1. Current opinions on the management of prolonged ischemic priapism: does penoscrotal decompression outperform corporoglanular tunneling?
- Author
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VanDyke, Maia E, Smith, Wesley J, Holland, Levi C, Langford, Brian T, Joshi, Eshan G, Dropkin, Benjamin M, Breyer, Benjamin N, Yafi, Faysal A, Johnsen, Niels V, Barham, David W, Joice, Gregory A, Fode, Mikkel, Franzen, Bryce P, Hudak, Steven J, and Morey, Allen F
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Clinical Research ,Humans ,Male ,Priapism ,Penis ,Penile Erection ,Surveys and Questionnaires ,Decompression ,Psychology ,Obstetrics & Reproductive Medicine ,Clinical sciences ,Clinical and health psychology - Abstract
Prolonged ischemic priapism presents a treatment challenge given the difficulty in achieving detumescence and effects on sexual function. To evaluate current practice patterns, an open, web-based multi-institutional survey querying surgeons' experience with and perceived efficacy of tunneling maneuvers (corporoglanular tunneling and penoscrotal decompression), as well as impressions of erectile recovery, was administered to members of societies specializing in male genital surgery. Following distribution, 141 responses were received. Tunneling procedures were the favored first-line surgical intervention in the prolonged setting (99/139, 71.2% tunneling vs. 14/139, 10.1% implant, p
- Published
- 2024