An uncommon association with sub-arachnoid hemorrhage in a young man

Priapism is a relatively uncommon condition, with an incidence rate of 1.5 per 100,000 person-years amongst the general population.1 Hence, most healthcare professionals are unfamiliar with this condition. Key to the evaluation of priapism is to define whether it is ischemic or non-ischemic in nature. Non-ischemic priapism is commonly due to trauma, such as genitourinary injury, leading to uncontrolled cavernous arterial inflow. It is not an emergency and chance of spontaneous resolution is high. Ischemic priapism, on the other hand, occurs commonly due to veno-occlusive causes leading to outflow obstruction, culminating in compartment syndrome of the penis. Ischemic priapism should be treated promptly as a delay in treatment could result in irreversible fibrosis of the corporal tissue. We describe a case of ischemic priapism presenting in a gentleman with a subarachnoid haemorrhage. Early recognition of this state as a urological emergency is essential to avoid cavernosal