Related Experiment Videos
Resolution of recurrent ischemic priapism after celiac plexus block: case report evidence for its neurogenic origin?
Arthur L Burnett1, Carlos S Santiago
1Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. aburnett@jhmi.edu
Introduction:
Recurrent ischemic priapism likely has a neurogenic basis for some clinical presentations.
Aim:
To describe a phenomenon of resolved recurrent ischemic priapism in a patient following celiac plexus block for recurrent upper abdominal pain.
Methods:
The case report profiled a 44-year-old Caucasian man who developed recurrent ischemic priapism after retroperitoneal surgery. He had failed multiple conventional interventions for his priapism. After he underwent a celiac plexus block for recurrent upper abdominal pain, his recurrent priapism episodes immediately stopped.
Main Outcome Measures:
Clinical history regarding priapism occurrences.
Results:
The patient obtained a resolution of his priapism after celiac plexus block, without recurrences at a 6-month follow-up assessment.
Conclusions:
Celiac plexus block successfully led to resolution of recurrent ischemic priapism of probable neurogenic origin associated with spinal nerve outflow injury.