Neonatal Priapism Associated With Spontaneous Bilateral Pyocavernositis

Annals of the Academy of Medicine, Singapore - Tập 35 Số 6 - Trang 425-427 - 2006
Rajeev Sood1, Surender Nath Wadhwa2, Vikas Jain1
1Dr. Ram Manohar Lohia Hospital, New Delhi, India
2Sir Ganga Ram Hospital, New Delhi, India

Tóm tắt

Introduction: Neonatal priapism is known to be associated with a wide range of aetiologies, but an association with spontaneous purulent cavernositis has not been reported in the paediatric literature. We report the first of such case. Clinical Picture: A 24-day-old neonate was brought with the history of persistent erection of penis since day 4 of life and swollen penis of 4 days’ duration, which revealed frank pus on cavernosal aspiration bilaterally. Treatment: The child was treated with closed aspiration drainage; cross-irrigation with antibiotic solution under systemic antibiotic cover helped in achieving complete detumescence. Outcome: On follow-up, child demonstrated normal full bladder tumescence and colour doppler revealed bilateral normal corporo-cavernosal appearance and blood flow, indicating good functional and anatomical recovery. Conclusion: This case report describes the presentation, successful management and excellent functional and anatomical outcome, on follow-up, of this rare association of neonatal priapism with spontaneous bilateral pyocavernositis. An attempt has been made to describe the underlying pathophysiology. Key words: Corporeal abscess, Erectile dysfunction, Persistent penile erection of newborn

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Tài liệu tham khảo

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Annals of the Academy of Medicine, Singapore

Tập 35 Số 6

425-427

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