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A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man

Priapism, a persistent erection of the penis which has no association with sexual activity and lasts longer than four hours, is a urologic emergency. It can be classified into ischemic, nonischemic, and stuttering categories. The pathophysiology of stuttering priapism is not well understood; however...

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Detalles Bibliográficos
Autores principales: Ali, Saeed, Sattar, Zeeshan, Hussain, Sana, Sattar, Farhan, Tambunan, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080740/
https://www.ncbi.nlm.nih.gov/pubmed/30094115
http://dx.doi.org/10.7759/cureus.2758
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author Ali, Saeed
Sattar, Zeeshan
Hussain, Sana
Sattar, Farhan
Tambunan, Daniel
author_facet Ali, Saeed
Sattar, Zeeshan
Hussain, Sana
Sattar, Farhan
Tambunan, Daniel
author_sort Ali, Saeed
collection PubMed
description Priapism, a persistent erection of the penis which has no association with sexual activity and lasts longer than four hours, is a urologic emergency. It can be classified into ischemic, nonischemic, and stuttering categories. The pathophysiology of stuttering priapism is not well understood; however, the dysregulation of nitric oxide and phosophodiesterase-5 (PDE5) has been put forward as a possible mechanism. A 35-year-old male with a history of recurrent priapism presented with continuous penile erection for more than 48 hours. In the emergency room, penile aspiration and an intracavernous phenylephrine injection were attempted which did not help. Subsequently, a distal penile shunt was surgically created; however, the patient’s symptoms still persisted. A second round of penile irrigation, aspiration, and an intracavernous phenylephrine injection were attempted, but it was not helpful. Finally, another surgical shunt was created bilaterally between the corpora cavernosa and corpus spongiosum, which led to complete resolution of symptoms in the next 24 hours. The patient received an injection of lupron, and he was discharged.
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spelling pubmed-60807402018-08-09 A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man Ali, Saeed Sattar, Zeeshan Hussain, Sana Sattar, Farhan Tambunan, Daniel Cureus Internal Medicine Priapism, a persistent erection of the penis which has no association with sexual activity and lasts longer than four hours, is a urologic emergency. It can be classified into ischemic, nonischemic, and stuttering categories. The pathophysiology of stuttering priapism is not well understood; however, the dysregulation of nitric oxide and phosophodiesterase-5 (PDE5) has been put forward as a possible mechanism. A 35-year-old male with a history of recurrent priapism presented with continuous penile erection for more than 48 hours. In the emergency room, penile aspiration and an intracavernous phenylephrine injection were attempted which did not help. Subsequently, a distal penile shunt was surgically created; however, the patient’s symptoms still persisted. A second round of penile irrigation, aspiration, and an intracavernous phenylephrine injection were attempted, but it was not helpful. Finally, another surgical shunt was created bilaterally between the corpora cavernosa and corpus spongiosum, which led to complete resolution of symptoms in the next 24 hours. The patient received an injection of lupron, and he was discharged. Cureus 2018-06-07 /pmc/articles/PMC6080740/ /pubmed/30094115 http://dx.doi.org/10.7759/cureus.2758 Text en Copyright © 2018, Ali et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Ali, Saeed
Sattar, Zeeshan
Hussain, Sana
Sattar, Farhan
Tambunan, Daniel
A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man
title A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man
title_full A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man
title_fullStr A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man
title_full_unstemmed A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man
title_short A Rare Case of Severe Idiopathic Stuttering Priapism in a Young Healthy Man
title_sort rare case of severe idiopathic stuttering priapism in a young healthy man
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080740/
https://www.ncbi.nlm.nih.gov/pubmed/30094115
http://dx.doi.org/10.7759/cureus.2758
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