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Year : 2019  |  Volume : 11  |  Issue : 2  |  Page : 222-225

Malignant refractory priapism: An urologist's nightmare

Department of Urology, NU Hospitals, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Vinod Kumar Prabhuswamy
NU Hospitals (South), 15th Main, 11th Cross, Padmanabhanagar, Bangalore 560 070, Karnataka
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DOI: 10.4103/UA.UA_140_18

PMID: 31040614

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Malignant priapism is described as persistent, nonsexual erections caused by invasion or metastasis from a primary neoplasm. We present two cases of malignant priapism with different etiologies and the respective management strategies. A 75-year-old patient had undergone radical cystectomy for a high-grade bladder tumor 5 months ago and came with priapism. The patient persisted to have partial penile tumescence with low-grade pain even after intervention. Another 66-year-old patient came to emergency with persistent painful priapism who had been diagnosed to have Multiple Myeloma. He required a corporotomy and open drainage as a last resort which finally relieved him of pain but with loss of erection. The treatment needs to be individualized based on the clinical course of the patient.

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