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
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author Kunas, Grace
Smereck, Janet A.
Ladkany, Diana
Davis, Jonathan E.
author_facet Kunas, Grace
Smereck, Janet A.
Ladkany, Diana
Davis, Jonathan E.
author_sort Kunas, Grace
collection PubMed
description 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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spelling pubmed-76767722020-11-24 Pharmacologically-induced Recreational Priapism: Case Report and Review Kunas, Grace Smereck, Janet A. Ladkany, Diana Davis, Jonathan E. Clin Pract Cases Emerg Med Case Report 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. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-10-09 /pmc/articles/PMC7676772/ /pubmed/33217280 http://dx.doi.org/10.5811/cpcem.2020.8.47763 Text en Copyright: © 2020 Kunas et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Kunas, Grace
Smereck, Janet A.
Ladkany, Diana
Davis, Jonathan E.
Pharmacologically-induced Recreational Priapism: Case Report and Review
title Pharmacologically-induced Recreational Priapism: Case Report and Review
title_full Pharmacologically-induced Recreational Priapism: Case Report and Review
title_fullStr Pharmacologically-induced Recreational Priapism: Case Report and Review
title_full_unstemmed Pharmacologically-induced Recreational Priapism: Case Report and Review
title_short Pharmacologically-induced Recreational Priapism: Case Report and Review
title_sort pharmacologically-induced recreational priapism: case report and review
topic Case Report
url 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
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