Neonatal priapism associated with spontaneous bilateral pyocavernositis.
- Author:
Rajeev SOOD
1
;
Surender Nath WADHWA
;
Vikas JAIN
Author Information
- Publication Type:Case Reports
- MeSH: Algorithms; Humans; Infant, Newborn; Inflammation; complications; Male; Penile Diseases; complications; Priapism; complications; therapy; Suppuration
- From:Annals of the Academy of Medicine, Singapore 2006;35(6):425-427
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTIONNeonatal priapism is known to be associated with a wide range of aetiologies, but an association with spontaneous purulent cavernositis has not been reported in the paediatric literature. We report the first of such case.
CLINICAL PICTUREA 24-day-old neonate was brought with the history of persistent erection of penis since day 4 of life and swollen penis of 4 days' duration, which revealed frank pus on cavernosal aspiration bilaterally.
TREATMENTThe child was treated with closed aspiration drainage; cross-irrigation with antibiotic solution under systemic antibiotic cover helped in achieving complete detumescence.
OUTCOMEOn follow-up, child demonstrated normal full bladder tumescence and colour doppler revealed bilateral normal corporo-cavernosal appearance and blood flow, indicating good functional and anatomical recovery.
CONCLUSIONThis case report describes the presentation, successful management and excellent functional and anatomical outcome, on follow-up, of this rare association of neonatal priapism with spontaneous bilateral pyocavernositis. An attempt has been made to describe the underlying pathophysiology.