Current opinions on the management of prolonged ischemic priapism: does penoscrotal decompression outperform corporoglanular tunneling?
Prolonged ischemic priapism presents a treatment challenge given the difficulty in achieving detumescence and effects on sexual function. To evaluate current practice patterns, an open, web-based multi-institutional survey querying surgeons’ experience with and perceived efficacy of tunneling maneuv...
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| Veröffentlicht in: | International journal of impotence research 2024-02, Vol.36 (1), p.62-67 |
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| creator | VanDyke, Maia E. Smith, Wesley J. Holland, Levi C. Langford, Brian T. Joshi, Eshan G. Dropkin, Benjamin M. Breyer, Benjamin N. Yafi, Faysal A. Johnsen, Niels V. Barham, David W. Joice, Gregory A. Fode, Mikkel Franzen, Bryce P. Hudak, Steven J. Morey, Allen F. |
| description | Prolonged ischemic priapism presents a treatment challenge given the difficulty in achieving detumescence and effects on sexual function. To evaluate current practice patterns, an open, web-based multi-institutional survey querying surgeons’ experience with and perceived efficacy of tunneling maneuvers (corporoglanular tunneling and penoscrotal decompression), as well as impressions of erectile recovery, was administered to members of societies specializing in male genital surgery. Following distribution, 141 responses were received. Tunneling procedures were the favored first-line surgical intervention in the prolonged setting (99/139, 71.2% tunneling vs. 14/139, 10.1% implant,
p
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| doi_str_mv | 10.1038/s41443-023-00808-z |
| format | Article |
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p
< .001). Although respondents were more likely to have performed corporoglanular tunneling than penoscrotal decompression (124/138, 89.9% vs. 86/137, 62.8%,
p
< .001), penoscrotal decompression was perceived as more effective among those who had performed both (47.3% Very or Extremely Effective for penoscrotal decompression vs. 18.7% for corporoglanular tunneling;
p
< .001). Many respondents who had performed both tunneling procedures felt that most regained meaningful sexual function after either corporoglanular tunneling or penoscrotal decompression (33/75, 44.0% vs. 33/74, 44.6%,
p
= .942). While further patient-centered investigation is warranted, this study suggests that penoscrotal decompression may outperform corporoglanular tunneling for prolonged priapism, and that recovery of sexual function may be higher than previously thought after tunneling procedures.</description><identifier>ISSN: 0955-9930</identifier><identifier>EISSN: 1476-5489</identifier><identifier>DOI: 10.1038/s41443-023-00808-z</identifier><identifier>PMID: 38114594</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/499 ; 692/699/2768/1575 ; Decompression ; Erectile dysfunction ; Genital diseases ; Humans ; Ischemia ; Male ; Medicine ; Medicine & Public Health ; Penile Erection - physiology ; Penis ; Penis - surgery ; Priapism - surgery ; Reproductive Medicine ; rology ; Surgical outcomes ; Surgical techniques ; Surveys and Questionnaires ; Urological surgery ; Urology</subject><ispartof>International journal of impotence research, 2024-02, Vol.36 (1), p.62-67</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Nature Limited.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e3dbfb1d304419693253abda637761d565b5bec56fc01ca0d07c0d31d6c637353</citedby><cites>FETCH-LOGICAL-c375t-e3dbfb1d304419693253abda637761d565b5bec56fc01ca0d07c0d31d6c637353</cites><orcidid>0000-0002-8963-4581 ; 0000-0003-1778-7359</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41443-023-00808-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41443-023-00808-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38114594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VanDyke, Maia E.</creatorcontrib><creatorcontrib>Smith, Wesley J.</creatorcontrib><creatorcontrib>Holland, Levi C.</creatorcontrib><creatorcontrib>Langford, Brian T.</creatorcontrib><creatorcontrib>Joshi, Eshan G.</creatorcontrib><creatorcontrib>Dropkin, Benjamin M.</creatorcontrib><creatorcontrib>Breyer, Benjamin N.</creatorcontrib><creatorcontrib>Yafi, Faysal A.</creatorcontrib><creatorcontrib>Johnsen, Niels V.</creatorcontrib><creatorcontrib>Barham, David W.</creatorcontrib><creatorcontrib>Joice, Gregory A.</creatorcontrib><creatorcontrib>Fode, Mikkel</creatorcontrib><creatorcontrib>Franzen, Bryce P.</creatorcontrib><creatorcontrib>Hudak, Steven J.</creatorcontrib><creatorcontrib>Morey, Allen F.</creatorcontrib><title>Current opinions on the management of prolonged ischemic priapism: does penoscrotal decompression outperform corporoglanular tunneling?</title><title>International journal of impotence research</title><addtitle>Int J Impot Res</addtitle><addtitle>Int J Impot Res</addtitle><description>Prolonged ischemic priapism presents a treatment challenge given the difficulty in achieving detumescence and effects on sexual function. To evaluate current practice patterns, an open, web-based multi-institutional survey querying surgeons’ experience with and perceived efficacy of tunneling maneuvers (corporoglanular tunneling and penoscrotal decompression), as well as impressions of erectile recovery, was administered to members of societies specializing in male genital surgery. Following distribution, 141 responses were received. Tunneling procedures were the favored first-line surgical intervention in the prolonged setting (99/139, 71.2% tunneling vs. 14/139, 10.1% implant,
p
< .001). Although respondents were more likely to have performed corporoglanular tunneling than penoscrotal decompression (124/138, 89.9% vs. 86/137, 62.8%,
p
< .001), penoscrotal decompression was perceived as more effective among those who had performed both (47.3% Very or Extremely Effective for penoscrotal decompression vs. 18.7% for corporoglanular tunneling;
p
< .001). Many respondents who had performed both tunneling procedures felt that most regained meaningful sexual function after either corporoglanular tunneling or penoscrotal decompression (33/75, 44.0% vs. 33/74, 44.6%,
p
= .942). 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To evaluate current practice patterns, an open, web-based multi-institutional survey querying surgeons’ experience with and perceived efficacy of tunneling maneuvers (corporoglanular tunneling and penoscrotal decompression), as well as impressions of erectile recovery, was administered to members of societies specializing in male genital surgery. Following distribution, 141 responses were received. Tunneling procedures were the favored first-line surgical intervention in the prolonged setting (99/139, 71.2% tunneling vs. 14/139, 10.1% implant,
p
< .001). Although respondents were more likely to have performed corporoglanular tunneling than penoscrotal decompression (124/138, 89.9% vs. 86/137, 62.8%,
p
< .001), penoscrotal decompression was perceived as more effective among those who had performed both (47.3% Very or Extremely Effective for penoscrotal decompression vs. 18.7% for corporoglanular tunneling;
p
< .001). Many respondents who had performed both tunneling procedures felt that most regained meaningful sexual function after either corporoglanular tunneling or penoscrotal decompression (33/75, 44.0% vs. 33/74, 44.6%,
p
= .942). While further patient-centered investigation is warranted, this study suggests that penoscrotal decompression may outperform corporoglanular tunneling for prolonged priapism, and that recovery of sexual function may be higher than previously thought after tunneling procedures.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>38114594</pmid><doi>10.1038/s41443-023-00808-z</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8963-4581</orcidid><orcidid>https://orcid.org/0000-0003-1778-7359</orcidid></addata></record> |
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| ispartof | International journal of impotence research, 2024-02, Vol.36 (1), p.62-67 |
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| source | MEDLINE; Springer Journals |
| subjects | 692/499 692/699/2768/1575 Decompression Erectile dysfunction Genital diseases Humans Ischemia Male Medicine Medicine & Public Health Penile Erection - physiology Penis Penis - surgery Priapism - surgery Reproductive Medicine rology Surgical outcomes Surgical techniques Surveys and Questionnaires Urological surgery Urology |
| title | Current opinions on the management of prolonged ischemic priapism: does penoscrotal decompression outperform corporoglanular tunneling? |
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