1/1. erectile dysfunction and priapism.BACKGROUND: A 46-year-old man presented with erectile dysfunction following a blunt perineal injury sustained 1 year previously. Oral phosphodiesterase type 5 inhibitors failed to improve his erections. The remainder of the patient's history, physical examination and laboratory tests were unremarkable except for a moderate tenderness in the left perineum and some 'fullness' in the corpora cavernosa during physical examination. INVESTIGATION: physical examination, color duplex ultrasound of the penis and perineal area and Sexual health Index for men questionnaire. diagnosis: Non-ischemic priapism due to a ruptured left helicine artery, intermittent penile turgidity and erectile dysfunction. MANAGEMENT: Open suture ligation of the helicine artery and imbrication of the pseudocapsule.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |