Management of Priapism: Results of a Nationwide Survey and Comparison with International Guidelines

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dc.authoridEkenci, Berk Yasin/0000-0002-5939-4548
dc.authoriddursun, murat/0000-0001-9115-7203
dc.authoridYAZAR, Selim/0000-0002-9843-9008
dc.authoriderkan, anil/0000-0003-3130-9046
dc.authoridToprak, Tuncay/0000-0003-1348-5273
dc.authoridSenel, Samet/0000-0003-2280-4192
dc.authoridyildirim, kadir/0000-0002-5380-2707
dc.authorwosidEkenci, Berk Yasin/HKF-7767-2023
dc.authorwosiddursun, murat/C-6318-2019
dc.authorwosidYAZAR, Selim/AGZ-4299-2022
dc.authorwosiderkan, anil/HGB-9720-2022
dc.authorwosidToprak, Tuncay/AAJ-3969-2020
dc.authorwosidSenel, Samet/GRS-0514-2022
dc.authorwosidDemir, Demirhan Örsan/JEF-8836-2023
dc.contributor.authorKalkanli, Arif
dc.contributor.authorSonmez, Salih Zeki
dc.contributor.authorGuvel, Mine
dc.contributor.authorAglamis, Erdogan
dc.contributor.authorAraz, Seyhmuz
dc.contributor.authorAsfuroglu, Ahmet
dc.contributor.authorAvci, Huseyin Kursad
dc.date.accessioned2024-05-19T14:46:17Z
dc.date.available2024-05-19T14:46:17Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractObjective: 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 considered 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 preferred 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 participants (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.en_US
dc.identifier.doi10.5152/tud.2023.22209
dc.identifier.endpage+en_US
dc.identifier.issn2980-1478
dc.identifier.issue4en_US
dc.identifier.pmid37877823en_US
dc.identifier.scopus2-s2.0-85172092241en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage225en_US
dc.identifier.urihttps://doi.org10.5152/tud.2023.22209
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5488
dc.identifier.volume49en_US
dc.identifier.wosWOS:001056098400002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofUrology Research and Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectPriapismen_US
dc.subjectAndrologyen_US
dc.subjectPenile Prosthesisen_US
dc.titleManagement of Priapism: Results of a Nationwide Survey and Comparison with International Guidelinesen_US
dc.typeArticleen_US

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