Author/Authors :
Htun, TH university of malaya - Faculty of Medicine - Department of Surgery, Malaysia , Dublin, N university of malaya - Faculty of Medicine - Department of Surgery, Malaysia , Parameswaran, M university of malaya - Faculty of Medicine - Department of Surgery, Malaysia , Razack, AH university of malaya - Faculty of Medicine - Department of Surgery, Malaysia , Chua, CB university of malaya - Faculty of Medicine - Department of Surgery, Malaysia
Abstract :
Priapism is a urological emergency. The treatment for ischaemic priapism is usually cavernosal aspiration with or without cavernosal irrigation. Some patients may need surgical intervention -the various shunt procedures. We report a 21-year-old man with priapism secondary to chronic myeloid leukemia who needed a combined medical and surgical management. He underwent a spongio-cavernosal shunt as well as cytoreductive chemotherapy to achieve complete detumescence. Therefore, cytoreductive chemotherapy is an adjunct in difficult to treat priapism associated with chronic myeloid leukemia.
Keywords :
Priapism , chronic myeloid leukemia , combined medical and surgical management , cytoreductive chemotherapy