Management of Low-Flow Priapism Using the Winter Procedure: A Case Report
Priapism is a prolonged penile erection that is unrelated to sexual stimulation. Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment...
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| Veröffentlicht in: | The Kaohsiung Journal of Medical Sciences 2003-02, Vol.19 (2), p.88-92 |
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| container_title | The Kaohsiung Journal of Medical Sciences |
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| creator | 陳重欽(Chung-Chin Chen) 王起杰(Chii-Jye Wang) 陳啟文(Chi-Wen Chen) 李永進(Yung-Chin Lee) 周以和(Yii-Her Chou) 黃俊雄(Chun-Hsiung Huang) |
| description | Priapism is a prolonged penile erection that is unrelated to sexual stimulation. Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment of idiopathic low-flow priapism using the Winter procedure. Initial treatment consisted of aspiration and intracavernous irrigation with iced saline and a vasoconstrictive agent, but in vain. We then performed the Winter procedure, in which fistulas between the corpora cavernosa and the glans penis were created. This resulted in the simultaneous detumescence of the penis, without complication. The erectile function of the penis was normal 1 year after the procedure. This case shows that idiopathic low-flow priapism can be successfully treated using the Winter procedure when conservative treatment fails. |
| doi_str_mv | 10.6452/KJMS.200302.0088 |
| format | Article |
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Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment of idiopathic low-flow priapism using the Winter procedure. Initial treatment consisted of aspiration and intracavernous irrigation with iced saline and a vasoconstrictive agent, but in vain. We then performed the Winter procedure, in which fistulas between the corpora cavernosa and the glans penis were created. This resulted in the simultaneous detumescence of the penis, without complication. The erectile function of the penis was normal 1 year after the procedure. This case shows that idiopathic low-flow priapism can be successfully treated using the Winter procedure when conservative treatment fails.</description><identifier>ISSN: 1607-551X</identifier><identifier>DOI: 10.6452/KJMS.200302.0088</identifier><identifier>PMID: 12751604</identifier><language>eng</language><publisher>China (Republic : 1949- ): 高雄醫學大學</publisher><subject>Humans ; Male ; Middle Aged ; Penis - blood supply ; Penis - surgery ; Priapism - surgery</subject><ispartof>The Kaohsiung Journal of Medical Sciences, 2003-02, Vol.19 (2), p.88-92</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12751604$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>陳重欽(Chung-Chin Chen)</creatorcontrib><creatorcontrib>王起杰(Chii-Jye Wang)</creatorcontrib><creatorcontrib>陳啟文(Chi-Wen Chen)</creatorcontrib><creatorcontrib>李永進(Yung-Chin Lee)</creatorcontrib><creatorcontrib>周以和(Yii-Her Chou)</creatorcontrib><creatorcontrib>黃俊雄(Chun-Hsiung Huang)</creatorcontrib><title>Management of Low-Flow Priapism Using the Winter Procedure: A Case Report</title><title>The Kaohsiung Journal of Medical Sciences</title><addtitle>Kaohsiung J Med Sci</addtitle><description>Priapism is a prolonged penile erection that is unrelated to sexual stimulation. Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment of idiopathic low-flow priapism using the Winter procedure. Initial treatment consisted of aspiration and intracavernous irrigation with iced saline and a vasoconstrictive agent, but in vain. We then performed the Winter procedure, in which fistulas between the corpora cavernosa and the glans penis were created. This resulted in the simultaneous detumescence of the penis, without complication. The erectile function of the penis was normal 1 year after the procedure. This case shows that idiopathic low-flow priapism can be successfully treated using the Winter procedure when conservative treatment fails.</description><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Penis - blood supply</subject><subject>Penis - surgery</subject><subject>Priapism - surgery</subject><issn>1607-551X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kD1PwzAQhj2AaCnsTMgTW4o_4thmqyoKhVYgKILNuiROcZUv7EQV_55ILdNJ9zx6dfcidEXJNIkFu31-Wr9PGSGcsCkhSp2gMU2IjISgXyN0HsKOkDjRWp6hEWVSDDAeo-UaatjaytYdbgq8avbRomz2-NU7aF2o8Edw9RZ33xZ_urqzfiBNZvPe2zs8w3MIFr_ZtvHdBTotoAz28jgnaLO438wfo9XLw3I-W0WgVRxxyjOWF4oRYEynBHLJVMbEsIU4lVboWKrYCl5IRYsMcp0roGnOGOiEFJRP0M0htvXNT29DZyoXMluWUNumD0ZyTijlahCvj2KfVjY3rXcV-F_z__sg8IMAzrvOmV3T-3q43BAmpEiEMIc2DdWGGaWMZgb4H0BvaAM</recordid><startdate>20030201</startdate><enddate>20030201</enddate><creator>陳重欽(Chung-Chin Chen)</creator><creator>王起杰(Chii-Jye Wang)</creator><creator>陳啟文(Chi-Wen Chen)</creator><creator>李永進(Yung-Chin Lee)</creator><creator>周以和(Yii-Her Chou)</creator><creator>黃俊雄(Chun-Hsiung Huang)</creator><general>高雄醫學大學</general><scope>188</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20030201</creationdate><title>Management of Low-Flow Priapism Using the Winter Procedure: A Case Report</title><author>陳重欽(Chung-Chin Chen) ; 王起杰(Chii-Jye Wang) ; 陳啟文(Chi-Wen Chen) ; 李永進(Yung-Chin Lee) ; 周以和(Yii-Her Chou) ; 黃俊雄(Chun-Hsiung Huang)</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a984-313c2df820a229b0ad728c253c2a4b7e594784e53f781fcad9d8a1bd22a960f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Penis - blood supply</topic><topic>Penis - surgery</topic><topic>Priapism - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>陳重欽(Chung-Chin Chen)</creatorcontrib><creatorcontrib>王起杰(Chii-Jye Wang)</creatorcontrib><creatorcontrib>陳啟文(Chi-Wen Chen)</creatorcontrib><creatorcontrib>李永進(Yung-Chin Lee)</creatorcontrib><creatorcontrib>周以和(Yii-Her Chou)</creatorcontrib><creatorcontrib>黃俊雄(Chun-Hsiung Huang)</creatorcontrib><collection>Airiti Library</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Kaohsiung Journal of Medical Sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>陳重欽(Chung-Chin Chen)</au><au>王起杰(Chii-Jye Wang)</au><au>陳啟文(Chi-Wen Chen)</au><au>李永進(Yung-Chin Lee)</au><au>周以和(Yii-Her Chou)</au><au>黃俊雄(Chun-Hsiung Huang)</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of Low-Flow Priapism Using the Winter Procedure: A Case Report</atitle><jtitle>The Kaohsiung Journal of Medical Sciences</jtitle><addtitle>Kaohsiung J Med Sci</addtitle><date>2003-02-01</date><risdate>2003</risdate><volume>19</volume><issue>2</issue><spage>88</spage><epage>92</epage><pages>88-92</pages><issn>1607-551X</issn><abstract>Priapism is a prolonged penile erection that is unrelated to sexual stimulation. 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| source | MEDLINE; Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Humans Male Middle Aged Penis - blood supply Penis - surgery Priapism - surgery |
| title | Management of Low-Flow Priapism Using the Winter Procedure: A Case Report |
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