Urology Annals

CASE REPORT
Year
: 2015  |  Volume : 7  |  Issue : 3  |  Page : 391--395

Malignant priapism: Penile metastasis originating on a primary prostate adenocarcinoma


Sandro Roberto da Silva Gaspar, Alvaro Nunes, Jose Santos Dias, Tome Lopes 
 Department of Urology, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal

Correspondence Address:
Sandro Roberto da Silva Gaspar
Department of Urology, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Av. Egas Moniz, 1649-035 Lisbon
Portugal

Malignant priapism is a definition invented in 1938 by Peacock, defined as a persistent erection, not related with sexual activity, caused by cavernous sinus and associated venous systems invasion with malignant cells. Penile secondary lesions are rare entities. Primary locations are usually the pelvic cavity organs, namely the prostate and the bladder as the most common ones. Priapism as a first manifestation of these kinds of lesions is even rarer. The aim was to present a 52-year-old patient harboring a penile metastasis that originated in the primary prostate adenocarcinoma, manifesting itself as a DQcommonDQ priapism. The patient referred to the emergency room presenting with a priapism and nodules at the coronal sulcus, without previous similar episodes. His evolution until properly diagnosed was catastrophic with multiple lymph nodes, bone and organ involvement, and with his demise soon after from serious bleeding and congestive heart failure, almost 2 months after he first came to the emergency room. We review the literature concerning malignant priapism, diagnosis, and current treatment and survival perspectives.


How to cite this article:
Gaspar SR, Nunes A, Dias JS, Lopes T. Malignant priapism: Penile metastasis originating on a primary prostate adenocarcinoma.Urol Ann 2015;7:391-395


How to cite this URL:
Gaspar SR, Nunes A, Dias JS, Lopes T. Malignant priapism: Penile metastasis originating on a primary prostate adenocarcinoma. Urol Ann [serial online] 2015 [cited 2020 Sep 20 ];7:391-395
Available from: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=3;spage=391;epage=395;aulast=Gaspar;type=0