Scopus
YÖKSİS Eşleşti
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 · Şubat 2024
YÖKSİS Kayıtları
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 · 2022 SCI-Expanded
DOÇENT MURAT GÜL →
Makale Bilgileri
DergiInternational Journal of Impotence Research
Yayın TarihiŞubat 2024
Cilt / Sayfa36 · 36-49
Scopus ID2-s2.0-85138743216
Özet
Surgical treatments for ischemic priapism (IP) include shunts or penile implants. Non-ischemic priapism (NIP) is usually the result of penile/perineal trauma causing an arterial fistula and embolisation may be required. We conducted a systematic review on behalf of the EAU Sexual and Reproductive health Guidelines panel to analyse the available evidence on efficacy and safety of surgical modalities for IP and NIP. Outcomes were priapism resolution, sexual function and adverse events following surgery. Overall, 63 studies (n = 923) met inclusion criteria up to September 2021. For IP (n = 702), surgery comprised distal (n = 274), proximal shunts (n = 209) and penile prostheses (n = 194). Resolution occurred in 18.7-100% for distal, 5.7–100% for proximal shunts and 100% for penile prostheses. Potency rate was 20–100% for distal, 11.1–77.2% for proximal shunts, and 26.3–100% for penile prostheses, respectively. Patient satisfaction was 60–100% following penile prostheses implantation. Complications were 0–42.5% for shunts and 0–13.6% for IPP. For NIP (n = 221), embolisation success was 85.7–100% and potency 80–100%. The majority of studies were retrospective cohort studies. Risk of bias was high. Overall, surgical shunts have acceptable success rates in IP. Proximal/venous shunts should be abandoned due to morbidity/ED rates. In IP > 48 h, best outcomes are seen with penile prostheses implantation. Embolisation is the mainstay technique for NIP with high resolution rates and adequate erectile function.
Yazarlar (24)
1
Uros Milenkovic
2
Andrea Cocci
ORCID: 0000-0003-0138-6294
3
R. Veeratterapillay
4
Konstantinos Dimitropoulos
5
Luca Boeri
ORCID: 0000-0003-0040-784X
6
Paolo Capogrosso
ORCID: 0000-0003-2347-9504
7
Nusret Can Cilesiz
ORCID: 0000-0003-2115-698X
8
Murat Gul
ORCID: 0000-0002-6657-6227
9
Georgios Hatzichristodoulou
ORCID: 0000-0002-3170-7362
10
Vaibhav Modgil
11
Giorgio Ivan Russo
ORCID: 0000-0003-4687-7353
12
Tharu Tharakan
13
M. I. Omar
ORCID: 0000-0002-1597-3126
14
Carlo Bettocchi
ORCID: 0000-0002-1152-3005
15
Joana Carvalho
ORCID: 0000-0003-2362-0010
16
Y. Yuhong
17
Giovanni Corona
ORCID: 0000-0002-9894-2885
18
H. Jones
19
Ates Kadioglu
ORCID: 0000-0002-4239-7638
20
J. I. Martinez-Salamanca
21
Paolo Verze
22
Ege Can Şerefoǧlu
23
Suks Minhas
24
Andrea Salonia
Kurumlar
Aberdeen Royal Infirmary
Aberdeen United Kingdom
Bahceci Health Group
Istanbul Turkey
Barnsley Hospital
Barnsley United Kingdom
Charing Cross Hospital
London United Kingdom
Copenhagen University Hospital
Copenhagen Denmark
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan Italy
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda Spain
Imperial College London
London United Kingdom
IRCCS Ospedale San Raffaele
Milan Italy
Istanbul Taksim GOP Training and Research Hospital
Istanbul Turkey
İstanbul Tıp Fakültesi
Istanbul Turkey
Krankenhaus Martha-Maria Nürnberg
Nurnberg Germany
KU Leuven– University Hospital Leuven
Leuven Belgium
Lusófona University
Lisbon Portugal
Manchester Royal Infirmary
Manchester United Kingdom
McMaster University
Hamilton Canada
Newcastle University
Newcastle United Kingdom
Ospedale Bellaria
Bologna Italy
Università degli Studi dell'Insubria
Varese Italy
Università degli Studi di Catania
Catania Italy
Università degli Studi di Firenze
Florence Italy
Università degli Studi di Foggia
Foggia Italy
Università degli Studi di Napoli Federico II
Naples Italy
Università Vita-Salute San Raffaele
Milan Italy
University of Aberdeen
Aberdeen United Kingdom
Metrikler
14
Atıf
24
Yazar