Case Report

Volume: 5 | Issue: 11 | Published: Dec 03, 2021 | Pages: 313 - 318 | DOI: 10.24911/ejmcr/173-1618986166

A case report of pediatric high-flow priapism: the management of a rare condition


Authors: Ugur Aferin , Nazli Gulsum Akyel , Hamdi Ozkara


Article Info

Authors

Ugur Aferin

Department of Urology, Cerrahpaşa Medical Faculty Hospital, Istanbul, Turkey

Nazli Gulsum Akyel

Department of Radiology, Cerrahpaşa Medical Faculty Hospital, Istanbul, Turkey

Hamdi Ozkara

Department of Urology, Cerrahpaşa Medical Faculty Hospital, Istanbul, Turkey.

Publication History

Received: April 23, 2021

Revised: October 11, 2021

Accepted: October 13, 2021

Published: December 03, 2021


Abstract


Background: High-flow priapism is extremely rare, especially in childhood and usually occurs after a penile or perineal trauma. It must be differentiated from low-flow priapism, which requires urgent treatment. Treatment options of high-flow priapism include conservative approach, embolization, and surgical ligation. Case Presentation: A 6-year-old boy presented with a semi-rigid and painless penile erection. With the diagnosis of high-flow priapism, he underwent conservative therapy. After 4 weeks of conservative treatment, priapism was no longer existed, and no recurrence occurred during the 2-year follow-up. Conclusion: Conservative approach should be applied before the invasive interventions as it is easy to apply and has no side effects.

Keywords: Priapism, Child, High-flow, Penile trauma, Case report, green