Psychosexological counseling in patients affected by bladder exstrophy-epispadias complex BEEC
Abstract
Objective: Idiopathic partial thrombosis (IPT of the corpus cavernosum (CC) is a rare condition constituting of thrombosis of the proximal CC, causing perineal swelling and pain during erection.The aetiology is not fully understood, but advanced imaging with MRI demonstrates a fibrous web in the crus cavernosum in most IPT cases.In this abstract we provide an overview of 15 new IPT cases, for which 12 received conservative treatment and 3 surgical treatment.Methods: A multicentre retrospective analysis was performed to analyse presentation, diagnosis, treatment and outcome of 15 cases of IPT.Results: Patients most frequently presented with perineal pain and swelling (13/15; 80%), unilateral (9/15; 60%) or bilateral (4/15; 27%), and pain during erection (9/13; 69%) Penile curvature, dysuria or fever (each 1/15; 7%) was uncommon.Remarkably, most patients reported being a frequent cyclist (9/15; 60%) with the episode of IPT occurring after cycling activity (7/15; 47%), highlighting a possible provocative factor in the onset of IPT.In all cases blood test with clotting tests (raised D-dimers (6/15; 40%)) ultrasound and MRI were performed.MRI showed thrombosis and a fibrous web in all of the cases (15/ 15;100%), more bilaterally (10/15;67%) than unilaterally (5/15;33%).All patients were initially treated conservatively with LMWH (11/15; 73%) (prophylactic or therapeutic dose) and subsequent or simultaneous anti-aggregant therapy, resulting in resolution in most of the cases.When…
Read the paper
Related studies
- Understanding and treating ejaculatory dysfunction in men with diabetes mellitus
- An Eco-Friendly Solid-State Electrode Modified With ZnO Nanoparticles Decorated With MWCNT as an Electrochemical Sensor for the Determination of Avanafil in Pure Form, Dosage Form and Human Plasma
- Combinations of Freeze-Dried Amorphous Vardenafil Hydrochloride with Saccharides as a Way to Enhance Dissolution Rate and Permeability
- Return to Sport, Reinjury Rate, and Tissue Changes after Muscle Strain Injury: A Narrative Review
- 875: High Prevalence of Significant Comorbid Conditions in Men with Erectile Dysfunction: Momentus Trial Demonstrates Efficacy and Safety of Tadalafil in this Group
- Safety and efficacy of phosphodiesterase-5 (PDE-5) inhibitors in fetal growth restriction: a systematic literature review and meta-analysis
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.