, 84%) replied that corpora-glanular shunts should be preferred as the first. A large number of par- ticipants (n = 239, 70%) declared that magnetic resonance imaging can be performed in cases with delayed (>24 hours) priapism to diagnose corporal necrosis. Most of the participants (84%) responded that penile prosthesis should be preferred to shunts in cases with delayed (>48 hours) priapism.
Conclusion: It would be appropriate to improve the training offered by professional associations and to give more training time to the management of priapism during residency.
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