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 Jul 2024. https://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
Michael Coburn, MD, FACS, is Professor and Chairman of the Scott Department of Urology at Baylor College of Medicine in Houston, Texas. Dr. Coburn is a graduate of Cornell University in Ithaca, New York, and he earned his medical degree in 1982 from New York University School of Medicine. He completed an internship and his residency at Baylor College of Medicine and then pursued fellowship training at Baylor as an American Foundation for Urologic Disease Scholar.
Dr. Coburn served as Chief of Urology at Ben Taub Hospital from 1990 until 2012, focusing his clinical and research interests in the areas of urologic trauma, genital and urethral reconstructive surgery, and sexual and reproductive dysfunction.
He was the urology representative on the American College of Surgeons Committee on Trauma, where he served as chair of the Advocacy & Health Policy Committee and a member of the Executive Committee from 2014-2020. Dr. Coburn is a past president of the Society of Genito-Urinary Reconstructive Surgeons and is a former chair of the Accreditation Council for Graduate Medical Education (ACGME) Residency Review Committee for urology. He currently serves as Vice President of Education at Baylor’s St. Luke’s Medical Center in Houston, Texas.
Dr. Coburn is the recipient of many awards for his educational and clinical work, including the Robertson Presidential Educator Award for lifetime achievement in educational leadership at Baylor College of Medicine.
