Neonatal priapism associated with spontaneous bilateral pyocavernositis.
BACKGROUND
Neonatal priapism is known to be associated with a wide range of aetiologies, but an association with spontaneous purulent cavernositis has not been reported in the paediatric literature. We report the first of such case.


METHODS
A 24-day-old neonate was brought with the history of persistent erection of penis since day 4 of life and swollen penis of 4 days' duration, which revealed frank pus on cavernosal aspiration bilaterally.


METHODS
The child was treated with closed aspiration drainage; cross-irrigation with antibiotic solution under systemic antibiotic cover helped in achieving complete detumescence.


RESULTS
On follow-up, child demonstrated normal full bladder tumescence and colour doppler revealed bilateral normal corporo-cavernosal appearance and blood flow, indicating good functional and anatomical recovery.


CONCLUSIONS
This case report describes the presentation, successful management and excellent functional and anatomical outcome, on follow-up, of this rare association of neonatal priapism with spontaneous bilateral pyocavernositis. An attempt has been made to describe the underlying pathophysiology.
Sood
Rajeev
R
Division of Urology, Department of Surgery, Dr Ram Manohar Lohia Hospital, New Delhi, India.
Wadhwa
Surender Nath
SN
Jain
Vikas
V
D000465:Algorithms; D006801:Humans; D007231:Infant, Newborn; D007249:Inflammation / Q000150:complications*; D008297:Male; D010409:Penile Diseases / Q000150:complications; D011317:Priapism / Q000150:complications* / Q000628:therapy; D013492:Suppuration