Partial thrombosis of the corpus cavernosum: should we dig deeper into coagulopathy disorders?

Gómez, Enrique Gómez; Campos-Hernández, J.P.; Cazalilla, M.; Triviño, F Loreto; Barbudo, Joaquín Añón; Prieto, Rafael; Tapia, Marcos

doi:10.1111/and.12572

Cited by 2 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Risk factors associated with PSTCC are: haematological abnormalities such as thrombophilia or sickle-cell disease; alcohol or drug abuse such as cocaine or marijuana and hypercoagulability associated with dehydration, surgery, malignancy and long-distance flights 8 16 18 27 31 34 35. Hyperhomocysteinaemia and a-blockers have also been associated with PSTCC 21 24…”

Section: Discussionmentioning

confidence: 99%

Partial segmental thrombosis of the corpus cavernosum presenting with perineal pain

et al. 2016

View full text Add to dashboard Cite

We describe the case of a man aged 43 years who presented with a 2-week history of a palpable lump in the right proximal penile shaft. This was preceded by a 6-month history of perineal pain, accompanied by erectile dysfunction. An urgent MRI scan of his penis identified a thrombus within the right crus and corpus of the penis. His thrombophilia screen was normal. The patient was started on oral anticoagulation and a phosphodiesterase inhibitor (PDE-5i) to prevent thrombus progression and maintain erectile function. At 5 months, the patients' symptoms had resolved and an MRI showed a reduction in the thrombus size. MRI is a useful imaging modality to diagnose a thrombus within the corpus cavernosum in patients presenting with a history of penile and perineal pain together with a palpable lump. The non-enhancement of the lesion helps to differentiate this from alternative rare lesions within the penis and perineum.

show abstract

Section: Discussionmentioning

confidence: 99%

Partial segmental thrombosis of the corpus cavernosum presenting with perineal pain

et al. 2016

View full text Add to dashboard Cite

show abstract

Association between partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome: A scoping review

2022

View full text Add to dashboard Cite

Aim:To describe the association between partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome.Methods: A scoping review was performed according to the recommendations of the Joanna Briggs Institute. Moreover, we performed a search strategy using the MED-LINE, EMBASE, and CENTRAL databases. We included the available information, evaluating the conditions of partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome, and their molecular and physiological mechanisms and clinical presentation. Results:We identified 207 articles and chose eight studies published between 2001 and 2021. The total number of patients was 34, and their mean age was 28.2 years.Moreover, in 84% of the studies, the pathophysiology of the events was related to microtrauma or prolonged perineal compression. Additionally, 94.2% of the patients had some degree of erectile dysfunction. In addition, out of all patients, 94% underwent magnetic resonance imaging (MRI). However, patients with hard flaccid syndrome did not show relevant findings in these studies. Conversely, MRI showed asymmetry in the proximal corpora cavernosa, thrombosed corpus cavernosum segments, and mainly cavernous fibrous septum in patients with partial cavernous thrombosis and partial priapism. Conclusion:Partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome occurred more frequently in young patients, possibly related to microtraumas that generate cavernous fibrosis and trigger alterations in the erection of the distal portion of the penis. Additionally, they cause proximal hardening of the pelvis, perineal pain, painful ejaculations, and cavernous asymmetry. Moreover, the imaging characteristics are similar in patients with partial priapism and partial cavernous thrombosis.

show abstract

Partial thrombosis of the corpus cavernosum: should we dig deeper into coagulopathy disorders?

Cited by 2 publications

References 11 publications

Partial segmental thrombosis of the corpus cavernosum presenting with perineal pain

Partial segmental thrombosis of the corpus cavernosum presenting with perineal pain

Association between partial thrombosis of the corpus cavernosum, partial priapism, and hard flaccid syndrome: A scoping review

Contact Info

Product

Resources

About