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ANDROLOGY - Original Article

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

Arif Kalkanli 1 , Salih Zeki Sönmez 2 , Mine Guvel 3 , Erdogan Aglamis 4 , Seyhmuz Araz 5 , Ahmet Asfuroglu 6 , Huseyin Kursad Avci 7 , Memduh Aydin 1 , Murat Aydos 8 , Ugur Balci 9 , Caner Baran 10 , Yavuz Bastug 11 , Numan Baydilli 12 , Omer Bayrak 13 , Can Benlioglu 14 , Ibrahim Halil Bozkurt 15 , Kerem Bursali 16 , Utku Can 17 , Seref Coser 18 , Mehmet Caglar Cakici 19 , Gokhan Calik 20 , Ali Cift 15 , Nusret Can Cilesiz 21 , Demirhan Orsan Demir 22 , Murat Demir 23 , Huseyin Cihan Demirel 24 , Murat Dursun 25 , Erhan Demirelli 26 , Berk Yasin Ekenci 27 , Mithat Eksi 28 , Giray Ergin 29 , Ismail Emre Ergin 30 , Anil Erkan 9 , Onur Fikri 1 , Cem Tugrul Gezmis 1 , Abdullah Gül 31 , Muhammet Guzelsoy 9 , Muhammed Arif Ibis 32 , Abdurrahman Inkaya 33 , Tumay Ipekci 34 , Ahmet Karakeci 35 , Kadir Karkin 36 , Coskun Kaya 37 , Ozgur Kazan 38 , Mustafa Koray Kirdag 39 , Yigit Cagri Kizilcay 40 , Burak Koseoglu 6 , Emrah Kucuk 41 , Serkan Gonultas 42 , Mehmet Sezai Ogras 4 , Ahmet Olgun 4 , Eser Ordek 43 , Isa Ozbey 44 , Mehmet Sarier 45 , Samet Senel 6 , Ahmet Tahra 20 , Tuncay Toprak 46 , Mehmet Yigit Yalcin 47 , Abdullah Hizir Yavuzsan 17 , Selim Yazar 48 , İbrahim Hacıbey 49 , Kadir Yildirim 50 , Kemal Yilmaz 51 , Sercan Yilmaz 52 , Mehmet Yoldas 53 , Ahmet Yuce 54 , Mehmet Ozgur Yucel 15 , Cem Nedim Yuceturk 55 , Jean de la Rosette 56 , Ates Kadioglu 57
1.

Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey

2.

Department of Urology, Bağcılar Education and Research Hospital, Istanbul, Turkey

3.

Istanbul Provincial Health Directorate, Istanbul, Turkey

4.

Department of Urology, Elazığ City Hospital, Elazığ, Turkey

5.

Department of Urology, Esenyurt Necmi Kadıoğlu State Hospital, Istanbul, Turkey

6.

Department of Urology, Ankara City Hospital, Ankara, Turkey

7.

Department of Urology, Ankara Gülhane Training and Research Hospital, Ankara, Turkey

8.

Department of Urology, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey

9.

Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey

10.

Department of Urology, Okmeydanı Education and Research Hospital, Istanbul, Turkey

11.

Department of Urology, Haydarpaşa Education and Research Hospital, Istanbul, Turkey

12.

Department of Urology, Erciyes University, School of Medicine, Kayseri, Turkey

13.

Department of Urology, Gaziantep University, School of Medicine, Gaziantep, Turkey

14.

Department of Urology, Adıyaman University, School of Medicine, Adiyaman, Turkey

15.

Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey

16.

Department of Urology, Şişli Etfal Training and Research Hospital, Istanbul, Turkey

17.

Department of Urology, Kartal Dr Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey

18.

Department of Urology, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey

19.

Department of Urology, Göztepe Medeniyet University, School of Medicine, Istanbul, Turkey

20.

Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey

21.

Department of Urology, Biruni University, School of Medicine, Istanbul, Turkey

22.

Department of Urology, Karabük University, School of Medicine, Karabuk, Turkey

23.

Department of Urology, Van YY University, School of Medicine, Van, Turkey

24.

Department of Urology, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey

25.

Başkent Üniversitesi Konya Araştırma ve Uygulama Merkezi, Anesteziyoloji ve Reanimasyon Kliniği, Konya

26.

Department of Urology, Giresun University, School of Medicine, Giresun, Turkey

27.

Department of Urology, Dışkapı Training and Research Hospital, Ankara, Turkey

28.

Department of Urology, Sadi Konuk Training and Research Hospital, Istanbul, Turkey

29.

Department of Urology, Koru Hospital, Ankara, Turkey

30.

Department of Urology, Cumhuriyet University, School of Medicine, Sivas, Turkey

31.

Department of Urology, Bursa Education and Research hospital, Bursa, Turkey

32.

Department of Urology, Keçiören Training and Research Hospital, Ankara, Turkey

33.

Department of Urology, Ümraniye Training and Research Hospital, Istanbul, Turkey

34.

Department of Urology, Bahceşehir University, School of Medicine, Istanbul, Turkey

35.

Department of Urology, Fırat University, School of Medicine, Elazığ, Turkey

36.

Department of Urology, Adana City Hospital, Adana, Turkey

37.

Department of Urology, Eskişehir City Hospital, Eskişehir, Turkey

38.

Department of Urology, Kocaeli State Hospital, Kocaeli, Turkey

39.

Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey

40.

Department of Urology, Balıkesir University, School of Medicine, Balıkesir, Turkey

41.

Department of Urology, Akçakale State Hospital, Şanlıurfa, Turkey

42.

Department of Urology,Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey

43.

Department of Urology, Gazi University, School of Medicine, Ankara, Turkey

44.

Department of Urology, Kahta State Hospital, Adıyaman, Turkey

45.

Department of Urology, Atatürk University, School of Medicine, Erzurum, Turkey

46.

Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey

47.

Department of Urology, University of Health Sciences, İzmir Tepecik Training and Research Hospital, İzmir, Turkey

48.

Department of Urology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey

49.

Department of Urology, Rize Training and Research Hospital, Rize, Turkey

50.

Department of Urology, Medical Park Hospital, Elazığ, Turkey

51.

Department of Urology, Malatya Training and Research Hospital, Malatya, Turkey

52.

Department of Urology, Gülhane Training and Research Hospital, Ankara, Turkey

53.

Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey

54.

Department of Urology, Darende State Hospital, Malatya, Turkey

55.

Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey

56.

Department of Urology, Medipol Mega University Hospital, İstanbul Medipol University. Istanbul, Turkey

57.

Department of Urology, Section of Andrology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey On Behalf of Turkish Urology Academy

Urol Res Pract 2023; 49: 225-232
DOI: 10.5152/tud.2023.22209
Keywords : Priapism, andrology, penile prosthesis
Read: 1551 Downloads: 523 Published: 01 July 2023
Volume 49, Issue 4, July 2023
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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.

Cite this article as: Kalkanli A, Zeki Sönmez S, Guvel M, et al. Management of priapism: Results of a nationwide survey and comparison with international guidelines. Urol Res Pract. 2023;49(4):225-232.

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