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Case Reports
. 2024 Feb 2;16(2):e53462.
doi: 10.7759/cureus.53462. eCollection 2024 Feb.

Partial Segmental Thrombosis of the Corpus Cavernosum Associated With Inappropriate Sildenafil Use

Henry G Danchi  1 , Carl Kay  2 , Steven R Hole  3 , Austin Baraki  4
Affiliations
Case Reports

Partial Segmental Thrombosis of the Corpus Cavernosum Associated With Inappropriate Sildenafil Use

Henry G Danchi et al. Cureus. .

Abstract

The case presented is of a 39-year-old male with severe right groin pain and perineal pain the morning after sexual intercourse with the use of sildenafil without a diagnosis of erectile dysfunction. Partial segmental thrombosis of the corpus cavernosum (PSTCC) was diagnosed using magnetic resonance imaging and treated with direct oral anticoagulation without complications. Sildenafil use has been noted as an inciting factor for PSTCC in only two other cases of less than 60 cases reported in the literature and has even been used successfully as a component of therapeutic management of PSTCC in another previous case.

Keywords: partial priapism; partial segmental thrombosis of the corpus cavernosum; pstcc; rivaroxaban; sexual intercourse; sildenafil.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Transverse fat-saturated T1-weighted MRI. Enlarged appearance of the proximal portion of the right corpus cavernosum compared to the left with no definite T1 signal abnormality.
A red arrow points at the right corpus cavernosum.
Figure 2
Figure 2. Transverse T2-weighted MRI. Enlarged appearance of the proximal portion of the right corpus cavernosum compared to the left with hypointense T2 signal intensity.
A red arrow point at the right corpus cavernosum.
See this image and copyright information in PMC

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