Homocysteinemia: A rare cause of priapism
Priaprism is a persistent painful erection that continuous beyond or is unrelated to sexual stimulation. Majority of cases are idiopathic (46%), alcohol and drug related (21%), perineal trauma (12%), sickle cell anemia and hypercoagualable state related (11%). We report case of priapism caused by hy...
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2016-01-01
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doaj-719b0b675a344e438bea9080f578b2af2020-11-24T21:12:11ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342016-01-018111812110.4103/0974-7796.171497Homocysteinemia: A rare cause of priapismJaisukh KalathiaSantosh AgrawalSaurabh Sudhir ChipdeRajeev AgrawalPriaprism is a persistent painful erection that continuous beyond or is unrelated to sexual stimulation. Majority of cases are idiopathic (46%), alcohol and drug related (21%), perineal trauma (12%), sickle cell anemia and hypercoagualable state related (11%). We report case of priapism caused by hyperhomocysteinemia with favorable outcome with only few cases so far reported in the literature to the best of our knowledge. A 31 year-old male referred to our institution with non resolving priaprism for the last 6 days. Immediate distal shunt (Al-ghorab) was created but it could not achieve the detumescence. The penile Doppler showed no flow into the corpora, so a proximal shunt (Quackels) was made which achieved satisfactory detumescence. On thorough evaluation for the cause of priaprism, only homocysteine level was found to be significantly raised (40.46 µmol/L), being the unusual and rare cause for priaprism. The patient was discharged on homocheck. In the follow-up the patient is on vacuum assisted device for the erectile dysfunction and has been advised for the penile implant. Priaprism being a urological emergency should be thoroughly evaluated even for the rare causes and should be timely intervened to avoid the unavoidable consequences of permanent erectile dysfunction.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=1;spage=118;epage=121;aulast=KalathiaHomocystenemiapriapismshunt |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jaisukh Kalathia Santosh Agrawal Saurabh Sudhir Chipde Rajeev Agrawal |
spellingShingle |
Jaisukh Kalathia Santosh Agrawal Saurabh Sudhir Chipde Rajeev Agrawal Homocysteinemia: A rare cause of priapism Urology Annals Homocystenemia priapism shunt |
author_facet |
Jaisukh Kalathia Santosh Agrawal Saurabh Sudhir Chipde Rajeev Agrawal |
author_sort |
Jaisukh Kalathia |
title |
Homocysteinemia: A rare cause of priapism |
title_short |
Homocysteinemia: A rare cause of priapism |
title_full |
Homocysteinemia: A rare cause of priapism |
title_fullStr |
Homocysteinemia: A rare cause of priapism |
title_full_unstemmed |
Homocysteinemia: A rare cause of priapism |
title_sort |
homocysteinemia: a rare cause of priapism |
publisher |
Wolters Kluwer Medknow Publications |
series |
Urology Annals |
issn |
0974-7796 0974-7834 |
publishDate |
2016-01-01 |
description |
Priaprism is a persistent painful erection that continuous beyond or is unrelated to sexual stimulation. Majority of cases are idiopathic (46%), alcohol and drug related (21%), perineal trauma (12%), sickle cell anemia and hypercoagualable state related (11%). We report case of priapism caused by hyperhomocysteinemia with favorable outcome with only few cases so far reported in the literature to the best of our knowledge. A 31 year-old male referred to our institution with non resolving priaprism for the last 6 days. Immediate distal shunt (Al-ghorab) was created but it could not achieve the detumescence. The penile Doppler showed no flow into the corpora, so a proximal shunt (Quackels) was made which achieved satisfactory detumescence. On thorough evaluation for the cause of priaprism, only homocysteine level was found to be significantly raised (40.46 µmol/L), being the unusual and rare cause for priaprism. The patient was discharged on homocheck. In the follow-up the patient is on vacuum assisted device for the erectile dysfunction and has been advised for the penile implant. Priaprism being a urological emergency should be thoroughly evaluated even for the rare causes and should be timely intervened to avoid the unavoidable consequences of permanent erectile dysfunction. |
topic |
Homocystenemia priapism shunt |
url |
http://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=1;spage=118;epage=121;aulast=Kalathia |
work_keys_str_mv |
AT jaisukhkalathia homocysteinemiaararecauseofpriapism AT santoshagrawal homocysteinemiaararecauseofpriapism AT saurabhsudhirchipde homocysteinemiaararecauseofpriapism AT rajeevagrawal homocysteinemiaararecauseofpriapism |
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1716751367385645056 |