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Scholars Journal of Medical Case Reports | Volume-7 | Issue-04
Priapism in Acute Spinal Cord Injury-Case Report
Dr. Prateek Gupta, Dr. Gautam Ram Choudhary, Dr. Suresh Goyal, Dr. Mahendra Singh, Dr. Pritesh Jain
Published: April 30, 2019 | 189 178
DOI: 10.36347/sjmcr.2019.v07i04.012
Pages: 306-308
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Abstract
Priapism is broadly divided into ischemic and non-ischemic (high flow) priapism. High flow priapism may result from increased arterial inflow into the cavernosal tissue following pelvic trauma with injury to the cavernosal artery or one of its branches or rarely after spinal cord injury (SCI) and loss of sympathetic outflow. Diagnosis and differentiation between ischemic and high flow is important, because treatment options are separate for both entities and if treatment is delayed it may results in dire consequences.Priapism associated with SCI are rare events therefore management protocols are scanty for this type of priapism. Close watch and follow up is also of paramount importance to avoid erectile dysfunction and its ill-effects. Here, we present a rare case of non-ischemic priapism following SCI, which was successfully managed conservatively.