High-flow Priapism in Pediatric Population: Case Series and Review of the Literature
Por:
Sarrio-Sanz, P, Martinez-Cayuelas, L, March-Villalba, J, Lopez-Lopez, A, Rodriguez-Caraballo, L, Sanchez-Caballero, L, Polo-Rodrigo, A, Nakdali-Kassab, B, Conca-Baenas, M, Gomez-Garberi, M, Pacheco-Bru, J, Perez-Seoane-Ballester, H, Perez-Tomas, C, Gomez-Perez, L, Ortiz-Gorraiz, M and Serrano-Durba, A
Publicada:
1 nov 2021
Ahead of Print:
1 nov 2021
Categoría:
Urology
Resumen:
Introduction: Priapism is a prolonged erection that lasts longer than four hours. It is a rarepathology in the pediatric population, with an estimation of 0.3-1.5 per 100,000 children peryear. The diagnostic sequence includes clinical history, physical examination and penile Dopplerultrasound (PDUS). Puncture of corpora cavernosa is not always necessary to establish thedifferential diagnosis between high-flow and low-flow priapism. The treatment of choice inpediatric age is not well defined.
Patients and methods: Multicentric, retrospective and descriptive study including patientsunder 14 years with high-flow priapism between 2010 and 2020. Literature review.
Results: A total of seven patients were diagnosed with high-flow priapism. None of them required puncture of the corpora cavernosa. Patients were treated with a conservative management, two patients required superselective arterial embolization due to persistent symptoms.
Conclusions: High-flow priapism is a very rare entity in pediatric age; therefore, knowing theproper diagnosis and management is crucial. Currently, penile doppler ultrasound is enough fordiagnosis in most cases and allows obviating the use of blood gas analysis. Children should beinitially treated with a conservative management, reserving embolization for refractory cases. (c) 2021 AEU. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
Hosp Univ & Politecn la Fe Valencia, Secc Urol Pediat, Valencia, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
March-Villalba, J:
Hosp Univ & Politecn la Fe Valencia, Secc Urol Pediat, Valencia, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
Rodriguez-Caraballo, L:
Hosp Univ & Politecn la Fe Valencia, Secc Urol Pediat, Valencia, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
Polo-Rodrigo, A:
Hosp Univ & Politecn la Fe Valencia, Secc Urol Pediat, Valencia, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
Conca-Baenas, M:
Hosp Univ & Politecn la Fe Valencia, Secc Urol Pediat, Valencia, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
:
Hosp Univ San Juan de Alicante, Serv Urol, Alicante, Spain
Serrano-Durba, A:
Hosp Univ & Politecn la Fe Valencia, Secc Urol Pediat, Valencia, Spain
|