Idiopathic partial thrombosis of the corpus cavernosum (IPTCC) : Arare urological emergency

Abstract

Idiopathic partial thrombosis of the corpus cavernosum (IPTCC) is arare, semi-acute disease in young, healthy men. In addition to an anatomical predisposition, perineal microtrauma is stated as the main risk factor. Acase report and the results of a literature search with descriptive-statistical processing of 57peer-reviewed publications are presented. Atherapy concept was drawn up for clinical practice. Our patient was treated conservatively and was consistent with the 87cases which have been published since 1976. IPTCC is adisease of young men (33.2years, range 18-70), which is associated with pain and perineal swelling in 88%. Sonography and contrast-enhanced magnetic resonance imaging (MRI) proved to be the diagnostic modality of choice, demonstrating the thrombus and in 89% aconnective tissue membrane inside the corpus cavernosum. Treatment included antithrombotic and analgesic (n = 54, 62.1%), surgical (n = 20, 23%), analgesic (n = 8, 9.2%), via injection (n = 2, 2.3%), as well as radiological interventional (n = 1, 1.1%) options. In 12cases, erectile dysfunction, mostly temporary, which required phosphodiesterase (PDE)-5 therapy developed. Recurrence and prolonged courses were rare. IPTCC is arare disease in young men. Conservative therapy with antithrombotic and analgesic treatment has shown good chances of full recovery. If relapse occurs or the patient refuses antithrombotic treatment, operative/alternative therapy management should be considered.