title: Idiopathic stuttering priapism treated successfully with low-dose ethinyl estradiol: a single case report.
abstract: BACKGROUND
  Chronic priapism represents a challenging therapeutic dilemma. Inadequate or deferred treatment can result in impaired quality of life and permanent erectile dysfunction. The etiology of stuttering priapism is speculated to be initially an ischemic injury that damages the neurologic and/or endothelial-mediated mechanisms that normally regulate detumescence and maintain penile flaccidity.
  
  
  OBJECTIVE
  We report a case of stuttering priapism successfully treated with low-dose ethinyl estradiol.
  
  
  METHODS
  A 51-year-old man presented with idiopathic stuttering priapism. Treatment was given in the form of low-dose ethinyl estradiol for six consecutive weeks.
  
  
  RESULTS
  Moderate lowering of testosterone level and effective prevention of priapism for at least 6 months with retaining of erectile function.
  
  
  CONCLUSIONS
  The use of low-dose estrogen shows a potential to be an effective and relatively rapid treatment option for some cases of idiopathic stuttering priapism.
authors.affiliation: Department of Andrology, Sexology & STDs, Cairo University, 16 road 299. New Maadi, Cairo 11742, Egypt. rannone74@hotmail.com
authors.forename: Rany
authors.initials: R
authors.lastname: Shamloul
authors.forename: Abdelrahman
authors.initials: A
authors.lastname: el Nashaar
mesh_terms: D004334:Drug Administration Schedule; D007172:Erectile Dysfunction / Q000150:complications / Q000188:drug therapy / Q000523:psychology; D004967:Estrogens / Q000008:administration & dosage / Q000627:therapeutic use*; D004997:Ethinyl Estradiol / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011317:Priapism / Q000150:complications / Q000188:drug therapy* / Q000523:psychology; D011788:Quality of Life / Q000523:psychology; D013739:Testosterone / Q000097:blood
chemical_list: D004967:Estrogens; D013739:Testosterone; D004997:Ethinyl Estradiol