Surgical Management of Idiopathic Partial Thrombosis of the Corpus Cavernosum

Abstract

A 36-year-old African American man presented to the emergency department with 2 days of left-sided perineal pain after sexual activity. He was found to have induration in the left perineum overlying the proximal left corporal body. Clinical picture was suspicious for traumatic corporal rupture; however, advanced imaging showed a proximal segmental thrombosis of the left corpus cavernosum. The patient underwent perineal exploration with evacuation of an intracorporal penile hematoma. In spite of disrupting a fibrous membrane in the proximal corpora and drainage of the corpora, we observed repeat tumescence during the procedure because of an observed arterial high-flow state in the corpora cavernosum. This was resolved with administration of phenylephrine into the cavernosum. The patient had return of normal erectile function 2 days after the procedure with resolution of pain at the site.

Bilateral partial thrombosis of the corpus cavernosum associated with the use of a stationary bike. Case report and literature review

“…Surgical resolution is controversial and is reserved for cases with great symptoms or progression of the disease, using corporotomy, with the aim of avoiding erectile dysfunction and Peyronie's disease. 4 …”