Michael Coburn, MD, FACS, presented “Priapism: A Management Enigma” virtually during the Innovations in Urologic Practice 2020 virtual conference in September 2020.
How to cite: Coburn, Michael. “Priapism: A Management Enigma” September 26th, 2020. Accessed Dec 2024. https://dev.grandroundsinurology.com/priapism-a-management-enigma/
Summary:
Michael Coburn, MD, FACS, Professor and Russell and Mary Hugh Scott Chair of the Department of Urology at Baylor College of Medicine, discusses priapism and the American Urological Association’s (AUA) guidelines on managing the illness. He gives an overview of priapism, outlining differences between ischemic, non-ischemic, recurrent, primary, and secondary priapism, and discusses a range of contributing risk factors. Next, Dr. Coburn reviews study data on the different qualities of ischemic and non-ischemic priapism, explaining that the latter often is chronic and characterized by less rigidity in the penis, while ischemic priapism tends to be characterized by a fully rigid, very painful erection which contains abnormal cavernous gases. He then discusses treatment recommendations for various forms of the disease, ranging from oral medication for intracavernosal-caused priapism to complex specialty treatment for priapism related to underlying medical conditions. Dr. Coburn concludes by recommending that physicians use the AUA guidelines to create a treatment algorithm for priapism, making sure that if a deviation is made that it is well documented and explained.
About the Innovations in Urologic Practice 2020 virtual conference:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma, men’s health topics like male infertility and sexual dysfunction, and ways to diagnose and treat infections in the urology patient. Dr. Coburn presented this talk virtually at this year’s conference.
ABOUT THE AUTHOR
Dr. Coburn received his undergraduate degree from Cornell University in Ithaca, New York, and went on to earn his MD from New York University School of Medicine in New York City. He completed his residency and fellowship training at Baylor College of Medicine in Houston, Texas. From 1990 to 2012, Dr. Coburn was Chief of Urology at Ben Taub Hospital in Houston, Texas. He continues to treat patients in the Houston area. Dr. Coburn is also a member of the Board of Governors of the American College of Surgeons and is on the Executive Committee of the ACS Committee on Trauma. His clinical interests include urologic trauma, genital and urethral reconstructive surgery, and male infertility and reproductive disorders. In his research, he is interested in discovering better techniques for reconstructive surgery of the genitourinary tract. A respected educator, Dr. Coburn currently serves as a Professor and the Russell and Mary Hugh Scott Chair of the Department of Urology at Baylor College of Medicine. He is also the Urology Residency Program Director there. His excellence in education is widely recognized, and the awards he has received include three Fulbright & Jaworski LLP Faculty Excellence Awards, and the Barbara and Corbin J. Robertson, Jr., Presidential Award for Excellence in Education.
