Malignant priapism in a patient with metastatic prostate adenocarcinoma.
Metastases to the penis due to a primary carcinoma of the prostate are rare. In approximately half of the patients, malignant priapism is the main symptom. This study reports on a case of malignant priapism, caused by a direct and metastatic infiltration of the corpora cavernosa by a prostatic adenocarcinoma. Sonography gave hints, the magnetic resonance imaging verified the infiltration and aspiration cytology verified the carcinoma. Hemodynamics, evaluated by Doppler sonography, and intracavernosal blood gas analysis demonstrated a mixed high-low priapism without need of therapy.
Schroeder-Printzen
I
I
Department of Urology, Georg-August-Universität, Göttingen, FRG.
Vosshenrich
R
R
Weidner
W
W
Ringert
R H
RH
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D000368:Aged; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009361:Neoplasm Invasiveness; D010412:Penile Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D010413:Penis / Q000473:pathology; D011317:Priapism / Q000209:etiology*; D011471:Prostatic Neoplasms / Q000473:pathology*