AI Article Synopsis

  • Partial priapism is a rare condition with under 60 documented cases, often related to prolonged compression or blood clotting issues, and is marked by pain and swelling at the base of the penis.
  • MRI is the preferred imaging method for diagnosis.
  • The condition responds well to medical treatments like non-steroidal anti-inflammatory drugs and blood thinners, with an 82% success rate in symptom resolution, as shown in a reported case that remained symptom-free for 10 years after treatment.

Article Abstract

Partial priapism is a rare pathology with less than 60 cases published in the literature; the etiology remains unknown, although certain favorable factors are identified as having in relation a prolonged perineal compression or a thrombopathy. The symptomatology is characterized by the appearance of pain, perineal edema and an induration of the root of the penis, which do not concern the distal part of the penis or the glans. MRI is the best complementary examination. The first-line surgical treatment is abandoned. Medical treatment with non-steroidal anti-inflammatory drugs or low molecular weight heparins combined with platelet aggregation inhibitors give good results with complete resolution of symptoms in 82% of cases; first-line medical treatment should be favored. We report a case of idiopathic partial priapism, successfully treated with non-steroidal anti-inflammatory without recurrence after 10 years.

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http://dx.doi.org/10.1016/j.purol.2021.03.007DOI Listing

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