High flow priapism: diagnosis and treatment in pediatric population

Abstract

Absence of long-term damaging effects of arterial HFP on erectile tissue combined with the possibility of spontaneous resolution associated with blunt perineal trauma are suggestive signs for the introduction of an observation period in the management algorithm of HFP. Such a period may help to avoid unnecessary surgical intervention. Thus, these cases reinforce the decision to manage these patients conservatively and avoid angiographic embolization as a first therapeutic choice.

Nonischemic Priapism in Childhood: A Case Series and Review of Literature

“…12,18 Perineal compression and ice packs represent the primary therapy in NIP. 2,17,[19][20][21][22][23] A spontaneous recovery rate up to 62% is reported. 2,4,10,17,24 In doubt, diagnostic aspiration of the corpora cavernosa with subsequent BGA is recommended.…”

Priapism in children: a comprehensive review and clinical guideline

“…The absence of pain is an unreliable indicator of non-ischaemic priapism [19]. Corbetta et al [28] advocate routine corporal blood gas analysis. However, this nearly always necessitates general anaesthesia and is not therapeutic in non-ischaemic priapism.…”

“…Fifty-five cases of childhood non-ischaemic priapism are reported; management options include conservative, mechanical, pharmacological, radiological embolization, or surgical ligation [9,28]. However, follow-up in children lacks longevity and reliably completed erectile function questionnaires [9].…”

Penile Priapism, Clitoral Priapism, and Persistent Genital Arousal Disorder: A Contemporary Review

“…Since the outflow remains unobstructed, a compartment‐like syndrome with hypoxia and acidosis does not occur. Implicated causes include sexual trauma, pelvic fractures, needle lacerations, metastatic infiltration of the corpora, kicks to the penis or perineum, straddle injury, and birth trauma to the newborn male [40–42]. Cases of high‐flow priapism have even been reported in mountain biking accidents and penile tattooing [43,44].…”