Ultrasound guidance for real-time management of acute ischemic priapism.

Autor: Stenberg R; Department of Emergency Medicine, Cleveland Clinic Akron General, Akron, OH, United States of America., Sun J; Department of Emergency Medicine, Cleveland Clinic Akron General, Akron, OH, United States of America., Makowski B; Department of Emergency Medicine, Cleveland Clinic Akron General, Akron, OH, United States of America., Krizo J; Department of Health Sciences, Cleveland Clinic Akron General, Akron, OH, United States of America. Electronic address: krizoj@ccf.org.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2024 May; Vol. 79, pp. 230.e3-230.e5. Date of Electronic Publication: 2024 Mar 25.
DOI: 10.1016/j.ajem.2024.03.024
Abstrakt: Ischemic priapism is a relatively uncommon genitourinary condition that, if left untreated, can lead to permanent erectile dysfunction. Detumescence should ideally be attained within the first 36 h of onset to avoid irreversible fibrosis and necessary surgery. Opportunities to practice medical management of this condition are scarce, and the risk of iatrogenic injury of vessels, nerves, and urethra can be significant if performed blind. Visualizing these structures through ultrasonography can reduce the risk of injury and aid in the confirmation of drug delivery. This novel utilization of ultrasound guidance in active treatment can help improve physician confidence and success in managing this rare and urgent condition. To our knowledge, this is the first report of point-of-care ultrasound-guided penile nerve block used to manage pain associated with priapism. We present a 44-year-old male presenting with a painful erection lasting for eight hours. Penile doppler ultrasound was performed concurrent with medical management of priapism, with successful detumescence and discharge.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: