Article ; Online: Priapism in a Young Adult With Sickle Cell Disease.
Advanced emergency nursing journal
2024 Volume 46, Issue 1, Page(s) 25–32
Abstract: This article presents a case study focusing on priapism in a patient with sickle cell disease, with repeated emergency department (ED) visits and hospitalizations. The patient was successfully identified and treated by the ED nurse practitioner (NP) with ...
| Abstract | This article presents a case study focusing on priapism in a patient with sickle cell disease, with repeated emergency department (ED) visits and hospitalizations. The patient was successfully identified and treated by the ED nurse practitioner (NP) with aspiration of the corpus cavernosum. Priapism is a persistent penile erection that continues for an extended time. There is some argument about what that length of time is, but generally, the consensus is more than 4 hr beyond sexual stimulation or unrelated to sexual stimulation or sexual interest (Bivalacqua et al., 2022). Priapism is a fairly common but underrecognized complication of sickle cell disease. It represents a urological emergency in which timely diagnosis and appropriate treatment are vital to preserving penile tissue and sexual function. The diagnosis is made clinically with a comprehensive history, physical examination, and appropriate laboratory test values. Initial management can be conservative with hydration and analgesics or, if necessary, more invasive with needle aspiration to promote detumescence. Permanent tissue damage or erectile dysfunction can result if priapism is unrecognized, untreated, or not treated immediately. The NP plays an integral role in treating and preventing permanent damage. Patient education should focus on instructions for preventing priapism and managing episodes at home. |
|---|---|
| MeSH term(s) | Male ; Young Adult ; Humans ; Priapism/diagnosis ; Priapism/etiology ; Priapism/therapy ; Anemia, Sickle Cell/complications ; Consensus ; Emergency Room Visits ; Hospitalization |
| Language | English |
| Publishing date | 2024-02-01 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2257871-7 |
| ISSN | 1931-4493 ; 1931-4485 |
| ISSN (online) | 1931-4493 |
| ISSN | 1931-4485 |
| DOI | 10.1097/TME.0000000000000494 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.B 2305: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.