Resistant Priapism in Hemodialysis Patient: A Rare Case

Abstract

Resistant Priapism in Hemodialysis Patient: A Rare Case

Abstract

Introduction: Priapism is a penis erection that lasts longer than 4 hours without sexual stimulation and is a urological emergency that requires immediate treatment.Priapism can be seen rarely after hemodialysis.We aimed to present the patient with resistant priapism who underwent hemodialysis.Case Report: A 47-year-old man who underwent hemodialysis for two months due to end-stage renal disease admitted to the emergency department due to priapism.The penis was painful and rigid.Despite the drainaged of approximately 150 cc venous blood from corpus cavernosum with in 30 minutes,no detumescence was achieved.We performed a T-shunt combined with corporal tunneling.In the follow-up visits,the patient who was not able to have detumescence was informed and planned to have an early implantation of penile prosthesis due to necrosis, fibrosis,permanent loss of erection.Conclusion: Mechanism of priapism in hemodialysis patient is accused of inadequate heparinization and dialysis-induced hypoxemia and acidosis. First line treatment for ischemic priapism in emergency department is very important.The patient should be intervened quickly and directed to the urologist

Keywords

• Priapism, hemodialysis, resistant priapism

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