Intracerebral hemorrhage as the cause of low-flow priapism : A rare association

Priapism is a painful erection of the penis lasting for more than 4h and is independent of sexual stimulation. It represents a urological emergency and necessitates rapid treatment. Etiologically, approximately 20% are caused by drugs, 50% are a combination of hematological diseases (e.g. sickle cel...

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Bibliographic Details
Published in:Der Unfallchirurg 2021-01, Vol.124 (1), p.80
Main Authors: Zafeiris, T, Charalampous, C, Kaminsky, A, Urselmann, F, Rödig, J
Format: Article
Language:ger
Subjects:
Cerebral Hemorrhage
Emergency Service, Hospital
Humans
Male
Middle Aged
Penis
Priapism - diagnostic imaging
Priapism - etiology
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Summary:Priapism is a painful erection of the penis lasting for more than 4h and is independent of sexual stimulation. It represents a urological emergency and necessitates rapid treatment. Etiologically, approximately 20% are caused by drugs, 50% are a combination of hematological diseases (e.g. sickle cell anemia), leukemia, injections in the corpora cavernosa, paraneoplastic processes and neurological or infectious causes. Ultimately, 30% have an idiopathic origin. Priapism as a result of traumatic intracerebral hemorrhage has so far rarely been described. This article presents the case of a 48-year-old male patient who presented to the emergency department with a traumatic subarachnoid hemorrhage. During the hospital stay the patient suffered from low-flow priapism, which was initially punctured and ultimately operatively treated.
ISSN:1433-044X
DOI:10.1007/s00113-020-00848-w