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.
Minardi
Daniele
D
Institute of Urology Polytechnic University of the Marche Region, Ancona, Italy.
Milanese
Giulio
G
Galosi
Andrea Benedetto
AB
Donatelli
Gaetano
G
Muzzonigro
Giovanni
G
D000328:Adult; D005355:Fibrosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000473:pathology*; D011317:Priapism / Q000473:pathology*