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Recurrent priapism in spinal cord injury: A case report.

Authors
  • Koyuncu, Engin1
  • Taşoğlu, Özlem1
  • Orhan, Ali1
  • Özbudak Demir, Sibel1
  • Özgirgin, Neşe1
  • 1 Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey. , (Turkey)
Type
Published Article
Journal
The journal of spinal cord medicine
Publication Date
Mar 01, 2021
Volume
44
Issue
2
Pages
331–333
Identifiers
DOI: 10.1080/10790268.2019.1613781
PMID: 31074709
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Context: Recurrent priapism is characterized by repetitive episodes of erections which are unrelated to sexual interest or stimulation. It is extremely rare in patients with spinal cord injury (SCI). There are a number of conservative agents used in the treatment.Findings: We describe the case of a 20-year-old male with cervical-5 American Spinal Injury Association (ASIA) Impairment Scale (AIS) grade A tetraplegia as a result of a diving accident 2 years ago. He declared that the recurrent penile erections occurred up to 15-20 times day and night every day and lasted up to 20 min each time unrelated to sexual interest or stimulation. He was prescribed baclofen 10 mg, twice daily. The frequency and duration of erections decreased to 3-5 times/day lasting for about 5 min each and the patient reported a high treatment satisfaction.Conclusion: The presentation of this case is to remind clinicians this rare but distressing condition of recurrent priapism seen in men with complete spinal cord lesions and to summarize the use of medications, most commonly baclofen, to alleviate the condition.

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