Persistent priapism and histological modifications of the erectile tissue. Two case reports.
Prolonged veno-occlusive priapism is associated with a high risk of fibrosis of the corpora and impotence. We present 2 cases of prolonged low-flow priapism who came under our observation more then 72 hours after the onset of priapism. The first case was a 51-years old man in which the aethiology of priapism was cauda equina compression by a L4-L5 discal haernia, not recovered after surgical decompression. The second case was a 23-years old man suffering of painful priapism lasting for more than 7 days due by abuse of cocaine, alcohol and psychopharmaceuticals. In both cases drainage and irrigation of the corpora followed by injection with an alpha-agonist agent has been insufficient. Detumescence has been obtained with shunt procedure and compressive bondage. The biopsy of the corpora cavernosa showed fibrosis.
Institute of Urology Polytechnic University of the Marche Region, Ancona, Italy.
Daniele
D
Minardi
Giulio
G
Milanese
Andrea Benedetto
AB
Galosi
Gaetano
G
Donatelli
Giovanni
G
Muzzonigro
D000328:Adult; D005355:Fibrosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000473:pathology*; D011317:Priapism / Q000473:pathology*