A Case of Priapism in a Man Admitted to the Icu for Covid-19 Ards

Andersen, Karl; Dargin, James; Childs, Brandon

doi:10.1016/j.chest.2021.07.608

Cited by 1 publication

(18 citation statements)

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“…Among the 10 cases in which cavernous blood gas was recorded, [ 6 , 8 – 14 , 17 , 18 ] the pH was <7.25 in 8 (80.0%) cases, [ 6 , 8 – 11 , 14 , 17 , 18 ] PaCO 2 was ≥60 mm Hg in 4 (40.0%), [ 6 , 8 , 10 , 17 ] and PaO 2 was <30.1 mm Hg in 2 (20.0%) cases. [ 8 , 9 ]…”

Section: Resultsmentioning

confidence: 99%

“…Three cases (20.0%) originated in the United States [8,11,14] ; two (13.3%) each from Columbia, [10,13] the United Kingdom, [7,15] and Saudi Arabia [9,20] ; and one (6.7%) each from France, [6] Italy, [12] Morocco, [16] Argentina, [17] Austria, [18] and Ghana. [19] 3.3.…”

Section: Country Of Originmentioning

confidence: 99%

“…The age range of study subjects Nine (60.0%) patients were aged between 60 and 70 years. [6][7][8][9][10]14,16,17,20] There were 2 (13.3%) pediatric patients aged 12 [18] and 9 [19] years. The ages of the remaining 4 (26.7%) cases ranged from 34 to 58 years.…”

Section: Country Of Originmentioning

confidence: 99%

“…[5] Priapism has recently been reported as a possible thromboembolic complication of COVID-19. [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Priapism is a urological emergency defined as an abnormal condition of prolonged or constant penile erection lasting >4 hours in duration. It can be categorized as either ischemic (lowflow or veno-occlusive) or non-ischemic (high-flow or arterial).…”

Section: Introductionmentioning

confidence: 99%

“…[24] A limited number of cases of COVID-19 with coexisting priapism have been reported. [6][7][8][9][10][11][12][13][14][15][16][17][18][19] These cases must be reviewed to identify whether there is a potential association between these two conditions. Owing to the incidence and adverse events associated with priapism, coupled with the theoretical correlation between priapism and COVID-19 pathophysiology, we explored the potential relationship between the two by conducting this systematic review.…”

Section: Introductionmentioning

confidence: 99%

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Coronavirus disease 2019 (COVID-19) and priapism: An unexplored association

et al. 2022

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Background: Coronavirus disease 2019 (COVID-19) has an established impact on multiple organ systems, including the vascular and urogenital systems. Vascular effects may include venous thromboembolic disease, which could theoretically be a precursor to priapism—a urological emergency defined as an abnormal condition of prolonged penile erection lasting >4 hours. To better explore this association, we critically appraised all the published COVID-19 cases associated with priapism. Materials and methods: After PROSPERO registration ( CRD42021245257), a systematic search of Google Scholar, Scopus, Embase, Web of Science, PubMed, Cumulative Index to Nursing and Allied Health Literature, Global Index Medicus, and Cochrane Database of Systematic Reviews was performed using specific search terms. The following study metadata were extracted: age, requirement for respiratory support, cavernous blood gas findings, management of priapism, and patient outcomes. Results: Fifteen single-patient case reports were included in this review. Of these, all of the patients presented with ischemic priapism, 9 patients (60.0%) were >60 years of age, 4 (26.7%) reported more than a single episode of priapism, 11 (73.3%) presented with pneumonia, 8 (53.3%) required mechanical ventilation, D-dimer was elevated in 5 of the 6 (83.3%) patients in whom this was reported, and among the 13 patients in whom mortality was reported, 4 (30.8%) died. Conclusions: Early reports suggest a prognostic relationship between COVID-19 and coexisting priapism. However, owing to commonalities in their pathophysiology and the small dataset reported in the literature, the probable association between COVID-19 and priapism is still theoretical. Further research is needed to confirm this association.

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