Recurrent idiopathic ischemic priapism in a healthy pediatric patient: A case report
Abstract
We present a rare case of recurrent idiopathic ischemic priapism in a healthy 14-year-old male with no identifiable risk factors such as hematologic disorders, trauma, or medication use. The patient required surgical intervention after failing conservative measures, including aspiration and intracavernosal phenylephrine. A bilateral T-shunt ultimately achieved successful detumescence. Postoperative rehabilitation with tadalafil and a vacuum erection device preserved erectile function. This case highlights the importance of early recognition and a stepwise approach to pediatric priapism. It also raises the possibility of a novel association between chronic constipation and impaired venous outflow contributing to priapism in children.
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Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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