Intractable acute ischaemic priapism occurring secondary to newly commenced olanzapine.
drugs: psychiatry
sexual and gender disorders
urological surgery
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
31 Mar 2019
31 Mar 2019
Historique:
entrez:
3
4
2019
pubmed:
3
4
2019
medline:
30
7
2019
Statut:
epublish
Résumé
We present a case of intractable acute ischaemic priapism occurring secondary to newly commenced olanzapine. It demonstrates rapid intervention in a stepwise approach aiming to restore penile flaccidity in order to prevent chronic damage to the corpora cavernosa. After an unsuccessful conservative approach, our patient underwent two formal distal penile shunt procedures with no effective penile detumescence. Subsequently, bilateral proximal penile shunts were performed comprising a right corpus cavernosum to corpus spongiosum anastomosis and a left saphenous vein to left corpus cavernosum anastomosis. The patient remained an inpatient for observation, and detumescence was gradually achieved over several days after this procedure. However, follow-up revealed erectile dysfunction, and it was explained to the patient that he was unlikely to achieve further erections and that a penile implant was the only realistic option.
Identifiants
pubmed: 30936333
pii: 12/3/e227466
doi: 10.1136/bcr-2018-227466
pmc: PMC6453295
pii:
doi:
Substances chimiques
Antipsychotic Agents
0
Olanzapine
N7U69T4SZR
Types de publication
Case Reports
Journal Article
Langues
eng
Informations de copyright
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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