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Case Reports
. 2021 Feb;9(1):100273.
doi: 10.1016/j.esxm.2020.10.001. Epub 2020 Dec 8.

Surgical Management of Idiopathic Partial Thrombosis of the Corpus Cavernosum

Danish Singh  1 , Troy Larson  2 , Kevin Campbell  2 , Michael Dennis  2 , Lawrence Yeung  2
Affiliations
Case Reports

Surgical Management of Idiopathic Partial Thrombosis of the Corpus Cavernosum

Danish Singh et al. Sex Med. 2021 Feb.

Abstract

A 36-year-old African American man presented to the emergency department with 2 days of left-sided perineal pain after sexual activity. He was found to have induration in the left perineum overlying the proximal left corporal body. Clinical picture was suspicious for traumatic corporal rupture; however, advanced imaging showed a proximal segmental thrombosis of the left corpus cavernosum. The patient underwent perineal exploration with evacuation of an intracorporal penile hematoma. In spite of disrupting a fibrous membrane in the proximal corpora and drainage of the corpora, we observed repeat tumescence during the procedure because of an observed arterial high-flow state in the corpora cavernosum. This was resolved with administration of phenylephrine into the cavernosum. The patient had return of normal erectile function 2 days after the procedure with resolution of pain at the site. Singh D, Larson T, Campbell K, et al. Surgical Management of Idiopathic Partial Thrombosis of the Corpus Cavernosum. Sex Med 2021;9:100273.

Keywords: Idiopathic Partial Thrombosis; Partial Priapism; Partial Segmental Thrombosis; Priapism.

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Figures

Figure 1
Figure 1
(A) CT abdomen and pelvis showing low-density cylindrical collection in the left corpus cavernosum. (B and C) MR axial and sagittal views, respectively, showing large blood collection in the left corpus cavernosum and tunica irregularity with possible septation. CT = computed tomography.
See this image and copyright information in PMC

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