Case reportManagement of partial segmental priapism
Section snippets
Patient 1
A 33-year-old man presented with a 72-hour history of persistent perineal pain after intercourse. He had a prior history of idiopathic priapism. He denied any other risk factors for priapism. The physical examination revealed a firm painful mass in the proximal left corpus cavernosum. The glans and distal corpora were flaccid. Laboratory analysis revealed no signs of infection, malignancy, or hematologic disease. The urine toxicity screen was positive for cannabinoids. Intracavernosal
Comment
The first 2 cases of PSP were documented in 1976.1, 2 It is an unusual condition with only 12 reported cases in the English literature.1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 The patients’ ages ranged from the second to the fifth decade. Intraoperative and histologic findings associate PSP with membranous septa between the flaccid and erect intracorporal tissues.1, 3 This may be related to trauma, considering that 50% of patients reviewed presented with a history of coitus or cycling injury.1, 2, 3, 4
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