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Published on: March 15, 2024
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
Background:
Metastatic involvement of the penis is most commonly from a primary malignant genitourinary tumour. It is a rare phenomenon usually reflecting disseminated malignancy associated with a poor prognosis. Metastasis to the penis mimicking priapism is extremely rare, particularly in the absence of disseminated disease.
Materials And Methods:
We describe a case of painful priapism caused by a high-grade urothelial malignancy without disseminated disease.
Conclusion:
Life expectancy is estimated at less than 1 year in these patients. Our patient remains in clinical and radiologic remission over 36 months from his original radical surgery.