Department of Urology, Cwm Taf University Health Board, Royal Glamorgan Hospital, Llantrisant, UK.
Department of Urology, Cwm Taf University Health Board, Royal Glamorgan Hospital, Llantrisant, UK; Faculty of Life Sciences and Education, University of South Wales, Pontypridd, UK.
J Sex Med. 2018 Apr;15(4):476-479. doi: 10.1016/j.jsxm.2018.01.013. Epub 2018 Feb 14.
Despite its importance, current practice in the emergency management of priapism in the United Kingdom is unknown.
To evaluate current practice in the emergency management of priapism in the United Kingdom.
All "full," "associate urological specialist," and "trainee" members of the British Association of Urological Surgeons (BAUS; leading membership-based organization for practitioners of urologic surgery in the United Kingdom) were invited to participate in an online survey. Questions related to the emergency management of priapism, access to tertiary andrology services, and use of guidelines.
Key outcome measures included frequency of encountered cases, access to specialist andrology support, confidence in key management steps, and use of current guidelines.
213 of 1,304 (16.3%) eligible members completed the survey. Most reported managing 1 case annually (median = 1, range = 0->10). Only 7.0% transferred patients to a tertiary center and 87.8% believed they could access specialist andrology advice if required. Respondents were less confident in performing intracavernosal phenylephrine instillation (88.7%) compared with corporal aspiration (98.1%), with confidence lowest among trainee members. Only 68.5% reported performing the distal shunt procedure. Of the 212 respondents that chose to answer questions relating to guidelines, only 155 (73.1%) were aware of their existence, with those published by the European Association of Urology being most popular (53.8%). 205 (96.2%) respondents expressed an interest in the development of a UK-specific guideline, with 162 of 212 (76.4%) stating they would use this in practice.
Urologists in the United Kingdom support the development of UK-specific guidance on the emergency management of priapism for use within the context of the National Health Service.
This is the first study to assess current practice in the emergency management of priapism in the United Kingdom. Its strength is that most UK urologists were invited to participate through collaboration with the BAUS. Although the response rate of 16.3% is acceptable for a national survey of this nature, responses were self-reported, rendering them susceptible to bias.
This study demonstrates that some UK urologists lack confidence in key steps in the emergency management of priapism and identifies a strong level of support for the development of up-to-date UK-specific guidance. Bullock N, Steggall M, Brown G. Emergency Management of Priapism in the United Kingdom: A Survey of Current Practice. J Sex Med 2018;15:476-479.
尽管其重要性不言而喻，但目前英国在阴茎异常勃起的急救管理方面的实际情况尚不清楚。
评估英国阴茎异常勃起急救管理的现状。
邀请英国泌尿外科协会（BAUS；英国泌尿外科手术从业者的主要会员制组织）的所有“全职”、“副泌尿科专家”和“学员”成员参加在线调查。问题涉及阴茎异常勃起的急救管理、获得三级男科服务的途径以及指南的使用。
213 名符合条件的成员中的 1304 名（16.3%）完成了调查。大多数人报告每年处理 1 例（中位数=1，范围=0-10）。只有 7.0%的患者被转至三级中心，87.8%的人认为如果需要，他们可以获得男科专家的咨询意见。与抽吸术（98.1%）相比，受访者对进行阴茎海绵体内苯肾上腺素灌注术（88.7%）的信心较低，而学员的信心最低。只有 68.5%的人报告进行了远端分流术。在 212 名回答与指南相关问题的受访者中，只有 155 名（73.1%）知道指南的存在，其中欧洲泌尿外科学会发布的指南最受欢迎（53.8%）。205 名（96.2%）受访者对制定英国特有的指南表示感兴趣，其中 162 名（76.4%）表示将在实践中使用该指南。
英国泌尿科医生支持制定英国特有的阴茎异常勃起急救管理指南，以便在国民保健制度框架内使用。
这是第一项评估英国阴茎异常勃起急救管理现状的研究。其优势在于，通过与 BAUS 合作，邀请了大多数英国泌尿科医生参与。尽管这种性质的全国性调查的回应率为 16.3%是可以接受的，但回应是自我报告的，因此容易出现偏差。
本研究表明，一些英国泌尿科医生对阴茎异常勃起急救管理的关键步骤缺乏信心，并强烈支持制定最新的英国特有的指南。Bullock N, Steggall M, Brown G. 英国阴茎异常勃起急救管理的调查：当前实践。性医学杂志 2018；15:476-479。
