title: Sleep-Related Painful Erections in a Patient With Obstructive Sleep Apnea Syndrome.
abstract: Sleep-related painful erection (SRPE) is a rare sleep disorder characterized by recurrent, painful penile erections occurring when awakening from rapid eye movement sleep, while erections are painless during wakefulness. Almost 35 cases have been reported worldwide, and only two of them had an associated obstructive sleep apnea syndrome (OSAS). We report a new case of a 61-year-old man suffering from SRPE associated with OSAS. The adequate treatment of respiratory events with continuous positive airway pressure did not alleviate the SRPE symptoms and excessive daytime sleepiness. The SRPE diagnosis was made by polysomnography coupled with video surveillance when the patient was referred to the sleep laboratory for residual excessive daytime sleepiness. The patient had 2-4 episodes of SRPE/night. Beta-blocker did not alleviate the SRPE, but a transient improvement was noted when the patient was treated with paroxetine. In contrast with the two previously published cases of SRPE plus OSAS, continuous positive airway treatment did not improve SRPE symptoms in our patient.
authors.affiliation: Gastroenterology Department, Faculty of Medicine, F.S.I. Hospital (Interior Security Forces Teaching Hospital), University of Tunis El-Manar, Rue Taher Ben Achour, 2070, Marsa, Tunisia. maherabouda@yahoo.fr.
authors.forename: Maher
authors.initials: M
authors.lastname: Abouda
authors.affiliation: Gastroenterology Department, Faculty of Medicine, F.S.I. Hospital (Interior Security Forces Teaching Hospital), University of Tunis El-Manar, Rue Taher Ben Achour, 2070, Marsa, Tunisia.
authors.forename: Taieb
authors.initials: T
authors.lastname: Jomni
authors.affiliation: Gastroenterology Department, Faculty of Medicine, F.S.I. Hospital (Interior Security Forces Teaching Hospital), University of Tunis El-Manar, Rue Taher Ben Achour, 2070, Marsa, Tunisia.
authors.forename: Ferdaws
authors.initials: F
authors.lastname: Yangui
authors.affiliation: Gastroenterology Department, Faculty of Medicine, F.S.I. Hospital (Interior Security Forces Teaching Hospital), University of Tunis El-Manar, Rue Taher Ben Achour, 2070, Marsa, Tunisia.
authors.forename: Mohamed Ridha
authors.initials: MR
authors.lastname: Charfi
authors.affiliation: Sleep Disorders Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, Pierre and Marie Curie University, UMR_S 975-CNRS UMR 722, Paris, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Arnulf
mesh_terms: D045422:Continuous Positive Airway Pressure; D006801:Humans; D008297:Male; D008875:Middle Aged; D017374:Paroxetine / Q000627:therapeutic use; D010410:Penile Erection / Q000187:drug effects* / Q000502:physiology; D017286:Polysomnography; D011317:Priapism / Q000150:complications* / Q000503:physiopathology; D020923:REM Sleep Parasomnias / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology; D012890:Sleep / Q000502:physiology*; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000503:physiopathology / Q000628:therapy
chemical_list: D017374:Paroxetine
keywords: Priapism; Residual excessive daytime sleepiness; Sleep apnea syndrome; Sleep-related painful erections