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Introduction. Priapism is a prolonged painful erection lasting for more than four hours, which either persists after the termination of sexual stimulation or is not associated therewith. Priapism may be the first clinical manifestation of chronic myeloid leukemia (CML).Aim. To describe a clinical case of ischemic priapism that occurred in a patient with a previously undiagnosed CML.General findings. We present a clinical observation of ischemic priapism having lasted for 18 hours, which occurred in a patient with a previously undiagnosed CML. The diagnosis of CML was subsequently established on the basis of a study of peripheral blood and bone marrow. The therapeutic tactics consisted in an immediate puncture aspiration of blood from the corpora cavernosa and an intracavernous injection of a phenylephrine solution. After priapism had been relieved, an CML therapy was applied, which allowed the recurrence of priapism in the patient to be avoided.

In this data, we analyzed patients’ histories of 6466 outpatients with gastrointestinal (GI) diseases who visited gastroenterologist in Minsk Clinical Consulting Diagnostic Centre. 1698 patients with irritable bowel syndrome (IBS) were selected. It was revealed that IBS is a wide spread functional bowel disorder and its proportion among GI diseases was 26,3%. IBS in females is 2.5 times more common than in males. IBS occurred in all age groups with a small difference in the frequency of subtypes by age, mainly at the overage age.

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