Nonischemic priapism following penile tattooing

Area of Science:

• Urology
• Dermatology
• Medical Case Reports

Background:

• Priapism is a prolonged erection, often painful, with numerous potential causes.
• Nonischemic priapism, specifically arterial priapism, involves excessive blood flow into the corpora cavernosa.
• The etiology of priapism is diverse, encompassing conditions like sickle cell disease, medications, and trauma.

Observation:

• A 21-year-old male presented with a 3-month history of partially rigid penis.
• Physical examination revealed penile tattoos and signs consistent with arterial priapism.
• The patient reported recent penile tattooing preceding the onset of priapism.

Findings:

• Standard priapism etiologies, including hematologic, infectious, and iatrogenic causes, were excluded.
• Penile blood gas analysis confirmed high oxygen and low carbon dioxide, indicative of arterial priapism.
• The patient underwent an unsuccessful Sacher procedure and opted against further treatment.

Implications:

• Penile tattooing should be recognized as a potential cause of nonischemic priapism.
• This case underscores the risks associated with penile tattooing and suggests it be discouraged.
• Further research into the mechanisms of tattooing-induced priapism may be warranted.