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Updated: Jul 11, 2025

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

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Published on: March 15, 2024

Malignant priapism: case report and update on management protocols.

Seyed Sajjad Tabei¹, Wesley Baas¹, Anthony Brooks²

¹Division of Urology, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Translational Andrology and Urology

|November 16, 2023

Summary

Malignant priapism, a rare condition, requires individualized palliative care. This study suggests penectomy as a last resort for symptom relief in advanced genitourinary cancers.

Keywords:

Priapism case report genitourinary neoplasm malignant priapism urogenital neoplasm

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Published on: December 8, 2023

Area of Science:

Urology
Oncology
Medical Research

Background:

Malignant priapism is a rare condition (approx. 500 cases) caused by neoplasm invasion or metastasis.
Established priapism guidelines do not cover malignant cases.
This study presents three cases of malignant priapism linked to advanced genitourinary cancers.

Observation:

Patients presented with sub-acute penile pain.
All patients underwent palliative penectomy.
Penectomy provided sustained symptom relief.

Findings:

Malignant priapism is associated with poor prognosis, necessitating palliative care.
Conventional treatments like shunting may not be effective.
Penectomy is a viable last resort for symptom management.

Implications:

Individualized treatment plans are crucial for malignant priapism.
Current priapism management guidelines require revision.
Emphasis on palliative care is essential for these patients.