[Metachronous recurrence of idiopathic high flow priapism].
OBJECTIVE
To report one case of metachronous recurrence of idiopathic high flow priapism. METHODS. We describe the case of a 28-year-old male patient who presents with penile partial tumescence which started 10 hours before and history of a similar episode seven years before. Physical examination confirmed the clinical picture, with mild local discomfort on palpation. Blood tests were normal. Cavernous blood gases were compatible with arterial blood O2 saturation levels. The patient had a satisfactory progressive response to oral administration of diazepam. No pathologic findings were seen at the time of arteriography.


RESULTS
Complete resolution of the episode. Erectile function was satisfactorily preserved. There was no relapse after one year of follow-up.


CONCLUSIONS
We remark the validity of a deferred therapeutic attitude in front of pictures of high flow priapism, as well as the possibility of resolution with conservative measures. We emphasize the peculiarities of this case, mainly its idiopathic character and the metachronous recurrence.
Cruz Guerra
Nicolás Alberto
NA
Servicio de Urología, Hospital Virgen de La Concha, Zamora, España. ncruz_g@hotmail.com
Pozo Mengual
Bernabé
B
Perales Céspedes
María Pilar
MP
Allona Almagro
Antonio
A
Sáenz Medina
Javier
J
Tarroc Blanco
Antonio
A
D000328:Adult; D001569:Benzodiazepines / Q000627:therapeutic use; D001783:Blood Flow Velocity / Q000502:physiology; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply* / Q000473:pathology; D011317:Priapism / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D012008:Recurrence; D012039:Regional Blood Flow / Q000502:physiology; D016896:Treatment Outcome
D001569:Benzodiazepines