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. 2021 Jul 1;92(3):e2021193. doi: 10.23750/abm.v92i3.10796

Table 2.

Treament modalites of priapism and the outcome of erectile dysfunction

patient refernce medications for priapism Aspiration and irrigation leukophresis irradiation shunt Best responded to Erectile dysfunction
10 Imatinib No Yes No No leukapheresis No
11 No Yes No No glanocorposal shunt, corporospongiosal shunt shunt N/A
12 No Yes No No Winter’s shunt Winter’s shunt No
13 No Yes Yes No No leukapheresis No
14 Yes Yes Yes No No after leukophresis and medication N/A
15 No Yes No No surgery penis shunts surgery penis shunts N/A
16 No Yes No No Winter’s shunt Winter’s shunt partial response, hydroxyurea after combined complete response Yes
17 Yes Yes No No bilateral T-shunts afte shunt Yes
18 No No No No Winter shunt Winter shunt N/A
19 No Yes No No No cavernosa aspiration, epinephrine irrigation No
20 No Yes No No No cavernosa aspiration and irrigation with epinephrine No
21 No No No No corpus cavernosa-glans shunt corpus cavernosa-glans shunt N/A
22 No Yes No No No Aspiration following intra- cavernosal injection of phenylephrine. N/A
23 No Yes No No No cavernosa aspiration and epinephrine irrigation No
24 hydroxyurea, allopurinol, Cytarabine Yes No No corporoglandular shunting corporoglandular shunting N/A
25 No Yes No No No aspiration and irrigation of the corpora cavernosa N/A
26 imitinib Yes Yes No No Failed aspiration, Leukapheresis ended in, penile prosthesis, Yes
27 allopurinol hydroxyurea Yes Yes No transglandular cavemosum- spongiosum shunt transglandular cavemosum- spongiosum shunt N/A
28 No Yes No No proximal corpora cavernosa-corpus spongiosum shunt surgical proximal corpora cavernosa-corpus spongiosum shunt No
29 No No Yes Yes No improved after 48 hr leukapheresis procedure N/A
30 No Yes No No No aspiration and irrigation with ephedrine Yes
31 hydroxyurea No Yes No No hydroxyurea ,leukopheresis 5 sessions N/A
32 hydroxyurea allopurinol No No No Winter’s shunt shunt, hydroxyurea, allopurinol failed Yes
33 oral pentazocaine, Allopurinol Hydroxyurea, busulpha n No No No No Allopurinol Hydroxyurea N/A
33 No Yes No No No cavernosa aspiration and epinephrine irrigation No
34 Yes No No No aspiration of the corpora cavernosa N/A
25 No No No No Proximal surgical shunt Proximal surgical shunt was performed Yes
36 No Yes No No No cavernosa aspiration and epinephrine N/A
37 Yes No No winter shunt Winter shunting No
37 hydroxyurea Yes No No Al-Ghorab shunt Aspiration Shunt No
37 hydroxyurea Yes No No Al-Ghorab shunt Aspiration Shunt EHS2. Grade 1 developed ED
38 hydroxyurea Yes No No Al-Ghorab shunt Aspiration Shunt No
39 No Yes No No No cavernosal aspiration, irrigation and phenylepinephrin partial response after 5 days improved N/A
40 Hydroxiurea ARA-C No Yes No No Hydroxiurea ARA-C / LeukapheresisOne session per day for 3d /LMWH N/A
41 No Yes No No No corporal aspiration N/A
42 Cyclophosphamide LMWH SC No Yes No No N/A N/A
43 No Yes No No transglanular to corpus cavernosal shunt transglanular to corpus cavernos-al shunt N/A
44 hydroxyurea No yes No transglandular cavernospongiosum shunt transglandular cavernospongiosum shunt surgical curettage of the penis.
44 NA Yes No No winter’s T shunt, N/A N/A
44 NA Yes No No No N/A N/A
45 NA Yes No No winter’s T shunt N/A N/A
46 Vincristine sulfate and prednisone No No Yes No radiation,complete resolution after 6 d N/A
47 imatinib Yes No No No cavernosaaspiration was unsuccessful. Imatinib N/A
48 NA Yes No No Distal corporoglanular shunt N/A N/A
49 analgesics, anxiolytics and steroids Yes No No No bilateral aspiration and irrigation N/A
50 hydroxyurea, allopurinol and intravenous fluids imatinib No Yes No No leukapheresis N/A
51 busulfan No No No No subsided gradually over a two to three week period Yes
51 hyaluronidase No No Yes No NA N/A
51 Busulfan No Yes No No NA No
51 Busulfan, hydroxurea No Yes No sapheno-cavernous bypass. NA Yes
52 Busulfan, hydroxurea No Yes No sapheno-cavernous bypass. NA N/A
52 pain killers NA No No Proximal shunt N/A N/A
52 Cavernosal Pseudo- Ephedrine Inj, pain killers NA No No No N/A N/A
52 pain killers NA No No Proximal shunt N/A N/A
52 Cavernosal Pseudo- Ephedrine Inj, pain killers NA No No No N/A N/A
52 pain killers NA No No No N/A N/A
53 N/A Yes No No No N/A N/A
53 NA NA No No Winter shunt NA Yes
53 NA NA No No Winter shunt NA Yes
53 NA NA No No Winter shunt NA Yes
53 NA NA No No Winter shunt NA Yes
54 NA NA No No Winter shunt NA Yes
54 allopyranol hydroxyurea NA No No cavernosoum- spongiuosum shunt allopyranol hydroxyurea, cavernosoum- spongiuosum shunt No
55 allopyranol hydroxyurea NA No No cavernosoum- spongiuosum shunt allopyranol hydroxyurea, cavernosoum- spongiuosum shunt No
56 myeleran endoxan No No Yes No radiation to the penis N/A
57 NSAIDS and Diethyl Stilbesteol No No No glandulo-cavernosal shunt improved after the shunt Yes
58 No Yes No No No N/A N/A
59 cold compressision, priscoline hydrochloride, diethylstilbestrol No No Yes No radiation therapy the penis N/A
60 benzyle penicilin busulfan, trioxyphenbutazone Yes No No No initial aspiration little response improved after irrigation (lowselys operation ) N/A
61 N/A NA No No NA immediate surgical decompression N/A
62 NO NO NO NO saphenocavernous anastomosis N/A N/A
63 Yes Yes Yes no corpus cavernosa-glans shunt Aspiration and irrigation Yes
64 Busulfan Yes No No No with bothe busulfan, irrigation and aspirartion of the corpora cavernosa Yes
64 busulfan Yes No Yes No improved after aspiration and irrigation Yes
64 No Yes No Yes No after aspiration and irrigation of corpora cavernosa Yes
65 Yes No No No No N/A N/A
65 Yes No No No No N/A N/A
56 hydroxyurea allopurinol Imatinib Yes No No No improved after aspiration Yes
66 allopyranol Yes Yes No Distal shunt r distal distal shunt procedure N/A
67 Myleran intravenous A-139 1, demerol No No No No flaccid after two weeks of medical therapy N/A
51 hydroxyurea No Yes No sapheno-cavernous bypass. after sapheno-cavernous bypass. Yes
51 N/A Yes No No No N/A N/A
51 Busulfan Yes No No No N/A Yes
51 Busulfan Steroids. Anticoagulants. No No No No N/A Yes
51 busulfan No Yes No No N/A Yes
68 allopyranol hydroxyurea No No No No the priapism subsided after 24 hr of starting medicalk treatment no aspiration was done No
51 Busulfan Anticoagulants NA No Yes No no benefit Yes
50 busulfan Yes No No shunt between the right saphenous vein and corpus cavernosus shunt between the right saphenous vein and corpus cavernosus N/A
69 busulfan then, 6- mercaptopurine, busulfan again No No Yes No improbed after radiotheray on the 2 weeks period N/A
70 No No No No No on presentation no priapism was there , two episodes of priapism that resolved, and he was treated three times with metronidazole for presumed balanitis. N/A
41 1 LMWH SC BID for one month , Hydroxyurea Cyclophosphamide No Yes No No N/A N/A
41 1 LMWH SC / hydroxyurea No No No No Hydroxyurea N/A
71 hydroxycarbamide aspiration done No No No hydroxycarbamid aspirin 4 units of PRBC No
71 cyclophosphamide 1g stat, hydroxycarbamide 1g 12 hourly No No No No 20th day of admission with significant healing of the penile shaft ulcers, significant detumescence N/A
37 No No No No No Imatinib developed ED EHS2. Grade 1
72 Yes No No No No By the 4th week of cytoreduction Yes
37 hydroxyurea Yes No No Al-Ghorab shunt Aspiration Shunt developed ED EHS2. Grade 2
73 Yes No No No No terbutaline 0.125 mg subcutaneously N/A
74 Paracetamol Morphine Diazepam, prednisone Terbutaline terbutaline 5.0mg, hydroxyurea No No No Winter shunt Corpora cavernosa aspiration (winter), prednisone 2, Terbutaline terbutaline 5.0mg, tab hydroxyurea N/A
75 No Yes No No No corporal aspiration and phenylephrine irrigation N/A
76 No Yes No No No aspiration followed by intracavernosal injection of 1 dose of phenylephrine No
77 No Yes No No No penile aspiration and irrigation N/A