Evidence map›Paper›PMID 31570823›Full record

ReviewInternational journal of impotence research2020

The surgical management of ischaemic priapism.

Mark James Johnson, Sverrir Kristinsson, Oliver Ralph, Giovanni Chiriaco, David Ralph

Abstract readReview
PubMed Publisher
In one paragraph

Review in International journal of impotence research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. The assessment and aetiology of drug-induced ischaemic priapism.International journal of impotence research · 2026
    Review
  3. [Ischemic Priapism: evaluation in a third-level hospital in Mexico].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  4. [Priapism: current status and new insights].Urologie (Heidelberg, Germany) · 2026
    Article
  5. Article
  6. [Priapism].Urologie (Heidelberg, Germany) · 2024
    Review
  7. Tissue Engineering for Penile Reconstruction.Bioengineering (Basel, Switzerland) · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Review of Ischemic and Non-ischemic Priapism.Current urology reports · 2022
    Review
  12. Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Mark James JohnsonAndrology Department, University College London Hospital, London, UK.ORCID http://orcid.org/0000-0002-9023-1632
Sverrir KristinssonAndrology Department, University College London Hospital, London, UK.
Oliver RalphAndrology Department, University College London Hospital, London, UK.
Giovanni ChiriacoAndrology Department, University College London Hospital, London, UK.
David RalphAndrology Department, University College London Hospital, London, UK. david@andrology.co.uk.ORCID http://orcid.org/0000-0003-1967-5983
University College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Priapism is a urological emergency that is defined as a prolonged penile erection lasting more than 4 h, remaining despite orgasm and in the absence of sexual stimulation. Without prompt and complete detumescence, time-dependent changes occur to the smooth muscle of the corpus cavernosa that can result in permanent erectile dysfunction and penile deformity (curvature, shortening and loss of girth). The diagnosis is confirmed with a hypoxic and acidotic blood sample from the corpus cavernosa. The trapped blood inside the corpus cavernosa is aspirated and can be irrigated with 0.9% normal saline. Intracavernosal injection of a sympathomimetic agent is used to cause smooth muscle contraction if the previous measures fail. Failure or recurrence of priapism following these conservative measures is an indication for surgical management. Shunt procedures that create a connection with the corpus cavernosa and a neighbouring structure are often used first line. Multiple shunt procedures have been described and these are summarised in this article. Distal shunt procedures are the most commonly used as they are easier to perform and seem to have at least comparable detumescence and potency rates. Refractory or prolonged (>48 h) ischaemic priapism maybe an indication of immediate placement of a penile prosthesis.

Indexed as

Erectile DysfunctionHumansIschemiaMalePenile ProsthesisPenisPriapismVascular Surgical Procedures

Identifiers

PMID31570823
OpenAlexW2975150755

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.