1Department of Urology, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan 2College of Medicine, Chang Gung University, Taoyuan, TaiwanFulltext PDF
Priapism is a rare but time-sensitive emergency that requires immediate intervention to prevent corporeal hypoxia-related tissue ischemia. The duration of priapism is an important factor in determining the appropriate surgical intervention options. Options include aspiration, injection with alpha-adrenergic agents, surgical shunting, tunneling, and penile prosthesis. However, post-operative refractory priapism hyperemia can mimic ischemic priapism, making it difficult to determine the need for further intervention. We presented the case to investigate the occurrence of post-operative refractory priapism hyperemia and its potential mimicry of ischemic priapism. Confirmatory examinations, such as corporeal blood gas analysis and color doppler ultrasound, are recommended prior to repeat surgical intervention to prevent unnecessary procedures and to ensure proper management of the condition.
Refractory ischemic priapism; Priapism hyperemia
Chao-Hung Chen, Hung-Yi Chen. Post Surgical Shunting Related Hypermia Status Mimic Ischemic Priapism: A Case Report with Review of Literature.Int Clinc Med Case Rep Jour. 2023;2(3):1-5.