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Surgical Management of Genitourethral Emergencies
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Surgical Management of Genitourethral Emergencies
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Book Chapter
Surgical Management of Genitourethral Emergencies
2014,2013
Overview
Genitourethral emergencies may be secondary to ischemic, infective or traumatic conditions which require emergency surgery to minimize tissue damage and maintain long‐term function. Priapism is classified as ischemic (low flow), nonischemic (high flow) or intermittent (stuttering). Although poorly understood, recurrent priapism is common in patients with sickle cell disease although idiopathic stuttering priapism is now also increasingly recognized. Provided that the ischemic priapism is treated promptly, penile detumescence is successful and erectile function is preserved. A penile fracture is characterized by pain, swelling of the penile shaft, immediate detumescence and an audible “crack.” The significant swelling and ecchymosis is likened to an eggplant and is called the “aubergine sign.” If the hematoma is limited by Buck's fascia the swelling is restricted to the penile shaft.
Publisher
John Wiley & Sons, Incorporated,Wiley,John Wiley & Sons, Ltd
Subject
ISBN
9781444335569, 1444335561
