We present the case of a 35-year-old patient suffering from schizoaffective psychosis. After 4 weeks on clozapine he developed acute priapism. Possible explanations and pathophysiology are discussed as well as the requirement for sufficient information of the patient. Delay of urgent urologic treatment increases the risk of irreversible impotence. The patient's history should be evaluated with respect to former unphysiological prolonged erections.
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The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/9132624