Kunas Grace, Smereck Janet A, Ladkany Diana, Davis Jonathan E
Abrazo Health, Department of Emergency Medicine, Goodyear, Arizona.
Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):591-594. doi: 10.5811/cpcem.2020.8.47763.
Priapism, a time-sensitive urologic emergency, is associated with hematologic disorders, malignancies, trauma, pharmaceuticals, and recreational drugs.
A 51-year-old male presented with 36 hours of priapism after recreational use of nonprescribed pharmaceuticals including an oral phosphodiesterase inhibitor and intracorporally injected erectile medications, together with unspecified quantities of cocaine and alcohol. Venous blood gas confirmed ischemic priapism. Detumescence was achieved with intracavernosal phenylephrine injection, aspiration, and irrigation.
This case highlights the risk that recreational use of vasoactive medications by patients who seek to prolong sexual activity may lead to delayed presentation for ischemic priapism.
阴茎异常勃起是一种对时间敏感的泌尿外科急症，与血液系统疾病、恶性肿瘤、创伤、药物及消遣性药物有关。
一名51岁男性在非处方使用包括口服磷酸二酯酶抑制剂和阴茎海绵体内注射勃起药物在内的药物、以及未明确用量的可卡因和酒精后，出现了36小时的阴茎异常勃起。静脉血气分析证实为缺血性阴茎异常勃起。通过阴茎海绵体内注射去氧肾上腺素、抽吸和冲洗实现了消肿。
该病例凸显了试图延长性活动时间的患者消遣性使用血管活性药物可能导致缺血性阴茎异常勃起延迟就诊的风险。
