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[One case report of clitoral priapism and literature review]
Hengjun Xiao1, Jihong Liu, Shaogang Wang
1Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China. hjxiao555@126.com
Objective:
To investigate the clinical characteristics of female clitoral priapism.
Methods:
A 29-year-old case of painful priapism of the clitoris lasting 60 hours was reported. The etiology, diagnosis and treatment of clitoral priapism were discussed and the literature reviewed.
Results:
The patient was cured by intracavernous administration of adrenaline.
Conclusion:
Clitoral priapism is extraordinarily rare. It is primarily due to oral antidepressant drugs or pelvic malignant neoplasm which leads to tissue infiltration of the clitoral veins and obstruction of the clitoral corporeal blood flow. The efficient therapeutic approach to clitoral priapism is intracavernous administration of alpha-agonists similar to the treatment of penile priapism.
