Portal de investigación
High-flow Priapism in Pediatric Population: Case Series and Review of the Literature.
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Sarrió-Sanz P
- Martínez-Cayuelas L
- López-López AI
- Sánchez-Caballero L
- Nakdali-Kassab B
- Gómez-Garberí M
- Pacheco-Bru JJ
- Perez-Seoane-Ballester H
- Pérez-Tomás C
- Gómez-Pérez L
- Ortiz-Gorraiz MA
Abstract
INTRODUCTION: Priapism is a prolonged erection that lasts longer than four hours. It is a rare pathology in the pediatric population, with an estimation of 0.3-1.5 per 100,000 children per year. The diagnostic sequence includes clinical history, physical examination and penile Doppler ultrasound (PDUS). Puncture of corpora cavernosa is not always necessary to establish the differential diagnosis between high-flow and low-flow priapism. The treatment of choice in pediatric age is not well defined. PATIENTS AND METHODS: Multicentric, retrospective and descriptive study including patients under 14 years with high-flow priapism between 2010 and 2020. 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 the proper diagnosis and management is crucial. Currently, penile doppler ultrasound is enough for diagnosis in most cases and allows obviating the use of blood gas analysis. Children should be initially treated with a conservative management, reserving embolization for refractory cases.
Datos de la publicación
- ISSN/ISSNe:
- 2173-5786, 2173-5786
- Tipo:
- Article
- Páginas:
- -
Actas Urologicas Espanolas
Documentos
- No hay documentos
Filiaciones
Keywords
- Conservative management; High-flow priapism; Manejo conservador; Pediatric population; Población pediátrica; Priapismo alto flujo
Proyectos asociados
ESTUDIO ALEATORIZADO Y ABIERTO DE 24 SEMANAS PARA EVALUAR LA SEGURIDAD Y LA EFICACIA DE FESOTERODINA EN SUJETOS DE 6 A 17 AÑOS CON SÍNTOMAS DE HIPERACTIVIDAD DEL DETRUSOR ASOCIADA CON UN TRASTORNO NEUROLÓGICO (HIPERACTIVIDAD NEURÓGENA DEL DETRUSOR).
Investigador Principal: JOSÉ ANTONIO MARCH VILLALBA
A0221047 . 2017
PROTOCOLO UMBRELLA SIOP-RTSG 2016 – INVESTIGACIÓN INTEGRADA Y GUÍAS PARA DIAGNÓSTICO Y TERAPIA ESTANDARIZADOS DE TUMORES DE RIÑÓN EN NIÑOS, ADOLESCENTES Y ADULTOS JÓVENES.
Investigador Principal: JULIA BALAGUER GUILL
DRKS00011208 . 2019
MANEJO INICIAL DE LA DILATACIÓN PIELOCALICIAL DE DIAGNÓSTICO PRENATAL.
Investigador Principal: MARIA PEREZ CHAMORRO
UNE-AMO-2019-01 . 2020
Cita
Sarrió P,Martínez L,March JA,López AI,Rodríguez L,Sánchez L,Polo A,Nakdali B,Conca MA,Gómez M,Pacheco JJ,Perez H,Pérez C,Gómez L,Ortiz MA,Serrano A. High-flow Priapism in Pediatric Population: Case Series and Review of the Literature. Actas Urol Esp (Engl Ed).