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Case Report: Priapism Following an Anterior Lumbar Interbody Fusion
Cecilia Otten1,2, Karen S Dunn1,2
1Cecilia Otten, DNP, FNP-BC, ONP-C, Orthopaedic Nurse Practitioner, School of Nursing, Oakland University, Rochester Hills, MI.
Orthopedic Nursing
|January 24, 2024
Summary
Priapism, a prolonged erection, can occur after surgery. This case study details ischemic priapism following an anterior lumbar interbody fusion (ALIF), emphasizing prompt treatment and nursing vigilance.
Area of Science:
- Urology
- Anesthesiology
- Surgical Nursing
Background:
- Priapism is defined as a prolonged erection lasting over 4 hours without sexual stimulation.
- It is classified into ischemic (low-flow) and nonischemic (high-flow) types, each with distinct causes and treatments.
- Post-surgical priapism is a rare but serious complication.
Conclusions:
- Anterior lumbar interbody fusion (ALIF) can be associated with the rare complication of priapism.
- Anesthetic agents used during surgery may contribute to the development of priapism.
- Nurses must remain vigilant for unexpected findings post-operatively, such as priapism, to prevent patient harm.
