Rhazes Center for Research in Family Health and Sexual Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Sex Med. 2012 Mar;9(3):844-8. doi: 10.1111/j.1743-6109.2011.02579.x. Epub 2012 Jan 3.
INTRODUCTION: To our knowledge, here we report the first case of nonischemic priapism following penile tattooing. AIM: To report the first case of nonischemic priapism following penile tattooing. METHODS: A case with tattooing-induced priapism is presented including subjective reporting, physical examination, and laboratory/radiologic evaluations. RESULTS: A 21-year-old man, presented with partially rigid penis of 3-month duration. On examination, the penis was half rigid, with a tattoo on its dorsal surface, and a smaller tattoo on the glans (Figure 1). The patient initially stated that the tattoo had been created years ago, but later admitted that he had it created just before the occurrence of priapism. A traditional tattooist created the tattoo manually, using a handheld needle. Bleeding from deep penile tissue for several days complicated the tattooing. Known etiologies of priapism were investigated and ruled out. Specifically, perineal injury, leukemia, sickle cell trait, thalassemia, urinary tract infection, neurogenic, neoplastic, infectious, toxic, and pharmacological causes were actively investigated and ruled out. There was no history of alcohol consumption or smoking. Aspirated penile blood was bright red. Cavernous blood gas measurements confirmed high oxygen and low carbon dioxide content, diagnostic of arterial priapism. There was no embolization facility in Kermanshah. In fact, there are few experts in superselective embolization in Iran. We referred the patient for superselective embolization. However, he underwent a nonindicated Sacher procedure. Predictably, the procedure was unsuccessful. At present, the patient continues to have priapism. Because of the painless nature of erections, moderately good preservation of erectile function during intercourses, and disappointment with former surgery, the patient declined further therapies, and he lives with his condition. CONCLUSIONS: Tattooing should be added to the etiologies of nonischemic priapism. Considering this case, we discourage penile tattooing.
介绍：据我们所知，我们在此报告首例阴茎纹身后发生非缺血性阴茎异常勃起。
目的：报告首例阴茎纹身后发生非缺血性阴茎异常勃起。
方法：报告 1 例纹身诱导性异常勃起病例，包括主观报告、体格检查和实验室/影像学评估。
结果：一名 21 岁男性，出现 3 个月的部分刚性阴茎。体格检查示阴茎半刚性，背部有纹身，龟头有较小的纹身（图 1）。患者最初表示纹身是多年前纹的，但后来承认是在异常勃起发生前几天纹的。一位传统纹身师使用手持针手动进行纹身。阴茎深部组织出血数日使纹身复杂化。积极调查并排除了异常勃起的已知病因。具体而言，排除了会阴损伤、白血病、镰状细胞特征、地中海贫血、尿路感染、神经源性、肿瘤性、感染性、中毒性和药物性病因。患者无饮酒或吸烟史。抽吸阴茎血液呈鲜红色。海绵体血气测量证实氧含量高，二氧化碳含量低，诊断为动脉性异常勃起。在克尔曼沙阿没有栓塞设施。事实上，在伊朗，很少有专家进行超选择性栓塞。我们建议患者进行超选择性栓塞，但他接受了非指征性的 Sacher 手术。不出所料，该手术不成功。目前，患者仍持续出现异常勃起。由于勃起无痛、性交时勃起功能中度良好、对以前手术的失望，患者拒绝进一步治疗，继续带病生活。
结论：纹身应添加到非缺血性异常勃起的病因中。考虑到这一病例，我们不鼓励进行阴茎纹身。
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