Can J Urol
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Stuttering priapism is a clinical phenomenon that occurs commonly in certain patient populations, including sickle cell anemia and other hematologic dyscrasias. Although the mechanism is still not completely understood, treatment is focused on prevention of recurrence in the outpatient setting, and immediate detumescence and minimizing corporal fibrosis in the acute setting. We present a case of stuttering priapism in a 44 year-old male with hereditary spherocytosis and discuss the pathophysiology and clinical management of this entity.
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1) To describe the anatomy of the obturator canal and variations in placement of the obturator nerve, artery and vein and 2) To record the proximity of these structures to the optimal point of placement of the transobturator tape (TOT) trochar. ⋯ The anatomy of the obturator foramen is not consistent. The proximity of the obturator canal to the TOT trochar, the medially crossing obturator nerve, artery and vein and their branches, as well as their variable orientation in the canal should be considered when performing the transobturator tape procedure.