World J Mens Health.  2013 Apr;31(1):76-78.

Stuttering Priapism in a Patient with Neurosyphilis

• Kim JW
• Chae JY
• Kim JW
• Yoon CY
• Oh MM
• Kim JJ
• Moon DG

Abstract

We recently encountered a case of stuttering priapism in a 41-year-old patient with neurosyphilis. Priapism very rarely has a neurogenic cause, and to our knowledge, priapism caused by neurosyphilis has not been reported previously in the literature. Our aim was to report this case and systematically review the related literature.

Keyword

Priapism; Neurosyphilis; Shunt

MeSH Terms

Humans
Neurosyphilis
Priapism
Stuttering

Figure

• 

  Fig. 1 Cavernoso-glandular shunt procedure. Post-operatively, complete detumescence was achieved.

Reference

1. Broderick GA. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Priapism. Campbell-Walsh urology. 2012. 10th ed. Philadelphia: Saunders;p. 749–764.

2. Broderick GA, Kadioglu A, Bivalacqua TJ, Ghanem H, Nehra A, Shamloul R. Priapism: pathogenesis, epidemiology, and management. J Sex Med. 2010; 7:476–500. PMID: 20092449.

3. Montague DK, Jarow J, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, et al. Members of the Erectile Dysfunction Guideline Update Panel. Americal Urological Association. American Urological Association guideline on the management of priapism. J Urol. 2003; 170:1318–1324. PMID: 14501756.

4. Ebbehoj J. A new operation for priapism. Scand J Plast Reconstr Surg. 1974; 8:241–242. PMID: 4458048.

5. Huang YC, Harraz AM, Shindel AW, Lue TF. Evaluation and management of priapism: 2009 update. Nat Rev Urol. 2009; 6:262–271. PMID: 19424174.

6. Burnett AL. Pathophysiology of priapism: dysregulatory erection physiology thesis. J Urol. 2003; 170:26–34. PMID: 12796638.

7. Burnett AL, Sharlip ID. Standard operating procedures for priapism. J Sex Med. 2012; [Epub ahead of print].

8. Morrison BF, Burnett AL. Stuttering priapism: insights into pathogenesis and management. Curr Urol Rep. 2012; 13:268–276. PMID: 22648304.

9. Levey HR, Kutlu O, Bivalacqua TJ. Medical management of ischemic stuttering priapism: a contemporary review of the literature. Asian J Androl. 2012; 14:156–163. PMID: 22057380.