HIGH FLOW PRIAPISM IN 7 YEARS-OLD BOY AFTER ACCIDENTALLY CONSUMING APHRODISIAC CHOCOLATE: A CASE REPORT
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Abstract
ABSTRACT Objective: This case report aimed to present our experience of conservative treatments for High Flow Priapism in children. Case(s) Report: A 7 years old boy presented with persistent and painless erections without sexual stimulation for 24 hours, the erection was first noticed when he woke up in the morning after accidentally consuming aphrodisiac chocolate 2 days before admitted to the hospital. There was no previous history of priapism and trauma or other risk factors. Discussion: Laboratory studies were within normal limits. Physical examination revealed a fully erect, nontender penile with rigid corpora cavernosa, soft glans, and erection hardness scale (EHS) 3. A cavernosal blood gas analysis was collected with the following values PH 7.41, pO2 117,7 mmHg, and pCO2 24, 8 mmHg. With diagnosis of High Flow Priapism, he was observed and got conservative treatments; ice and site-specific compression and after that EHS become 1. On follow-up after 2 months reported that patient had normal erections with no further episodes of priapism. Conclusion: High flow priapism in old boy after accidentally consuming aphrodisiac chocolate can managed by conservative therapy with favourable outcome. Keywords: Aphrodisiac chocolate, penile erection, priapism.
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Aphrodisiac Chocolate, Priapism, Penile Erection
Keoghane SR, Sullivan ME, Miller MA. The etiology, pathogenesis and management of priapism. BJU Int. 2002; 90: 149-54.
Broderick GA, Kadioglu A, Bivalacqua TJ, Ghanem H, Nehra A, Shamloul R. Priapism: pathogenesis, epidemiology, and management. J Sex Med. 2010; 7: 476–500.
Montague DK, Jarow J, Broderick GA, Dmochowski RR, Heaton JP, Lue TF. Members of the Erectile Dysfunction Guideline Update Panel; Americal Urological Association. American Urological Association guideline on the management of priapism. J Urol. 2003; 170: 1318-24.
Volgger H, Pfefferkorn S, Hobisch A. Posttraumatic high-flow priapism in children: noninvasive treatment by color Doppler ultrasound-guided perineal compression. Urology. 2007; 70(3): 590 e3–e5
Sandler G, Chennapragada SM, Soundappan SS. Pediatric high-flow priapism and super-selective angiography: an Australian perspective. J Pediatr Surg. 2008; 43(10): 1898–1901.
Marotte JB, Brooks JD, Sze D. Juvenile posttraumatic high-flow priapism: current management dilemmas. J Pediatr Surg. 2005; 40(4): E25–E28.
Chung E, McKnight J, Hosken B. Post traumatic prepubertal high-flow priapism: a rare occurrence. Pediatr Surg Int. 2008; 24(3): 379–381.
Mahawong P, Srisuwan T Idiopathic high-flow priapism in a pediatric patient. J Pediatr Urol. 2011; 7(1): 92–94.
Health Science Auhority. HAS Alert: two product sold online as candies contained very high levels of potent erectile dysfunction medicine. 2019.
Wein JA, Kavoussi RL, Partin WA, Peters AC. Campbell-Walsh Urology 11th edition. Elsevier. 2016.
Hatzichristou D, Salpiggidis G, Hatzimouratidis K. Management strategy for arterial priapism: therapeutic dilemmas. J Urol. 2002; 168(5): 2074–2077.
Francis SH, Corbin JD. Cyclic GMP: synthesis, metabolism, and function. In Advances in Pharmacology, ed. Murad P. New York: Academic Press. 1994; 115–70.
Padma-Nathan H, McMurray JG, Pullman WE, Whitaker JS, Saoud JB, Ferguson KM, Rosen RC. On-demand IC351 (Cialis®) enhances erectile function in patients with erectile dysfunction. Int J Impot Res. 2001; 13: 2–9.
Thompson WJ. Cyclic nucleotide phosphodiesterases: pharmacology, biochemistry and function. Pharmacol Ther. 1991; 51: 13–3.
Lue TF. Erectile dysfunction. N Engl J Med. 2000; 342: 1802–13.
Corbetta, Juan Pablo, Víctor Durán, Carol Burek, Cristian Sager, Santiago Weller, E. Paz and Juan Carlos Zempoateca López. High flow priapism: diagnosis and treatment in pediatric population. Pediatric Surgery International. 2011; 27: 1217-1221.
Van der Horst C, Stuebinger H, Seif C. Priapism— etiology, pathophysiology and management. Int Braz J Urol. 2003; 29(5): 391–400.