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Study | Age (y) | Type of priapism | Duration of priapism | ICU admission | Drug history | Medical history/comorbidities | Treatment of priapism | Follow-up/outcome | Purported priapism risk factors |
|
Lam et al., 2020 [6] | 67 | Ischemic | Unknown duration | N/A | Warfarin | Dilated cardiomyopathy of unknown etiology, left bundle branch block, cutaneous scleroderma, paroxysmal atrial fibrillation, DM type 2, and iron deficiency anemia | Conservative | Died due to clinical deterioration | Minor trauma |
Warfarin |
Silverman et al., 2021 [7] | 69 | Ischemic | Unknown duration (>3 hours) | Yes | N/A | Obesity | Intracavernosal phenylephrine injection | Achieved detumescence, but eventually died due to clinical deterioration | Propofol |
Lamamri et al., 2021 [8] | 62 | Ischemic | Unknown duration (>4 hours) | Yes | None | Left inguinal surgery and appendectomy | Intracavernosal ethylephrine injection | Achieved detumescence and was discharged to ward | None |
Addar et al., 2021 [9] | 62 | Ischemic | 10 days | Yes | N/A | HTN and dyslipidemia | Intracavernosal phenylephrine injection | Achieved detumescence and was discharged home | None |
Carreño et al., 2021 [10] | 39 | Ischemic | 3 days | Yes | None | Overweight | Intracavernosal adrenaline injection | Failed to achieve detumescence and eventually died due to clinical deterioration | Propofol |
Grimberg et al., 2021 [11] | 45 | Stuttering ischemic priapism | Unknown duration (>4 hours) | N/A | N/A | HTN and benign prostatic hyperplasia | Intracavernosal phenylephrine injection | Achieved detumescence, but had recurrence 8 h later and was managed with another intracavernosal phenylephrine injection. He achieved detumescence eventually with no recurrence afterward. He was discharged home | None |
Larrarte-arenas et al., 2021 [12] | 65 | Ischemic | 30 hours | No | Nifedipine, prazosin, calcitriol, subcutaneous erythropoietin, and unfractionated heparin | Chronic kidney disease on hemodialysis, HTN, secondary hyperparathyroidism, and anemia | Intracavernosal epinephrine injection | Achieved detumescence | Renal replacement therapy |
Prazosin |
Giuliano et al., 2021 [13] | 34 | Ischemic | 36 hours | No | None | None | Initially, intracavernosal phenylephrine injection (failed to achieve detumescence). Then, a bilateral T-shunt procedure was performed. | The bilateral T-shunt helped to achieve detumescence, and the patient was discharged home. However, it was complicated by complete erectile dysfunction after 3 months of follow-up | None |
Our case | 66 | Ischemic priapism progressed to penile gangrene | 3 days | Yes | Amlodipine, insulin NovoMix, hydralazine, warfarin, risperidone, and mirtazapine | DM type 2, HTN, ischemic cardiomyopathy, chronic kidney disease, atrial fibrillation, cerebrovascular accident, and depression | Partial penectomy | The patient improved and eventually was discharged home | Warfarin |
Antidepressant/antipsychotic |
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