ReviewAsian journal of andrology2013
Unsatisfactory outcomes of prolonged ischemic priapism without early surgical shunts: our clinical experience and a review of the literature.
Review in Asian journal of andrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Surgical and minimally invasive treatment of ischaemic and non-ischaemic priapism: a systematic review by the EAU Sexual and Reproductive Health Guidelines panel.International journal of impotence research · 2024Pooled it
- Surgical illustrative review of the treatment of ischaemic priapism.International journal of impotence research · 2026Review
- Current evidence on the management of ischaemic priapism post-shunting: a narrative review.International journal of impotence research · 2026Review
- Current opinions on the management of prolonged ischemic priapism: does penoscrotal decompression outperform corporoglanular tunneling?International journal of impotence research · 2024Article
- Erectile function outcomes following surgical treatment of ischemic priapism.Annals of medicine and surgery (2012) · 2022Article
- Priapism secondary to tamsulosin: A case report.International journal of surgery case reports · 2020Article
- Priapism caused by "Rhino 7 Platinum 3000" an over-the-counter male enhancement supplement.International journal of impotence research · 2018Review
- Role of Penile Prosthesis in Priapism: A Review.The world journal of men's health · 2018Review
- Urethral calculi with a urethral fistula: a case report and review of the literature.BMC research notes · 2017Review
- Management of priapism: an update for clinicians.Therapeutic advances in urology · 2014Review
- The effect of pentoxifylline on penile cavernosal tissues in ischemic priapism-induced rat model.International urology and nephrology · 2014Article
- Surgeries in andrology: optimization and patients' well being.Asian journal of andrology · 2013Article
- A pathophysiology-based approach to the management of early priapism.Asian journal of andrology · 2013Review
- Outcome and erectile function following treatment of priapism: An institutional experience.Urology annalsArticle
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ischemic priapism is a rare occurrence which can cause severe erectile dysfunction (ED) without timely treatment. This retrospective study reports our experience in treating prolonged ischemic priapism and proposes our further considerations. In this paper, a total of nine patients with prolonged ischemic priapism underwent one to three types of surgical shunts, including nine Winter shunts, two Al-Ghorab shunts and one Grayhack shunt. During the follow-up visit (after a mean of 21.11 months), all patients' postoperative characters were recorded, except one patient lost for death. Six postoperative patients accepted a 25-mg oral administration of sildenafil citrate. The erectile function of the patients was evaluated by their postoperative 5-item version of International Index of Erectile Function Questionnaire (IIEF-5), which were later compared with their premorbid scores. All patients had complete resolutions, and none relapsed. The resolution rate was 100%. Seven patients were resolved with Winter shunts, one with an Al-Ghorab shunt and one with a Grayhack shunt. The mean hospital stay was 8.22 days. There was only one urethral fistula, and the incidence of postoperative ED was 66.67%. Four patients with more than a 72-h duration of priapism had no response to the long-term phosphodiesterase type 5 (PDE-5) inhibitor treatment. These results suggest that surgical shunts are an efficient approach to make the penis flaccid after prolonged priapism. However, the severe ED caused by prolonged duration is irreversible, and long-term PDE-5 inhibitor treatments are ineffective. Thus, we recommend early penile prosthesis surgeries for these patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.