Department of Urology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Am J Case Rep. 2021 Dec 30;22:e935716. doi: 10.12659/AJCR.935716.
BACKGROUND Having painful intermittent penile erections that last less than 4 h is known as stuttering priapism. Sickle cell disease is a well-known risk for stuttering priapism; although, other causes could be related to this disorder. To date, no study has examined the relationship between stuttering priapism and electronic cigarettes (e-cigarettes). CASE REPORT We present a case of a 31-year-old man who came to our clinic with recurrent stuttering priapism. He had no chronic medical illnesses. He had smoked half a pack of cigarettes per day for the past 6 years but had shifted to vaping e-cigarettes for which he used several e-fluids and brands. His stuttering priapism started approximately 1 week after he began vaping. A detailed history and physical examination were unremarkable. Laboratory results showed a normal complete blood count and metabolic panel along with a normal testosterone level and negative sickle cell screening test. The chest X-ray and abdominal and pelvic ultrasound were normal. Initially, we reassured the patient; however, his condition persisted with no significant changes in his general health or lifestyle. We asked him to stop using e-cigarettes, and after he stopped, his stuttering priapism surprisingly completely resolved. He has not experienced a single episode of stuttering priapism in the 3 months since the cessation of e-cigarettes use. CONCLUSIONS The relationship between stuttering priapism and e-cigarettes remains largely unexplored in the literature. Whether e-cigarettes and e-fluids represent a risk factor for priapism in novice e-cigarette smokers warrants further investigation.
持续时间少于 4 小时的间歇性阴茎痛性勃起被称为顿挫型阴茎异常勃起。镰状细胞病是顿挫型阴茎异常勃起的已知危险因素；然而，其他原因可能与这种疾病有关。迄今为止，尚无研究探讨顿挫型阴茎异常勃起与电子烟（e-cigarettes）之间的关系。
我们报告了一例 31 岁男性，因反复发作的顿挫型阴茎异常勃起而就诊于我院。他没有慢性疾病。过去 6 年来，他每天抽半包香烟，但已转为使用电子烟，他使用了几种电子烟液和品牌。他的顿挫型阴茎异常勃起大约在开始使用电子烟后的 1 周开始出现。详细的病史和体格检查无明显异常。实验室结果显示全血细胞计数和代谢谱正常，睾酮水平正常，镰状细胞筛查试验阴性。胸部 X 线、腹部和盆腔超声均正常。起初，我们对患者进行了安抚；然而，他的病情持续存在，他的一般健康状况或生活方式没有明显变化。我们要求他停止使用电子烟，在他停止使用后，他的顿挫型阴茎异常勃起竟然完全缓解。自停止使用电子烟以来的 3 个月内，他没有经历过一次顿挫型阴茎异常勃起。
在文献中，顿挫型阴茎异常勃起与电子烟之间的关系在很大程度上仍未得到探索。电子烟和电子烟液是否代表新手电子烟使用者发生异常勃起的风险因素，这仍有待进一步研究。
