Partial unilateral intracavernosal hematoma in a long‐distance mountain biker: a case report

Zandrino, F.; Musante, F; Mariani, Narciso; Derchi, L. E.

doi:10.1080/02841850410005877

Cited by 10 publications

(12 citation statements)

References 17 publications

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“…An episode of IPT most commonly occurred in young patients, presenting at a mean age of 35.5 [16–55] years in our series and 32.6 [18–59] years in the literature (38 cases) [1–32]. In our cases, all patients had been assessed for pre‐existing ED, while in the literature only roughly half of the reports provide this information.…”

Section: Resultsmentioning

confidence: 74%

“…In this study we provide an overview of 18 new IPT cases—for which 15 received conservative treatment and three surgical treatment—and investigated if any associative factors for IPT occurrence could be identified. For all 18 cases we described presentation, diagnosis, treatment and follow‐up and compared this with the 38 cases found in the literature [1–32].…”

Section: Introductionmentioning

confidence: 99%

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Idiopathic Partial Thrombosis (IPT) of the Corpus Cavernosum: A Hypothesis-Generating Case Series and Review of the Literature

Weyne¹,

Schillebeeckx²,

Jamaer³

et al. 2015

The Journal of Sexual Medicine

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Introduction Idiopathic partial thrombosis (IPT) of the corpus cavernosum is a rare condition. The etiology is not fully understood; however, the presence of an either or not congenital web in these patients may contribute to the development of IPT. Aim The aim of this study was to describe 18 new IPT cases and compare these with 38 cases found in the literature. Methods A multicenter retrospective analysis was performed. Descriptive statistics are given. Main Outcome Measures The main outcome measures used were clinical presentation, clinical and radiographical diagnostics, treatment and resolution of symptoms. Results Patients most frequently presented with perineal swelling (10/18; 56%) and pain (13/18; 72%), unilateral (12/18; 67%) or bilateral (4/18; 22%), and pain during erection (10/18; 72%). Penile curvature, dysuria or fever (each 1/18; 6%) were uncommon presenting symptoms. In our series, magnetic resonance imaging demonstrated a fibrous web in the corpus cavernosum in 100% of cases and was more bilaterally (11/18; 61%) than unilaterally (7/18; 39%) diagnosed. Cycling was found to be a provocative factor for IPT occurrence in patients at risk as 61% (11/18) of patients reported being a frequent cyclist with the episode of IPT occurring immediately after or during cycling activity in 8 out of 18 patients (8/18; 44%). In five centers, 15 patients were treated conservatively, the majority being treated with therapeutic doses of low molecular weight heparin and simultaneous anti-aggregant therapy. In one center, all three patients were treated with a surgical approach. Complete resolution of symptoms was noted in only 50% of cases. Conclusion IPT is a condition that presents typically with perineal pain and swelling. Cycling is often seen as a provocative factor, while the presence of a fibrous web at the level of the crurocavernosal junction is the underlying disorder allowing for entrapment of blood in the crura. Conservative treatment provides a reasonably good outcome in most cases. For therapy resistant cases, surgery can be considered.

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Section: Resultsmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Idiopathic Partial Thrombosis (IPT) of the Corpus Cavernosum: A Hypothesis-Generating Case Series and Review of the Literature

Weyne¹,

Schillebeeckx²,

Jamaer³

et al. 2015

The Journal of Sexual Medicine

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“…A positive sickle cell test [10] and congenital spherocytosis [20] are possible other causes. Some authors suggest prolonged intercourse [2,4] or cycling as a possible cause [13,14,16]. A trauma is never indicated as a possible cause.…”

Section: Discussionmentioning

confidence: 99%

Hematoma or “Partial Priapism” in the Proximal Part of the Corpus Cavernosum

Kropman¹,

Schipper²

2014

The Journal of Sexual Medicine

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Introduction “Partial priapism” is a rare disorder. Therapy is controversial in literature. Aim To show that conservative treatment leads to a full functional recovery of this condition. Methods This report describes a case of a hematoma or “partial priapism” in the proximal part of the right corpus cavernosum. Results Complete functional recovery after conservative treatment with nonsteroidal anti-inflammatory drugs. Conclusion “Partial priapism” probably represents a hematoma in the interstitium of the proximal part of the corpus cavernosum. Conservative treatment is advised.

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“…Intracavernosal hematomas in a long-distance mountain biker and spontaneous idiopathic hemorrhage of the corpus cavernosum have also been described. 20,25…”

Section: Intracavernosal Hematomas Without Fracturementioning

confidence: 99%

Sonographic Evaluation of Penile Trauma

Bhatt

Kocakoç

Rubens

et al. 2005

Journal of Ultrasound in Medicine

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Partial unilateral intracavernosal hematoma in a long‐distance mountain biker: a case report

Abstract: We present a case of spontaneous partial unilateral hematoma of the bulb of the corpus cavernosum in a long-mileage mountain biker. Ultrasonography, magnetic resonance imaging, and histopathological findings are described.

Cited by 10 publications

References 17 publications

Idiopathic Partial Thrombosis (IPT) of the Corpus Cavernosum: A Hypothesis-Generating Case Series and Review of the Literature

Idiopathic Partial Thrombosis (IPT) of the Corpus Cavernosum: A Hypothesis-Generating Case Series and Review of the Literature

Hematoma or “Partial Priapism” in the Proximal Part of the Corpus Cavernosum

Sonographic Evaluation of Penile Trauma

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