Resolution of recurrent ischemic priapism after celiac plexus block: case report evidence for its neurogenic origin?

The Journal of Sexual Medicine
Arthur L Burnett, Carlos S Santiago

Abstract

Recurrent ischemic priapism likely has a neurogenic basis for some clinical presentations. To describe a phenomenon of resolved recurrent ischemic priapism in a patient following celiac plexus block for recurrent upper abdominal pain. The case report profiled a 44-year-old Caucasian man who developed recurrent ischemic priapism after retroperitoneal surgery. He had failed multiple conventional interventions for his priapism. After he underwent a celiac plexus block for recurrent upper abdominal pain, his recurrent priapism episodes immediately stopped. Clinical history regarding priapism occurrences. The patient obtained a resolution of his priapism after celiac plexus block, without recurrences at a 6-month follow-up assessment. Celiac plexus block successfully led to resolution of recurrent ischemic priapism of probable neurogenic origin associated with spinal nerve outflow injury.

References

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Feb 20, 1998·Pain·Ursula WesselmannLeslie J Heinberg
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Nov 1, 2007·The Journal of Sexual Medicine·Sidney GlinaWayne Hellstrom
Nov 7, 2007·The Urologic Clinics of North America·Arthur L Burnett, Trinity J Bivalacqua
Mar 4, 2008·The Journal of Sexual Medicine·Nelson Bennett, John Mulhall
May 16, 2008·International Journal of Clinical Practice·A MuneerD J Ralph

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Citations

Sep 30, 2010·Current Urology Reports·Adam ShrewsberryChad W M Ritenour

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