title: Idiopathic stuttering priapism treated with salbutamol orally: a case report.
abstract: Recurrent ischaemic priapism also known as stuttering priapism is an uncommon form of ischaemic priapism, and its treatment is not yet clearly defined. If left untreated, it may evolve into classic form of acute ischaemic priapism and lead to erectile dysfunction due to fibrosis of corpora cavernosa. Several drugs have been proposed with variable results and only supported with level three or four of evidence. Hormonal therapy such as cyproterone acetate, oestrogen, bicalutamide or Lh-Rh agonist are often effective but can cause side effects such as hypogonadal state and infertility. Other medical options are 5-alpha-reductase and phosphodiesterase-5 inhibitors, ketoconazole, baclofen, digoxin, gabapentin and beta-2-agonist terbutaline. We report the first case of stuttering priapism treated with beta-2-agonist salbutamol.
authors.affiliation: Department of Urology, University Hospital, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Migliorini
authors.affiliation: Department of Urology, University Hospital, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
authors.forename: A B
authors.initials: AB
authors.lastname: Porcaro
authors.affiliation: Department of Urology, University Hospital, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Baldassarre
authors.affiliation: Department of Urology, University Hospital, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
authors.forename: W
authors.initials: W
authors.lastname: Artibani
mesh_terms: D000284:Administration, Oral; D058666:Adrenergic beta-2 Receptor Agonists / Q000627:therapeutic use*; D000420:Albuterol / Q000627:therapeutic use*; D000726:Androgen Antagonists / Q000009:adverse effects; D053713:Azoospermia / Q000139:chemically induced; D017373:Cyproterone Acetate / Q000009:adverse effects; D006801:Humans; D007511:Ischemia / Q000188:drug therapy*; D008297:Male; D010413:Penis / Q000098:blood supply; D011317:Priapism / Q000188:drug therapy*; D012008:Recurrence; D055815:Young Adult
chemical_list: D058666:Adrenergic beta-2 Receptor Agonists; D000726:Androgen Antagonists; D017373:Cyproterone Acetate; D000420:Albuterol
keywords: Baclofen; cyproterone acetate; recurrent ischaemic priapism; salbutamol