High-Flow Priapism Following Chlorpromazine Induced Low- Flow Priapism

High-Flow Priapism Following Chlorpromazine Induced Low- Flow Priapism

Mohamed Saad Hegazy

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Mustafa MR

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α Armed Forces College of Medicine

High-Flow Priapism Following Chlorpromazine Induced Low- Flow Priapism

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Abstract

Priapism is defined as a penile erection that persists more 4 hours or longer and is unrelated to sexual activity. The three main subtypes are low flow (ischemic), high flow (nonischemic) and stuttering (intermittent or recurrent) priapism. Alpha-1 antagonistic activities of some antipsychotics, especially chlorpromazine, have been reported to be responsible for development of low-flow priapism. Chlorpromazine has the greatest alpha-adrenergic affinity among the conventional antipsychotic agents and the most frequently reported to be associated with priapism. We report a case of priapism after a first single dose of chlorpromazine (Neurazine ® 100 mg tablet, Misr Co. For Phramind-Egypt). The case was presented first by neglected lowflow priapism that had been converted to high-flow priapism due to injury of a branch of the cavernosal artery, during aspiration and irrigation treatment procedure, proved by blood gas testing of the aspirated penile blood, penile color duplex Doppler ultrasonography and selective left internal pudendal arteriogram. This conversion is an uncommon complication of such procedure.

References

14 Cites in Article

Reference Format

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

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Not applicable for this article.

How to Cite This Article

Mohamed Saad Hegazy. 2018. \u201cHigh-Flow Priapism Following Chlorpromazine Induced Low- Flow Priapism\u201d. Global Journal of Medical Research - K: Interdisciplinary GJMR-K Volume 18 (GJMR Volume 18 Issue K5): .

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GJMR Volume 18 Issue K5
Pg. 17- 24

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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Classification

GJMR-K Classification: NLMC Code: WK 900

Submission ReceivedDecember 15, 2017
Peer Review Double Blind
Handling Editor
Accepted January 1, 2018
Published January 15, 2018

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v1.2

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September 14, 2018

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Article Matrices

Total Score: 103

Country: Egypt

Subject: Global Journal of Medical Research - K: Interdisciplinary

Authors: Mohamed Saad Hegazy, Mustafa MR, Mustafa MR (PhD/Dr. count: 0)

View Count (all-time): 109

Total Views (Real + Logic): 3010

Total Downloads (simulated): 1558

Publish Date: 2018 09, Fri

Monthly Totals (Real + Logic):

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Total Views: 3010

Total Downloads: 1558

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