Partial segmental thrombosis of corpus cavernosum: Case report and review of world literature

Idiopathic partial thrombosis of the corpus cavernosum: Aetiology, diagnosis and treatment

“…In addition to a painful mass in the perineum, which was how the condition presented in all cases, some of the patients experienced erectile dysfunction, and a few complained about dysuria or a decrease in the calibre of the urinary stream. IPT has been associated with haematological diseases such as homocysteinaemia [1], sickle cell disease [2] and congenital spherocytosis [3], cocaine [4] and marijuana abuse [2], a prior history of priapism [2,5], (vigorous or prolonged) sexual activity [2,[4][5][6][7][8][9][10], tamsulosin [11], bicycle riding [12][13][14][15] and aeroplane flight [12]. IPT is always located in the proximal part of the CC while the distal CC remains flaccid.…”

“…A septum within the corporeal tissue was described in the text and/or evident from the images in 16 of the case reports [4][5][6][7][8][9][10]12,[14][15][16][17][18][19][20]. In the remaining 10 cases the issue was not addressed and the images of the condition were unclear with regard to a septum [1][2][3][11][12][13]21,22].…”

“…Various imaging modalities including cavernosogram, ultrasound, computed tomography (CT) and MRI have been used in the diagnosis of IPT [1][2][3][4][5][6][7][8][10][11][12][13][14][15][16][17][18][19][20][21][22]. In newer case studies a combination of ultrasound and MRI or CT has replaced the cavernosogram.…”

“…However, IPT has most commonly been treated conservatively with anticoagulants, such as heparin and acetylsalicylic acid, and oral analgesics, and in all 12 previously reported cases, resolution of symptoms and preservation of erectile function were reported [1,4,6,7,12,14,15,[18][19][20]. In one article, the authors describe no treatment of two cases [17].…”

Case report. Het herkennen en behandelen van een idiopathische partiële trombose van het corpus cavernosum, een zeldzaam en wellicht onbekend fenomeen in de acute urologie

“…Toch lijkt het ontstaan meestal idiopathisch [1][2][3][4][5][6][7][8][9][10][11]. Wel verdient het aanbeveling om hematologische tests te verrichten of de patiënt voor dergelijke tests door te verwijzen naar de hematoloog.…”