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Erectile dysfunction and priapism

Nature Clinical Practice Urology volume 1, pages 49–53 (2004)Cite this article

Abstract

Background A 46-year-old man presented with erectile dysfunction following a blunt perineal injury sustained 1 year previously. Oral phosphodiesterase type 5 inhibitors failed to improve his erections. The remainder of the patient's history, physical examination and laboratory tests were unremarkable except for a moderate tenderness in the left perineum and some 'fullness' in the corpora cavernosa during physical examination.

Investigation Physical examination, color duplex ultrasound of the penis and perineal area and Sexual Health Index for Men questionnaire.

Diagnosis Non-ischemic priapism due to a ruptured left helicine artery, intermittent penile turgidity and erectile dysfunction.

Management Open suture ligation of the helicine artery and imbrication of the pseudocapsule.

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Figure 1: Ultrasound of the left corpus cavernosum.
Figure 2: Color duplex ultrasound of the left corpus cavernosum.
Figure 3: Color duplex ultrasound of the left corpus cavernosum 3 weeks after surgery.
Figure 4: Treatment algorithm of priapism.

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Authors and Affiliations

  1. University of Alberta, Canada

    Derek J Bochinski, Robert C Dean & Tom F Lue

  2. University of California, San Francisco, CA, USA

    Derek J Bochinski, Robert C Dean & Tom F Lue

Authors
  1. Derek J Bochinski
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  2. Robert C Dean
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  3. Tom F Lue
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Corresponding author

Correspondence to Tom F Lue.

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The authors declare no competing financial interests.

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Bochinski, D., Dean, R. & Lue, T. Erectile dysfunction and priapism. Nat Rev Urol 1, 49–53 (2004). https://doi.org/10.1038/ncpuro0022

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  • DOI: https://doi.org/10.1038/ncpuro0022

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