PMC8339051_01
Priapism day 3, tumescent penis with hematoma and urethral catheter.
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F1
Urology evaluates at 72 h finding a tumescent penis at its base, a lower proportion in the distal penile region, flaccid glans, and ecchymosis on puncture areas, derived with a urethral catheter (Fig. 1), given the expected prognosis in recovery of function erectile after 72 h of onset of the symptoms and the unfavorable pulmonary course, proceed with expectant management; the hypothesis of low-flow ischemic priapism was confirmed with penile doppler, with absence of flow at the level of the bilateral cavernous arteries, fibrotic plaques in the left corpus cavernosum without arteriocavenous fistulas 10 days after the onset of the condition.