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The VJPU welcomes the new Editorial Board-members!

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It is with great pride that I welcome you to participate in the Journal of Prosthetic Urology (VJPU). The journal was created by the ISSM to serve as a forum for sexual medicine to allow its members to exchange notable ideas via the visual medium. Our members are scattered across the globe and prosthetic urology is a tiny subspecialty of sexual medicine. A specific goal was to facilitate the transmission of surgical technique knowledge regarding the implantation of surgical devices related to sexual medicine.

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Penoscrotal Decompression of Refractory Ischemic Priapism: Surgical Technique

Authors: Nicholas Ottaiano, Ganesh Sanekommu, Christopher Koller, Wayne Hellstrom, Allen Morey, Omer A. Raheem

Key Words: Priapism, Penoscrotal Decompression, Refractory Ischemic Priapism

The video covers the etiology and multiple causes of each subtype of priapism with a special emphasis on a newer surgical technique, penoscrotal decompression. Outcomes after distal shunting have low rates of success in cases of refractory ischemic priapism lasting more than 48 hours. Current American Urological Association (AUA) guidelines recommend proximal shunting following a failed distal shunt; however, proximal shunting is no longer common practice due to the technically challenging nature of the procedure. Corporal decompression via a penoscrotal incision has recently emerged as a viable alternative to proximal shunting with favorable outcomes. In the video, we describe the technique in a step-by-step fashion as well as the preoperative workup and outcome.

Acknowledgement: None

Disclosures: The authors have nothing to disclose

References:

  • Montague DK, Jarow J, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, et al. American Urological Association guideline on the management of priapism. J Urol. 2003;170(4 Pt 1):1318-24.
  • Salonia A, Eardley I, Giuliano F, Hatzichristou D, Moncada I, Vardi Y, et al. European Association of Urology guidelines on priapism. Eur Urol. 2014;65(2):480-9.
  • Muneer A, Ralph D. Guideline of guidelines: priapism. BJU International. 2017;119(2):204-8.
  • Sikka SC, Hellstrom WJ, Brock G, Morales AM. Standardization of vascular assessment of erectile dysfunction: standard operating procedures for duplex ultrasound. J Sex Med. 2013;10(1):120-9.
  • Fuchs JS, Shakir N, McKibben MJ, Mathur S, Teeple S, Scott JM, et al. Penoscrotal Decompression—Promising New Treatment Paradigm for Refractory Ischemic Priapism. The Journal of Sexual Medicine. 2018;15(5):797-802.
  • Baumgarten AS, VanDyke ME, Yi YA, Keith CG, Fuchs JS, Ortiz NM, et al. Favourable multi-institutional experience with penoscrotal decompression for prolonged ischaemic priapism. BJU International. 2020;126(4):441-6.

Editor-In-Chief

Rafael.Carrion

Rafael Carrion, MD

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Ast. Editor-in-Chief

Lucas Wiegand

Lucas Wiegand, MD

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Ast. Editor-in-Chief

Justin Parker

Justin Parker, MD

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Editorial Board

Rafael Carrion, MD

Faysal A. Yafi, MD, FRCSC

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Editorial Board

Giulio Garaffa, MD

Prof.Dr. Osama Kamal Zaki Shaeer

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Editorial Board

Tobias Kohler, MD, MPH

Javier Otero Romero, MD, PhD, FEBU, FECSM

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Editorial Board

Christian Leiber, MD

Christopher Love, MD

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Editorial Board

Christian Leiber, MD

César Rojas Cruz, MD, FECSM

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Marah C. Hehemann, MD

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