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Malignant priapism: a case report.

P Ellanti¹, S S Connolly, R McDermott

¹c/o Marjorie White-Flynn, Department of Urology, Adelaide and Meath Incorporating National Children's Hospital, Tallaght, Dublin 24, Ireland. prasad.ellanti@gmail.com

Irish Journal of Medical Science

|October 19, 2010

Summary

This summary is machine-generated.

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Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...

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Penile metastasis from urothelial cancer is rare and typically indicates poor prognosis. This case highlights a rare instance of priapism caused by high-grade urothelial malignancy, with the patient achieving long-term remission.

Area of Science:

Urology
Oncology
Pathology

Background:

Penile metastasis is uncommon, usually originating from genitourinary cancers and signaling advanced disease.
Metastasis to the penis is rare and often associated with a poor prognosis.
Priapism as a presenting symptom of penile metastasis is exceptionally rare, especially without evidence of widespread cancer.

Observation:

A case of painful priapism is presented.
The priapism was caused by a high-grade urothelial malignancy.
The patient had no evidence of disseminated disease at the time of presentation.

Findings:

Urothelial malignancy can present as priapism.
This presentation is rare, particularly in the absence of systemic metastasis.

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Early detection and radical surgery may lead to favorable outcomes.

Implications:

This case expands the understanding of rare presentations of urothelial cancer.
It suggests that priapism can be an initial sign of localized penile metastasis.
Aggressive surgical management may offer a chance for long-term remission in select cases.