Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Jul 27;44(1):85.
doi: 10.1186/s13052-018-0514-9.

The first case of neonatal priapism during hypothermia for hypoxic-ischemic encephalopathy and a literature review

Claudia Fanni  1 , Maria Antonietta Marcialis  1 , Maria Cristina Pintus  1 , Cristina Loddo  1 , Vassilios Fanos  2
Affiliations
Review

The first case of neonatal priapism during hypothermia for hypoxic-ischemic encephalopathy and a literature review

Claudia Fanni et al. Ital J Pediatr. .

Abstract

Neonatal priapism is a rare condition with only 26 described cases in literature since 1879. It is defined as a persistent penile erection occurring in the first 28 days of life, lasting at least 4 h that usually happens in the first days (from 2 to 12 days). It is a very different condition compared to the adult one because in newborns it is a relatively benign phenomenon. As a result of this paucity of described cases, classification and management are not well known by most of neonatologists and currently there are no established guidelines for its management. Most cases are idiopathic but other aetiologies are possible (polycythemia, blood transfusion and drugs). We describe our only case, which occurred during hypothermia therapy and review the literature to clarify the best choice in management of this rare entity.

Keywords: Cooling therapy; Neonatal priapism; Newborn; Persistent penile erection; Priapism.

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

No ethical committee approval is required for this case report.

Consent for publication

Authors obtained written informed consent for publication from the patient’s parents.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Neonatal priapism: neonatal priapism in our newborn
Fig. 2
Fig. 2
Color Doppler ultraonography Normal arterial flow on Colour Doppler Ultrasonography (CDU) of the penis in our newborn with priapism
See this image and copyright information in PMC

References

    1. Salonia A, Eardley I, Giuliano F, et al. European Association of Urology guidelines on priapism. Eur Urol. 2014;65:480–489. doi: 10.1016/j.eururo.2013.11.008. - DOI - PubMed
    1. Montague DK, Jarow J, Broderick GA, et al. American urological association guideline on the management of priapism. J Urol. 2003;170:1318–1324. doi: 10.1097/01.ju.0000087608.07371.ca. - DOI - PubMed
    1. Donaldson JF, Rees RW, Steinbrecher HA. Priapism in children: a comprehensive review and clinical guideline. J Pediatr Urol. 2014;10:11–24. doi: 10.1016/j.jpurol.2013.07.024. - DOI - PubMed
    1. Yücel ÖB, Salabaş E, Ermeç B, Kadıoğlu A. The case report of Priapus and a modern approach to an ancient affliction. Sex Med Rev. 2017;5(1):120–128. doi: 10.1016/j.sxmr.2016.08.003. - DOI - PubMed
    1. Theoi Greek Mythology. Priapos. Available at: http://www.theoi.com. Published 2016. Accessed 1 Feb 2018.

LinkOut - more resources