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Updated: Aug 11, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
Erectile dysfunction and priapism
Derek J Bochinski1, Robert C Dean, Tom F Lue
1University of Alberta, Canada.
Background:
A 46-year-old man presented with erectile dysfunction following a blunt perineal injury sustained 1 year previously. Oral phosphodiesterase type 5 inhibitors failed to improve his erections. The remainder of the patient's history, physical examination and laboratory tests were unremarkable except for a moderate tenderness in the left perineum and some 'fullness' in the corpora cavernosa during physical examination.
Investigation:
Physical examination, color duplex ultrasound of the penis and perineal area and Sexual Health Index for Men questionnaire.
Diagnosis:
Non-ischemic priapism due to a ruptured left helicine artery, intermittent penile turgidity and erectile dysfunction.
Management:
Open suture ligation of the helicine artery and imbrication of the pseudocapsule.
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