Literature review and Case report : Treatment of recurrent attacks of idiopathic high-flow priapism in 13-year-old boy with Diazepam and local ice pad. Case report and literature review

Objective: Priapism is a fairly uncommon presentation to the emergency paediatrics department, but when it does present, it represents a real urologic emergency. Prompt treatment will decrease the risk of permanent consequences including impotency. Treatment should be based on aetiology, followed by an organized approach [1]. This report discusses a case of recurrent attacks of idiopathic priapism in a 13-year-old boy comparing the treatment with other experiences. Patient and methods: A 13-year-old boy was diagnosed at our hospital with idiopathic priapism which always happened at waking up time and which responded to oral diazepam and local ice pad therapy. Diagnosis was confirmed after exclusion of all other causes. This type of management was compared with retrospectively reviewed and reported in the PubMed web site. Results: Successful treatment of recurrent idiopathic priapism with oral administration of diazepam and local ice pad. Conclusion: As the problem was solved completely after the fifth attack of priapism, the utilisation of oral diazepam and local ice pad therapy may be considered as a less invasive method for the management of recurrent idiopathic priapism in children

Note illustrative della Carta Geologica d\u2019Italia alla scala 1:50.000, foglio 026 Appiano. APAT Dipartimento Difesa del suolo Servizio Geologico d\u2019Italia.

Il volume rappresenta le Note Illustrative della Carta Geologica d\u2019Italia alla scala 1:50.000 del foglio 026 Appiano

Antegrade subinguinal sclerotization with temporary clamping of the spermatic cord: a new surgical technique for varicocele

Objectives : The purpose of our study was to evaluate the duration, effectiveness, and complications associated with a new operating technique for varicocele, using a subinguinal surgical approach and antegrade sclerotization of the spermatic veins. Methods : A total of 756 varicocele patients who came under our care for infertility underwent surgical treatment with our technique. The diagnosis was based on clinical examination and confirmed by color-Doppler ultrasound of the spermatic cord. Only patients with continuous basal reflux inside the left spermatic vein detected in orthostatism underwent operation. The Colpi technique was used, which consists of a subinguinal incision with suspension of the spermatic cord; cord clamping for 8-10 minutes using two elastic bands; and injection of 1.5-3 mL of sclerosing agent during induced ischemia without any intraoperative radiological control. Results : The average operating time was 25 minutes (range: 18-45 minutes). At the 3-month postoperative follow-up, there were 15 cases of persistent reflux (1.9%), 6 cases of hydrocele requiring surgical correction (0.7%), and 50 cases of fibrotic sequelae of penile lymphangiitis (6.6%). Conclusions : The new technique was more effective than the previous ones, with the exception of the microsurgical technique, which, however, takes 2-3 times longer to perform. The only significant complication was superficial single-vessel lymphangiitis of the penis, which resolved within 3 months with no apparent consequences. In conclusion, this new operating technique for varicocele is simpler to perform and may be effective compared with other techniques