Pharmacologically-induced Recreational Priapism: Case Report and Review

INTRODUCTION: Priapism, a time-sensitive urologic emergency, is associated with hematologic disorders, malignancies, trauma, pharmaceuticals, and recreational drugs. CASE REPORT: A 51-year-old male presented with 36 hours of priapism after recreational use of nonprescribed pharmaceuticals including...

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Detalles Bibliográficos
Autores principales: Kunas, Grace, Smereck, Janet A., Ladkany, Diana, Davis, Jonathan E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676772/
https://www.ncbi.nlm.nih.gov/pubmed/33217280
http://dx.doi.org/10.5811/cpcem.2020.8.47763
Descripción
Sumario:INTRODUCTION: Priapism, a time-sensitive urologic emergency, is associated with hematologic disorders, malignancies, trauma, pharmaceuticals, and recreational drugs. CASE REPORT: A 51-year-old male presented with 36 hours of priapism after recreational use of nonprescribed pharmaceuticals including an oral phosphodiesterase inhibitor and intracorporally injected erectile medications, together with unspecified quantities of cocaine and alcohol. Venous blood gas confirmed ischemic priapism. Detumescence was achieved with intracavernosal phenylephrine injection, aspiration, and irrigation. CONCLUSION: This case highlights the risk that recreational use of vasoactive medications by patients who seek to prolong sexual activity may lead to delayed presentation for ischemic priapism.

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