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  4. Recurrent priapism in spinal cord injury: A case report

Recurrent priapism in spinal cord injury: A case report

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2019.1613781 · Published: January 1, 2021

Spinal Cord InjuryUrology

Simple Explanation

The case report describes a young man with a spinal cord injury who experienced frequent, unwanted erections. These erections were not related to sexual stimulation and occurred many times throughout the day and night. The patient was treated with baclofen, a medication that can help relax muscles. After starting baclofen, the frequency and duration of the erections decreased, and the patient was satisfied with the treatment. The authors present this case to remind doctors that recurrent priapism can occur in men with spinal cord injuries. They also discuss the use of medications, particularly baclofen, to manage this condition.

Study Duration
Not specified
Participants
20-year-old male with cervical-5 ASIA grade A tetraplegia
Evidence Level
Case Report

Key Findings

  • 1
    Recurrent priapism is a rare condition in patients with spinal cord injury (SCI).
  • 2
    Baclofen was effective in reducing the frequency and duration of recurrent priapism in a patient with complete cervical spinal cord injury.
  • 3
    The presentation of this case is to remind clinicians about recurrent priapism in SCI patients and the use of baclofen to alleviate the condition.

Research Summary

This case report describes a 20-year-old male with a C-5 spinal cord injury who experienced recurrent priapism, characterized by frequent, non-sexual erections. The patient was treated with baclofen, which reduced the frequency and duration of the erections, leading to high treatment satisfaction. The authors highlight the rarity of this condition in SCI patients and emphasize the potential of baclofen as a treatment option.

Practical Implications

Clinical Awareness

Clinicians should be aware of recurrent priapism as a possible complication in men with complete spinal cord lesions.

Treatment Option

Baclofen can be considered as a treatment option for recurrent priapism in SCI patients.

Further Research

Further research is needed to understand the underlying mechanisms and optimal management strategies for recurrent priapism in SCI.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Lack of a control group.
  • 3
    Unknown long-term efficacy of baclofen.

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