Refractory priapism of unknown etiology in a pediatric patient.
Priapism is a urologic emergency that can occur in any age group and every patient should receive prompt urologic consultation. Management of priapism is based on the recognition of underlying pathophysiology; ready differentiation between high-flow and low-flow priapism; reversal of any potential precipitating factors; the use of corporal aspiration irrigation combined with intracavernosal alpha adrenergic therapy; and when necessary, a shunting procedure. Delay in recognition or treatment can be crucial as the incidence of long-term complication rises substantially with the duration of the priapism.
Majeed
S
S
Department of Emergency Medicine, New York Hospital Medical Center of Queens, Flushing 11355, USA.
Schor
J A
JA
Jacobson
S
S
Jagoda
A
A
Mahadeo
R
R
D000293:Adolescent; D000465:Algorithms; D003663:Decision Trees; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D004638:Emergency Treatment / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010656:Phenylephrine / Q000627:therapeutic use; D011317:Priapism / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D007507:Therapeutic Irrigation; D013997:Time Factors; D017211:Treatment Failure; D014463:Ultrasonography; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
D014662:Vasoconstrictor Agents; D010656:Phenylephrine