High Flow Priapism in a Pediatric Patient after Circumcision with Dorsal Penile Nerve Block
نویسندگان
چکیده
We report the first documented case of high flow priapism after circumcision with dorsal penile nerve block. A 7-year-old male who had undergone circumcision three years before presented to our institution with a 3-year history of persistent nonpainful erections. Workup revealed a high flow priapism and, after discussion of the management options, the patient's family elected continued observation.
منابع مشابه
Intracavernosal metaraminol bitartrate for treatment of priapism resulting from circumcision: a case report
INTRODUCTION Priapism is an uncommon disorder of involuntary prolonged erection beyond sexual excitement or desire. Herein, we present a rare case of priapism resulting from traditional circumcision under regional anesthesia with dorsal penile nerve block by xylocaine, which was successfully treated by intracavernosal injection of metaraminol bitartrate. CASE DESCRIPTION A 37-year-old man vis...
متن کاملClinical experience and sexual function outcome of patients with priapism treated with penile cavernosal-dorsal vein shunt using saphenous vein graft.
OBJECTIVES To assess the outcome of new penile cavernosal-dorsal vein shunt using a saphenous vein graft. Traditional surgeries for priapism have high failure rate and subsequent impotence. METHODS We reviewed the medical records of, and administered a questionnaire and the International Index of Erectile Function to, 16 consecutive patients with priapism who had treated with the penile caver...
متن کاملA randomized, controlled trial of a eutectic mixture of local anesthetic cream (lidocaine and prilocaine) versus penile nerve block for pain relief during circumcision.
OBJECTIVE We set out to compare a eutectic mixture of local anesthetic cream (lidocaine and prilocaine) to dorsal penile nerve block with lidocaine for anesthesia during circumcision. STUDY DESIGN In a double-blind study, term newborns were randomized to local anesthetic cream and sodium chloride solution dorsal penile nerve block (n = 31) or to placebo cream and lidocaine dorsal penile nerve...
متن کاملThe analgesic effect of clonidine as an adjuvant in dorsal penile nerve block
INTRODUCTION Dorsal penile nerve block (DPNB) is a commonly performed regional anesthetic technique for male circumcision. The aim of this study was to assess the analgesic effect of the adjunction of clonidine to bupivacaine 0.5% in this block. METHODS It was a prospective randomized double-blind clinical trial including 40 ASA1 boys aged from 1 to 4 years undergoing elective circumcision. D...
متن کاملHigh – Flow Priapism in a Pediatric Patient . a Case Report
Priapism is a rare entity in the pediatric population and represents a persistent, usually painful erection that lasts for more than 4 hours and occurs without sexual stimulation in all age groups including newborns. However, it usually affects men between the ages of 5 to 10 years and 20 to 50 years. Priapism is caused by an imbalance between penile blood inflow and outflow. There are two type...
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عنوان ژورنال:
دوره 2016 شماره
صفحات -
تاریخ انتشار 2016