title: Steroids, drugs and stuttering priapism; the rock-and-roll lifestyle of a 24-year-old man.
abstract: The authors present a case of a 24-year-old, poorly controlled insulin-dependent type 1 diabetic Caucasian man who presented to the emergency department, with a painful erection of 36 h duration that had failed to resolve with conservative management. This was the patient's seventh priapism, with his most recent attendance 1 week previously for which he underwent a distal cavernosal shunt. He admitted to taking several recreational drugs, including marijuana and cocaine, during the preceding few days, in addition to the long-term use of the oral anabolic steroid oxandrolone. He had no family history of sickle cell disease or trait. On examination, a tensely erect penis was noted. A diagnosis of stuttering priapism was made and 750 mL of blood subsequently drained via a distal corporoglandular shunt resulting in successful detumescence.
authors.affiliation: Department of Surgery, Abertawe Bro Morgannwg University Health Board, Swansea, UK.
authors.forename: Lloyd
authors.initials: L
authors.lastname: Evans
authors.affiliation: Department of Surgery, Abertawe Bro Morgannwg University Health Board, Swansea, UK.
authors.forename: Matt
authors.initials: M
authors.lastname: Larsen
authors.affiliation: Department of Surgery, Abertawe Bro Morgannwg University Health Board, Swansea, UK.
authors.forename: Adam
authors.initials: A
authors.lastname: Cox
authors.affiliation: Department of Surgery, Abertawe Bro Morgannwg University Health Board, Swansea, UK.
authors.forename: Rob
authors.initials: R
authors.lastname: Skyrme
mesh_terms: D045930:Anabolic Agents / Q000009:adverse effects*; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy / Q000503:physiopathology* / Q000523:psychology; D037001:Directive Counseling; D004322:Drainage; D005112:Extracorporeal Circulation / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008019:Life Style; D008297:Male; D008385:Marijuana Smoking / Q000009:adverse effects* / Q000523:psychology; D008875:Middle Aged; D010074:Oxandrolone / Q000009:adverse effects*; D010349:Patient Compliance; D010413:Penis / Q000098:blood supply*; D011317:Priapism / Q000209:etiology* / Q000523:psychology / Q000628:therapy; D012017:Referral and Consultation; D040242:Risk Reduction Behavior; D012648:Self Care; D013256:Steroids / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D045930:Anabolic Agents; D013256:Steroids; D010074:Oxandrolone
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