Journal article
Acute Management of Prolonged, Recalcitrant Priapism in a Pediatric Patient
Pediatrics (Evanston), Vol.149(6), p.1
06/01/2022
DOI: 10.1542/peds.2021-054941
PMID: 35543028
Abstract
Although rare in pediatrics, ischemic priapism carries significant risk of erectile dysfunction if not treated promptly. We report a case of idiopathic ischemic priapism in a male aged 14 years, refractory to traditional therapies, including aspiration/irrigation, phenylephrine injection, and distal shunt. However, the priapism resolved after intracavernosal injections of tissue plasminogen activator (tPA) with preservation of normal erectile function. To our knowledge, this is the first reported case of intracavernosal tPA for treatment of pediatric priapism. tPA may be a useful management option for recalcitrant ischemic priapism in pediatric patients and may prevent devastating outcomes such as lifelong erectile dysfunction.
Details
- Title: Subtitle
- Acute Management of Prolonged, Recalcitrant Priapism in a Pediatric Patient
- Creators
- Rachael Sherrer - Highland Community College - IllinoisMario Otto - University of Wisconsin–MadisonSushant Srinivasan - Univ Wisconsin, Dept Pediat, Madison, WI USAKrista Grinde - University of Wisconsin–MadisonWalid A. Farhat - Highland Community College - Illinois
- Resource Type
- Journal article
- Publication Details
- Pediatrics (Evanston), Vol.149(6), p.1
- Publisher
- Amer Acad Pediatrics
- DOI
- 10.1542/peds.2021-054941
- PMID
- 35543028
- ISSN
- 0031-4005
- eISSN
- 1098-4275
- Number of pages
- 5
- Language
- English
- Date published
- 06/01/2022
- Academic Unit
- Stead Family Department of Pediatrics; Hematology/Oncology
- Record Identifier
- 9984701654502771
Metrics
12 Record Views