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Priapism caused by infection and an inflammatory process in the pelvic region
D van den Ouden1, S S Boks, H A W Sinnige
1Department of Urology, Medical Center Rijnmond-Zuid, locatie Clara, Olympiaweg 350, NL-3078 HT Rotterdam, The Netherlands.
Abstract:
Priapism caused by an inflammatory process is rare. We report on a 25-year-old man with priapism due to an infiltration in the pelvic region, enclosing the right sacral plexus. Blood cultures revealed Staphylococcus aureus to be the causal organism. Treatment consisted of parenteral antibiotics, aspiration of the corpora cavernosa and injection of epinephrine, resulting in a flaccid penis and full recovery of potency after 3 weeks. A literature review was conducted for infection and inflammatory processes as a cause for priapism.
Insights
Priapism from inflammation is rare. A case study found Staphylococcus aureus pelvic infection caused priapism, successfully treated with antibiotics and aspiration, restoring potency.
Area of Science:
- Urology
- Infectious Diseases
- Inflammatory Processes
Background:
- Priapism, a persistent erection, is uncommon when caused by inflammatory conditions.
- Pelvic inflammatory processes can rarely lead to priapism.
Observation:
- A 25-year-old male presented with priapism.
- The condition was linked to a pelvic infiltration affecting the right sacral plexus.
- Blood cultures identified Staphylococcus aureus as the causative agent.
Findings:
- Treatment involved intravenous antibiotics, aspiration of the corpora cavernosa, and epinephrine injection.
- This regimen resolved the priapism, achieving a flaccid penis.
- Full recovery of erectile function was observed within three weeks.
Implications:
- This case highlights the importance of considering infectious and inflammatory causes of priapism.
- Prompt diagnosis and treatment are crucial for preserving erectile function.
- Further literature review supports infection as a rare but treatable cause of priapism.