Recurrent Priapism in Adolescent with Sickle Cell Anemia: What to do?

Ligia Yumi Suzuki Moitinho, Livia Fratelli, Livia Tomita Goncalves, Gabriel de Azambuja Beigin, Luis Cesar Fava Spessoto and Fernando Nestor Facio Junior

International Journal of Sciences, 2021, vol. 10, issue 09, 4-5

Abstract: In this report, we present a case of an adolescent with sickle cell anemia and a history of recurring ischemic priapism. Thirty-two hours after the onset of priapism, the patient was submitted to drainage, washing with an adrenaline solution, local ice, a non-steroidal anti-inflammatory drug and tadalafil (5 mg/day). However, However, tumescence remained and corpus cavernosum-corpus spongiosum shunt was performed. Such patients should be treated at a specialized medical center to avoid complications, such as diminished erectile function and dissatisfaction with one’s sex life in the future. Although the early implantation of a penile prosthesis can avoid further episodes of priapism, there is no consensus in the literature on the indication of a penile implant for individuals less than 18 years of age.

Keywords: Priapism; Ischemic Priapism; Sickle Cell Anemia; Penile Prosthesis; Corpus Cavernosum-Corpus Spongiosum Shunt (search for similar items in EconPapers)
Date: 2021
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DOI: 10.18483/ijSci.2502

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