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Malignant refractory priapism: An urologist's nightmare

By Vinod Kumar Prabhuswamy, Pramod Krishnappa and Krishnaprasad Tyagaraj

Abstract

Malignant priapism is described as persistent, nonsexual erections caused by invasion or metastasis from a primary neoplasm. We present two cases of malignant priapism with different etiologies and the respective management strategies. A 75-year-old patient had undergone radical cystectomy for a high-grade bladder tumor 5 months ago and came with priapism. The patient persisted to have partial penile tumescence with low-grade pain even after intervention. Another 66-year-old patient came to emergency with persistent painful priapism who had been diagnosed to have Multiple Myeloma. He required a corporotomy and open drainage as a last resort which finally relieved him of pain but with loss of erection. The treatment needs to be individualized based on the clinical course of the patient

Topics: Cavernotomy, malignancy, priapism, shunt, Diseases of the genitourinary system. Urology, RC870-923
Publisher: Wolters Kluwer Medknow Publications
Year: 2019
DOI identifier: 10.4103/UA.UA_140_18
OAI identifier: oai:doaj.org/article:e76179728333435484fd74b0620e9393
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