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Here is a report of a case of nonischemic priapism
following penile tattooing.
A case with tattooing-induced priapism is presented
including subjective reporting, physical examination,
and laboratory/radiologic evaluations.
Results show a 21-year-old man, presented with
partially rigid penis of 3-month duration. On
examination, the penis was half rigid, with a tattoo
on its dorsal surface, and a smaller tattoo on the
glans. The patient initially stated that the tattoo
had been created years ago, but later admitted that
he had it created just before the occurrence of
priapism.
A traditional tattooist created the tattoo manually,
using a handheld needle. Bleeding from deep penile
tissue for several days complicated the tattooing.
Known etiologies of priapism were investigated and
ruled out. Specifically, perineal injury, leukemia,
sickle cell trait, thalassemia, urinary tract
infection, neurogenic, neoplastic, infectious, toxic,
and pharmacological causes were actively
investigated and ruled out.
There was no history of alcohol consumption or
smoking. Aspirated penile blood was bright red.
Cavernous blood gas measurements confirmed high
oxygen and low carbon dioxide content, diagnostic of
arterial priapism.
There was no embolization facility in Kermanshah. In
fact, there are few experts in superselective
embolization in Iran. We referred the patient for
superselective embolization. However, he underwent a
nonindicated Sacher procedure. Predictably, the
procedure was unsuccessful. At present, the patient
continues to have priapism. Because of the painless
nature of erections, moderately good preservation of
erectile function during intercourses, and
disappointment with former surgery, the patient
declined further therapies, and he lives with his
condition.
Conclusions: tattooing should be added to the
etiologies of nonischemic priapism. Considering this
case, we discourage penile tattooing.
For more information
Authors: Zargooshi J, Rahmanian E, Motaee H, Kohzadi
M.
"Nonischemic Priapism Following Penile Tattooing"
The Journal of Sexual Medicine.
http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02579.x/abstract
(MDN)
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