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| Priapism secondary to chronic myeloid leukemia treated by a surgical cavernosa-corpus spongiosum shunt: Case report |
Min Qu,Xin Lu,Lei Wang,Zhiyong Liu,Yinghao Sun( ),Xu Gao()
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| Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, China |
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Abstract Priapism secondary to chronic myeloid leukemia (CML) is rarely observed in the clinic. Here, we present an 18-year-old patient with priapism for over 72 h due to hyperleukocytosis. Emergent interventions such as therapeutic aspiration and intracorporal injection of phenylephrine failed before a surgical corpora cavernosa-corpus spongiosum shunt was inserted to relieve symptoms. During hospitalization, bone marrow aspiration confirmed the diagnosis of CML.
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Received: 24 March 2018
Available online: 15 December 2018
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Corresponding Authors:
Yinghao Sun,Xu Gao
E-mail: sunyh@medmail.com.cn;gaoxu.changhai@foxmail.com
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The clinical situation of the patient in the hospital. (A) Pathological erectile penis of the patient; (B) Flaccid penis after surgery; (C) Swelling scrotum due to compression of blood clots.
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| Study | Number of cases | Age (year) | White blood cell count (×109/L) | Treatment | Result | | Kurosawa et al. [7], 2016 | 4 | NA | NA | 3 for therapeutic aspiration, 1 for leukapheresis | 2 with erectile dysfunction | | Nerli et al. [8], 2016 | 1 | 19 | 296.8 | Corporal aspiration and phenylephrine irrigation | No follow-up | | Ergenc et al. [4], 2015 | 1 | 18 | 100 | Leukapheresis | No erectile dysfunction | | Shaeer et al. [9], 2015 | 1 | 21 | 410 | Initiated by cavernosal aspiration/irrigation and injection of epinephrine, followed by penileprosthesis surgery | Erectile dysfunction followed by penile prosthesis implantatio | | Hazra et al. [10], 2013 | 1 | 14 | 226.9 | Cavernosal aspiration, irrigation and phenylepinephrine injection | Maintaining erection | | Veljkovic et al. [11], 2012 | 1 | 16 | 320 | Leukapheresis | No follow-up | | Tazl [12], 2009 | 1 | 33 | 400 | Cavernosa aspiration and epinephrine irrigation | No erectile dysfunction | | Gupta et al. [13], 2009 | 1 | 12 | 346 | Administration of terbutaline | No follow-up |
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Case reports of priapism secondary to chronic myeloid leukemiain in recent 10 years.
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