scholarly journals Case ‒ Temporary chemical castration in the management of recurrent priapism

2018 ◽  
Vol 12 (5) ◽  
pp. E265-6 ◽  
Author(s):  
Yooni Yi ◽  
Bahaa Malaeb
Keyword(s):  
Case Report ◽  
Hormonal Therapy ◽  
Penile Erection ◽  
Surgical Intervention ◽  
Young Male ◽  
Penile Prosthesis ◽  
American Urological Association ◽  
Recurrent Priapism ◽  
Stuttering Priapism

Stuttering priapism entails repeated, distinct episodes of persistent penile erection despite interval periods of detumescence. While individual episodes are acutely treated, overall management of the patient with recurrent priapism focuses on prevention of future incidents. According to American Urological Association (AUA) guidelines, systemic therapy may be used for prevention of priapism — including hormonal agents, baclofen, digoxin, and terbutaline. Other methods of management include selfinjection of sympathomimetic agents and surgical intervention with placement of a penile prosthesis.1 This case report describes long-term use of hormonal therapy in the management of stuttering priapism in a young male.

scholarly journals First reported case of penile prosthesis infection from brucellosis: case report

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Nabil Nabil Moohialdin ◽  
Ahmad Shamsodini ◽  
Steven K. Wilson ◽  
Osama Abdeljaleel ◽  
Ibrahim Alnadhari ◽  
...  
Keyword(s):  
Case Report ◽  
Broad Spectrum ◽  
Surgical Intervention ◽  
Penile Prosthesis ◽  
Raw Milk ◽  
Prosthesis Infection ◽  
Case Presentation ◽  
First Case ◽  
Milk Ingestion

Abstract Background Infection after the penile prosthesis can be devastating to both the patient and surgeon with various complications and consequences. After introduction of antibiotic-coated implants, the rate of infection has dramatically decreased, but still we see uncommon organisms causing infection. We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. To our knowledge, this is the first reported case of brucellosis penile prosthesis infection. Case presentation We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. A 75-year-old, diabetic male patient presented with penile prosthesis infection 5 months post-penile exchange surgery due to mechanical malfunctioning of 2-piece penile prosthesis which was inserted 11 years ago. The initial treatment with broad spectrum antibiotics did not subside the infection. After diagnosis of brucellosis, the antibiotic was changed to anti-brucellosis (Rifampicin + Tetracycline). The patient improved dramatically and was discharged home with smooth follow-up course. Conclusion Brucellosis can cause infection of penile prosthesis and can be treated with anti-brucellosis antibiotics without necessitating surgical intervention and removal of prosthesis.

scholarly journals A 6-Month-Old Neglected Obturator Inferior Variety of Anterior Hip Dislocation in A Young Male Managed with an Intermediary Salvage Measure Without the Need for Osteotomy or Excision Arthroplasty with A Resultant Ambulatory Natural Hip – A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Spandan R Koshire ◽  
Rajesh R Koshire ◽  
Sangam Jain
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Hip Dislocation ◽  
Young Male ◽  
Anterolateral Approach ◽  
Salvage Procedure ◽  
Replacement Procedure ◽  
Anterior Hip Dislocation ◽  
Excision Arthroplasty

Introduction: Among all the traumatic hip dislocations, anterior hip dislocation is a rarity in which the obturator inferior variety is one of the rarest to be documented [1]. Here we present to you the case of our patient, a 35-year-old male with a six month neglected obturator variety of anterior hip dislocation treated by salvage procedure of open reduction without the need for intertrochanteric osteotomy and resultant preserved natural hip for ambulation as an intermediary procedure. Case Report: Mr. SH a 35-year-old male had a fall from 15 feet in his village and was treated by a local quack, Meanwhile the patient continued to experience pain and difficulty walking and after an ordeal of nearly 6 months during the lockdown period in coronavirus disease pandemic, showed up in our emergency room and was diagnosed with an obturator type anterior hip dislocation for which we carried out open reduction aided with Murphys skid through an anterolateral approach and stabilization using two Steinman pins and further immobilization by Thomas splint for a period of 15 days, which was done after confirmation of intact head vascularity under general anesthesia after which gradual mobilization was initiated. 3 months post operative, now patient is ambulatory with stick support with no deformity, no pain and with early radiological features of avascular necrosis (AVN) for which Total Hip Replacement (THR) is planned at a later date. Conclusion: Utilisation of salvage procedures and moreover those with minimal operative complications will result in better, natural long-term intermediary measure outcome with a resultant delay in joint replacement procedure which is in the better interest of the patient. Keywords: Anterior hip dislocation, open reduction, obturator inferior type, neglected dislocation, Anterolateral approach.

scholarly journals Long-term outcome after tricuspid valvectomy in a neonate with Candida endocarditis: a case report

2019 ◽  
Vol 29 (4) ◽  
pp. 528-530
Author(s):  
Ellen S. I. Vanhie ◽  
Ad J. J. C. Bogers ◽  
Willem A. Helbing
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Pulmonary Regurgitation ◽  
Favourable Outcome ◽  
Early Infancy ◽  
Term Outcome ◽  
Long Term Outcome

AbstractTricuspid valvectomy is a rare surgical intervention, and knowledge regarding long-term outcome in children is lacking. We report a favourable outcome 11 years after tricuspid valvectomy in early infancy without subsequent surgery or other cardiac interventions. Specific criteria for timing of re-intervention are lacking. Application of adult tricuspid and pulmonary regurgitation recommendations is helpful but has limitations.

Early Recurrence of an Infantile Endodermal Oculomotor Nerve Cyst following Surgical Fenestration: A Case Report

2021 ◽  
Vol 56 (2) ◽  
pp. 157-162
Author(s):  
Victor M. Lu ◽  
Aditya Raghunathan ◽  
Michael J. Link ◽  
David J. Daniels
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Early Recurrence ◽  
Oculomotor Nerve ◽  
Rare Entity ◽  
Oculomotor Palsy ◽  
Case Presentation ◽  
Postoperative Course

Introduction: Infantile endodermal oculomotor nerve cyst (EONC) is an extremely rare entity. There are very few pediatric cases reported in the literature, and as expected, oculomotor palsy is the most common presenting symptom. To date however, the risk of recurrence of these lesions following surgical intervention is unclear due to a lack of long-term radiological follow-up. Case Presentation: We present a case of a 13-month-old male patient with an EONC and detail his surgical fenestration and postoperative course. Somewhat surprisingly, re-expansion occurred within 6 months and remained stable 2 years later. Discussion: A surgical approach to fenestration of an EONC in an infant is possible and should be performed by an expert neurosurgeon. Early recurrence is underreported in the current literature, and we encourage longer term radiological surveillance of these lesions after surgery to optimize primary and recurrent management in the future.

Treatment-resistant priapism associated with long-term low-molecular-weight heparin

2021 ◽  
Vol 14 (4) ◽  
pp. e241897
Author(s):  
David Bouchier-Hayes ◽  
Philip Nolan ◽  
Gordon Pate
Keyword(s):  
Molecular Weight ◽  
Case Report ◽  
Low Molecular Weight Heparin ◽  
Treatment Algorithm ◽  
Penile Prosthesis ◽  
Severe Case ◽  
Low Flow ◽  
Low Molecular Weight ◽  
Prophylactic Anticoagulation

This case report summarises the case of a 56-year-old man with low-flow, ischaemic priapism requiring urgent insertion of a penile prosthesis following prophylactic anticoagulation with tinzaparin. Low-molecular-weight heparin (LMWH) has been proposed as a cause of ischaemic priapism, although reported cases of this are rare. This particular side effect of tinzaparin has been reported once in a case report in 2018, and there are scant other reports of LMWH-induced priapism. This case was refractory to the full treatment algorithm, including multiple aspirations, phenylephrine injection, cavernosal shunt and required transfer for implantation of a penile prosthesis. Only one other case of such a severe case of priapism has been documented, involving LMWH and warfarin. Documented evidence of possible causes of priapism are vital, given the rarity of this condition, the frequency of LMWH and the potentially devastating complications.

scholarly journals Male Breast Carcinoma after Irradiation and Long-Term Phenothiazine Exposure: A Case Report

2020 ◽  
Vol 13 (2) ◽  
pp. 956-961
Author(s):  
Ragnar Hultborn ◽  
Toshima Z. Parris ◽  
Khalil Helou ◽  
Åke Borg ◽  
Shahin De Lara ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Case Report ◽  
Breast Carcinoma ◽  
Elevated Serum ◽  
Young Male ◽  
Cancer Development ◽  
Serum Prolactin ◽  
Serum Prolactin Level

We present a young male patient with breast cancer having several risk factors likely acting in consort: irradiation of the breast for gynecomastia in adolescence and a life-long administration of phenothiazine for schizophrenia from the age of 16 years, with elevated serum prolactin level resulting in breast cancer development 24 years after irradiation.

Long-term disease-free survival after hormonal therapy of a patient with recurrent low grade endometrial stromal sarcoma: a case report

2008 ◽  
Vol 279 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Özkan Alkasi ◽  
Ivo Meinhold-Heerlein ◽  
Rania Zaki ◽  
Peter Fasching ◽  
Nicolai Maass ◽  
...  
Keyword(s):  
Case Report ◽  
Hormonal Therapy ◽  
Disease Free Survival ◽  
Endometrial Stromal Sarcoma ◽  
Low Grade ◽  
Free Survival ◽  
Stromal Sarcoma ◽  
Disease Free

scholarly journals Total phallic reconstruction after penile amputation for donkey bite: Case report and review of the literature

2017 ◽  
Vol 89 (2) ◽  
pp. 166 ◽  
Author(s):  
Francesco De Luca ◽  
Giulio Garaffa ◽  
Angela Maurizi ◽  
Emy Manzi ◽  
Carlo De Dominicis ◽  
...  
Keyword(s):  
Case Report ◽  
Male Genitalia ◽  
Wound Closure ◽  
Penile Prosthesis ◽  
Review Of The Literature ◽  
Traumatic Amputation ◽  
Immediate Reconstruction ◽  
Primary Wound Closure ◽  
Delayed Reconstruction

There are very few reported cases of traumatic amputation of the male genitalia due to animal bite. The management involves thorough washout of the wounds, debridement, antibiotic prophylaxis, tetanus and rabies immunization followed by immediate reconstruction or primary wound closure with delayed reconstruction, when immediate reconstruction is not feasible. When immediate reconstruction is not feasible, long-term good functional and cosmetic results are still possible in the majority of cases by performing total phallic reconstruction. In particular, it is now possible to fashion a cosmetically acceptable sensate phallus with incorporated neourethra, to allow the patient to void while standing and to ejaculate, and with enough bulk to allow the insertion of a penile prosthesis to guarantee the rigidity necessary to engage in penetrative sexual intercourse.

Neuroleptic induced polydipsia and hyperphagia in an adult with learning disability

1998 ◽  
Vol 15 (2) ◽  
pp. 70-72 ◽  
Author(s):  
Candida Graham ◽  
Syed Hasan Jawed
Keyword(s):  
Case Report ◽  
Learning Disability ◽  
Dopamine Receptors ◽  
Complete Resolution ◽  
Young Male ◽  
Ventromedial Hypothalamus ◽  
Behavioural Problems ◽  
Neuroleptic Medication ◽  
First Report

AbstractThis case report is of a young male with learning disability, who presented with long-term polydipsia and hyperphagia. The patient's polydipsia and hyperphagia showed a correlation with long-term use of neuroleptics for behavioural problems. Withdrawal of all neuroleptic medication resulted in an immediate improvement in both the polydipsia and hyperphagia leading to a complete resolution of both symptoms. While neuroleptics are a recognised cause of polydipsia, hyperphagia is less frequently described and we believe this to be the first report in which a patient is observed to have polydipsia and hyperphagia induced by neuroleptics. We discuss the possible aetiological mechanisms for both polydipsia and hyperphagia and conclude that the basic pathophysiology in our case appears to be a neuroleptic induced malfunction of the satiety centre due to blockage of dopamine receptors in the ventromedial hypothalamus.

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