Angiologia: Acesso Aberto
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Benchmarks for Partial Segmental Thrombosis of the Corpus Cavernosum: A Case Report and Review of the Literature

Amr A. Faddan, Alexey Aksenov, Hans-Christian Knuth, Carsten M. Naumann, Klaus P. Jünemann and Daniar K. Osmonov

Introduction: Partial segmental thrombosis of the corpus cavernosum (PSTCC) is an uncommon clinical condition; it is known in the literature as partial priapism which chiefly affects young men; the underlying reasons and its pathogenesis are inadequately understood.

Case report: A 26-year-old male presented with a perineal swelling and pain of 11 hours duration, which had started after 10-hour flight, and a dull aching pain with insidious onset. The patient denied a history of excessive sexual activities, drug abuse, or trauma with unremarkable past medical history.

Aims and methods: With deficiency of curd data for PSTCC, only case reports without precisely case numbers; therefore all existing case reports, whether abstracts or full text, under the title of partial segmental thrombosis of the corpus cavernosum or partial priapism have been screened and statistically analyzed.

Results and outcome: The total number of cases was 41 and chiefly affects young men: 63.4% of the patients are in the age group 20-40, with a mean age of 32.3 yrs. 10 cases 24.4% were treated surgically, 21 cases 51.2% were managed conservatively, while 3 cases 7.3% were treated by surgical aspiration ± injection or irrigation and 2 cases 4.9% were only follow up without treatment.

Conclusion: PSTCC is a rare non-emergency urological condition that usually has a good outcome. Conservative treatment with systemic anticoagulants has shown an excellent outcome and surgical treatment should be reserved for cases, if conservative management fails.