Abstract:Idiopathic neonatal priapism is rarely published. We report the case of a newborn presenting with priapism on the first day of life and reviewed the published data on the management and the follow up of this condition.
“…In non-ischemic cases, treatment is generally not needed and spontaneous recovery is expected. However, treatment is required against the risk for fibrosis and erectile dysfunction in ischemic priapism (41). In the presence of increased blood flow, cavernous blood is emptied and adrenaline or phenylephrine is injected.…”
Section: Genital and Urinary Problemsmentioning
confidence: 99%
“…Another therapy is the administration of intravenous ketamine at a dose of 0.5 mg/kg. Phlebotomy is recommended in cases of polycythemia (41, 42).…”
Many transient endocrinologic disorders are frequently seen in newborn period. Early diagnosis and treatment is important for babies. In this article, transient endocrinopathy of newborn and relevant literature were reviewed. Blood sugar problems, especially adrenal insufficiency due to adrenal problems, thyroid problems such as transient hypotirotropinemia, are frequently encountered by physicians. Genital and urinary problems should be evaluated differently according to gender. Problems related to calcium metabolism, problems associated with water metabolism and endocrine skin problems are other problems. It is essential to know the normals of the hormones in the neonatal period in order to recognize them properly, to evaluate them properly and to interpret the tests correctly.
“…In non-ischemic cases, treatment is generally not needed and spontaneous recovery is expected. However, treatment is required against the risk for fibrosis and erectile dysfunction in ischemic priapism (41). In the presence of increased blood flow, cavernous blood is emptied and adrenaline or phenylephrine is injected.…”
Section: Genital and Urinary Problemsmentioning
confidence: 99%
“…Another therapy is the administration of intravenous ketamine at a dose of 0.5 mg/kg. Phlebotomy is recommended in cases of polycythemia (41, 42).…”
Many transient endocrinologic disorders are frequently seen in newborn period. Early diagnosis and treatment is important for babies. In this article, transient endocrinopathy of newborn and relevant literature were reviewed. Blood sugar problems, especially adrenal insufficiency due to adrenal problems, thyroid problems such as transient hypotirotropinemia, are frequently encountered by physicians. Genital and urinary problems should be evaluated differently according to gender. Problems related to calcium metabolism, problems associated with water metabolism and endocrine skin problems are other problems. It is essential to know the normals of the hormones in the neonatal period in order to recognize them properly, to evaluate them properly and to interpret the tests correctly.
“…Differently from what happens in older children, due to the predominance of foetal haemoglobin, SCD is not a cause of priapism in newborns [ 21 ]. However, in the majority of cases the aetiology remains idiopathic [ 19 – 21 , 29 – 37 ].…”
Section: Classification and Pathophysiologymentioning
confidence: 99%
“…Only ninety-three years later, other authors started to describe consecutive and detailed cases of persistent penile erection in newborns. In the majority of cases the aetiology is unknown [ 11 , 19 – 21 , 29 – 37 ]. However, in four of the reported cases, priapism was associated with polycythemia [ 22 , 24 ].…”
Neonatal priapism is a rare condition with only 26 described cases in literature since 1879. It is defined as a persistent penile erection occurring in the first 28 days of life, lasting at least 4 h that usually happens in the first days (from 2 to 12 days). It is a very different condition compared to the adult one because in newborns it is a relatively benign phenomenon. As a result of this paucity of described cases, classification and management are not well known by most of neonatologists and currently there are no established guidelines for its management. Most cases are idiopathic but other aetiologies are possible (polycythemia, blood transfusion and drugs). We describe our only case, which occurred during hypothermia therapy and review the literature to clarify the best choice in management of this rare entity.
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