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Updated: May 9, 2026

Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease
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Partial priapism.

Peter Hoyerup1, Nessn Htum Azawi

  • 1Department of Urology, Roskilde Hospital, Roskilde, Denmark.

BMJ Case Reports
|August 13, 2013
PubMed
Summary
This summary is machine-generated.

Partial priapism (PP) is a rare condition. This case report details a 50-year-old man who developed PP after sildenafil use, requiring surgical intervention.

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Area of Science:

  • Urology
  • Andrology
  • Pharmacology

Background:

  • Partial priapism (PP), or partial segmental thrombosis of the corpus cavernosum, is an exceptionally rare urological condition with limited documented cases.
  • The precise etiology and optimal treatment strategies for PP remain incompletely understood.
  • Potential contributing factors include physical activities, trauma, substance use, sexual activity, hematological disorders, and alpha-blocker medications.

Observation:

  • This report presents a case of a 50-year-old male experiencing PP.
  • The patient's condition arose subsequent to the ingestion of 100 mg of sildenafil.
  • Conservative management approaches, including analgesics, proved ineffective due to severe pain.

Findings:

  • Sildenafil, a phosphodiesterase type 5 inhibitor, was identified as a potential trigger for PP in this patient.
  • Surgical intervention, specifically incision and clot evacuation of the corpus cavernosum, was necessary for treatment.
  • This case adds to the limited world literature on partial priapism, particularly concerning drug-induced cases.

Implications:

  • This case highlights a potential adverse effect of sildenafil, necessitating further investigation into its role in PP.
  • The findings underscore the importance of considering medication history in the differential diagnosis of priapism.
  • Effective management of severe PP may require prompt surgical intervention when conservative measures fail.