Priapism as the First Manifestation of Chronic Myeloid Leukemia: A Rare Occurrence
Ketan Modak, Naveen John Thomas, Partho Mukherjee, Uma Kant Dutt, Kanwardeep S. Kwatra, M. Joseph John
Asian Hematology Research Journal · pp. 11–15 · Published 10 Jan 2022
Abstract
Priapism is an involuntary, painful erection of the penis for more than 4 hours without any sexual stimulation or ejaculation. It is a urological emergency that requires urgent intervention to prevent erectile dysfunction. We report a case of a young adult who presented to emergency with priapism and was eventually diagnosed to have chronic myeloid leukemia (CML). The priapism resolved with proximal Sacher’s shunt surgery, hydration, hydroxyurea, and tyrosine kinase inhibitors (TKI) after an early diagnosis by the FISH method. Early treatment is the key in managing such patients to reduce the consequences of erectile dysfunction.
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