Management of ischemic priapism in a 14 year old patient
Öz
Priapism can occur in all age groups, including neonatales, children and adolescents. Pediatric priapism treatment is similar to adult priapism treatment, but there are no guidelines for the management of priapism, which is not common in children. We present a pediatric low-flow priapism case who was unresponsive to conservative methods and underwent T-shunt operation. In the present case, we wanted to emphasize when distal shunt surgery, which is rarely performed in pediatric patients, is necessary and how it is managed.
Anahtar Kelimeler
Pediatric ischemic priapism, T-shunt surgery, pediatric priapism case report
Kaynakça
- 1. Broderick GA, Kadioglu A, Bivalacqua TJ, Ghanem H, Nehra A, Shamloul R. Priapism: pathogenesis, epidemiology, and management. J Sex Med 2010;7:476-500. https://doi.org/10.1111/j.1743-6109.2009.01625.x
- 2. Kulmala RV, Lehtonen TA, Tammela TL. Priapism, its incidence and seasonal distribution in Finland. Scand J Urol Nephrol 1995;29:93-96. https://doi.org/10.3109/00365599509180545
- 3. Eland IA, van der Lei J, Stricker BH, Sturkenboom MJ. Incidence of priapism in the general population. Urology 2001;57:970-972. https://doi.org/10.1016/s0090-4295(01)00941-4
- 4. Roghmann F, Becker A, Sammon JD, et al. Incidence of priapism in emergency departments in the United States. J Urol 2013;190:1275-1280. https://doi.org/10.1016/j.juro.2013.03.118
- 5. Meijer B, Bakker HHR. Management of priapism in the newborn. Urology 2003;61:224. https://doi.org/10.1016/s0090-4295(02)02101-5
- 6. Majeed S, Schor JA, Jacobson S, Jagoda A, Mahadeo R. Refractory priapism of unknown etiology in a pediatric patient. Pediatr Emerg Care 2000;16:347-351. https://doi.org/10.1097/00006565-200010000-00012
- 7. Castagnetti M, Sainati L, Giona F, Varotto S, Carli M, Rigamonti W. Conservative management of priapism secondary to leukemia. Pediatr Blood Cancer 2008;51:420-423. https://doi.org/10.1002/pbc.21628
- 8. De Jesus LE, Dekermacher S. Priapism in children: review of pathophysiology and treatment. J Pediatr (Rio J) 2009;85:194-200. https://doi.org/10.2223/JPED.1897
- 9. Montague DK, Jarow J, Broderick GA, et al. American Urological Association guideline on the management of priapism. J Urol 2003;170:1318-1324. https://doi.org/10.1097/01.ju.0000087608.07371.ca
- 10. Bastuba MD, de Tejada IS, Dinlenc CZ, Sarazen A, Krane RJ, Goldstein I. Arterial priapism: diagnosis, treatment and long-term followup. J Urol 1994;151:1231-1237. https://doi.org/10.1016/s0022-5347(17)35219-9
