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RESEARCH PRODUCT
Heparin-induced priapism
M BitzerR.a PustEkkehard W. HauckWolfgang WeidnerTh. DiemerChj KirkpatrickTh Bschleipfersubject
AdultMalemedicine.medical_specialtyIschemic priapismHeparinbusiness.industryUrologyPriapismIschemiaHeparinurologic and male genital diseasesmedicine.diseaseSurgeryDiagnosis DifferentialHematomaInternal medicinemedicineCardiologyHumansPriapismDifferential diagnosisAgrégationbusinessmedicine.drugdescription
Heparin-induced priapism constitutes a special form of pharmaco-induced prolonged erection, but the pathophysiological principles are not yet definitely clear. Heparin-induced antiplatelet-antibodies may lead to the aggregation of thrombocytes and thus alter the penile blood flow leading to low-flow priapism. Alternatively, this condition may be explained by initial high-flow priapism that later turns into ischemic priapism. The question remains whether hemorrhage with subsequent organisation of the hematoma and late fibrosis constitutes a pathogenetic factor. Besides this pathogenetic discussion, this paper presents the differential diagnosis of priapism as well as diagnostic and therapeutic procedures.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2001-12-01 | International Journal of Impotence Research |