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

Autor:	Kalkanli A; Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey., Sönmez SZ; Department of Urology, Bağcılar Education and Research Hospital, Istanbul, Turkey., Guvel M; Istanbul Provincial Health Directorate, Istanbul, Turkey., Aglamis E; Department of Urology, Elazığ City Hospital, Elazığ, Turkey., Araz S; Department of Urology, Esenyurt Necmi Kadıoğlu State Hospital, Istanbul, Turkey., Asfuroglu A; Department of Urology, Ankara City Hospital, Ankara, Turkey., Avci HK; Department of Urology, Ankara Gülhane Training and Research Hospital, Ankara, Turkey., Aydin M; Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey., Aydos M; Department of Urology, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey., Balci U; Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey., Baran C; Department of Urology, Okmeydanı Education and Research Hospital, Istanbul, Turkey., Bastug Y; Department of Urology, Haydarpaşa Education and Research Hospital, Istanbul, Turkey., Baydilli N; Department of Urology, Erciyes University, School of Medicine, Kayseri, Turkey., Bayrak O; Department of Urology, Gaziantep University, School of Medicine, Gaziantep, Turkey., Benlioglu C; Department of Urology, Adıyaman University, School of Medicine, Adiyaman, Turkey., Bozkurt IH; Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey., Bursali K; Department of Urology, Şişli Etfal Training and Research Hospital, Istanbul, Turkey., Can U; Department of Urology, Kartal Dr Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey., Coser S; Department of Urology, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey., Cakici MC; Department of Urology, Göztepe Medeniyet University, School of Medicine, Istanbul, Turkey., Calik G; Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey., Cift A; Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey., Cilesiz NC; Department of Urology, Biruni University, School of Medicine, Istanbul, Turkey., Demir DO; Department of Urology, Karabük University, School of Medicine, Karabuk, Turkey., Demir M; Department of Urology, Van YY University, School of Medicine, Van, Turkey., Demirel HC; Department of Urology, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey., Dursun M; Başkent Üniversitesi Konya Araştırma ve Uygulama Merkezi, Anesteziyoloji ve Reanimasyon Kliniği, Konya., Demirelli E; Department of Urology, Giresun University, School of Medicine, Giresun, Turkey., Ekenci BY; Department of Urology, Dışkapı Training and Research Hospital, Ankara, Turkey., Eksi M; Department of Urology, Sadi Konuk Training and Research Hospital, Istanbul, Turkey., Ergin G; Department of Urology, Koru Hospital, Ankara, Turkey., Ergin IE; Department of Urology, Cumhuriyet University, School of Medicine, Sivas, Turkey., Erkan A; Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey., Fikri O; Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey., Gezmis CT; Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey., Gül A; Department of Urology, Bursa Education and Research hospital, Bursa, Turkey., Guzelsoy M; Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey., Ibis MA; Department of Urology, Keçiören Training and Research Hospital, Ankara, Turkey., Inkaya A; Department of Urology, Ümraniye Training and Research Hospital, Istanbul, Turkey., Ipekci T; Department of Urology, Bahceşehir University, School of Medicine, Istanbul, Turkey., Karakeci A; Department of Urology, Fırat University, School of Medicine, Elazığ, Turkey., Karkin K; Department of Urology, Adana City Hospital, Adana, Turkey., Kaya C; Department of Urology, Eskişehir City Hospital, Eskişehir, Turkey., Kazan O; Department of Urology, Kocaeli State Hospital, Kocaeli, Turkey., Kirdag MK; Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey., Kizilcay YC; Department of Urology, Balıkesir University, School of Medicine, Balıkesir, Turkey., Koseoglu B; Department of Urology, Ankara City Hospital, Ankara, Turkey., Kucuk E; Department of Urology, Akçakale State Hospital, Şanlıurfa, Turkey., Gonultas S; Department of Urology,Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey., Ogras MS; Department of Urology, Elazığ City Hospital, Elazığ, Turkey., Olgun A; Department of Urology, Elazığ City Hospital, Elazığ, Turkey., Ordek E; Department of Urology, Gazi University, School of Medicine, Ankara, Turkey., Ozbey I; Department of Urology, Kahta State Hospital, Adıyaman, Turkey., Sarier M; Department of Urology, Atatürk University, School of Medicine, Erzurum, Turkey., Senel S; Department of Urology, Ankara City Hospital, Ankara, Turkey., Tahra A; Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey., Toprak T; Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey., Yalcin MY; Department of Urology, University of Health Sciences, İzmir Tepecik Training and Research Hospital, İzmir, Turkey., Yavuzsan AH; Department of Urology, Kartal Dr Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey., Yazar S; Department of Urology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey., Hacıbey İ; Department of Urology, Rize Training and Research Hospital, Rize, Turkey., Yildirim K; Department of Urology, Medical Park Hospital, Elazığ, Turkey., Yilmaz K; Department of Urology, Malatya Training and Research Hospital, Malatya, Turkey., Yilmaz S; Department of Urology, Gülhane Training and Research Hospital, Ankara, Turkey., Yoldas M; Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey., Yuce A; Department of Urology, Darende State Hospital, Malatya, Turkey., Yucel MO; Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey., Yuceturk CN; Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey., de la Rosette J; Department of Urology, Medipol Mega University Hospital, İstanbul Medipol University. Istanbul, Turkey., Kadioglu A; Department of Urology, Section of Andrology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey On Behalf of Turkish Urology Academy.
Jazyk:	angličtina
Zdroj:	Urology research & practice [Urol Res Pract] 2023 Jul; Vol. 49 (4), pp. 225-232.
DOI:	10.5152/tud.2023.22209
Abstrakt:	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.
Databáze:	MEDLINE
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