Abstract
Priapism is a rare and unusual presentation in Emergency Department of Nepal and is really a challenge for the working Emergency Physicians. In Nepalese context it is a social stigma and is often a pitfall due to possible delayed presentation. A young Nepalese Hindu male presented to our Emergency Department with post coital priapism who seeked help only after ninety-six hours in request of his wife. In limited resource hospital settings with delayed presentation, aspiration and irrigation of corpora cavernosa with heparinized saline had shown good outcome in treatment of priapism without any postoperative complications regardless of prolonged stay in emergency department.
Highlights
The word ‘Priapism’ is related to ‘Priapus’ the Greek and Roman God of procreation whose symbol was an erect phallus and is exclusive to men. [1,2]Though priapism has an incidence of 1.5 per 100,000 persons-years, it is still a very rare, unusual and challenges for the working Emergency Physician of today’s world. [3] 2
A 37-year-old Nepalese Hindu male presented to Emergency ward of BP Koirala Institute of Health Sciences (BPKIHS) with a history of priapism following coitus
Ritesh Chaudhary et al.: Unusual Case of Priapism in Emergency Department of Tertiary Care Hospital of Eastern Nepal al and Winter CC, et al as high flow and low– flow where low-flow is caused by hematologic disease; mainly sickle cell disease and leukemia if untreated, results in necrosis of the cavernous muscle and subsequent fibrosis and erectile dysfunction
Summary
The word ‘Priapism’ is related to ‘Priapus’ the Greek and Roman God of procreation whose symbol was an erect phallus and is exclusive to men. [1,2]. Though priapism has an incidence of 1.5 per 100,000 persons-years, it is still a very rare, unusual and challenges for the working Emergency Physician of today’s world. [3]
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