Extracorporeal shock wave therapy as a treatment option for persistent clitoral priapism: a case report.

IF 2.6 3区医学 Q1 MEDICINE, GENERAL & INTERNAL Sexual Medicine Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI:10.1093/sexmed/qfae082

Karis Buford, Lauren Phung, Bernadette M M Zwaans, Priya Padmanabhan, Rachel S Rubin, Kenneth M Peters

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Abstract

Introduction: Clitoral priapism is persistent clitoral engorgement without sexual stimulation. Presentation is sparse, and therefore limited treatment options have been investigated.

Aim: We present a case report of a 34-year-old female presenting with persistent nonischemic clitoral priapism 5 years after aggressive clitoral stimulation.

Methods: Patient underwent six weekly Li-ESWT sessions at frequency 4 Hz, energy 0.11 mJ for 2000 shocks per session. Assessment included physical examination of clitoral glans engorgement and retraction, global response assessment (GRA) score, need for topical phenylephrine, and ability to achieve orgasm.

Results: At the end of the therapy, examination revealed complete resolution of priapism with a normal-appearing clitoris fully retracted behind the clitoral hood. The patient reported no longer requiring topical phenylephrine, a significant improvement in GRA, and the ability to achieve orgasm.

Conclusion: We present a case of nonischemic clitoral priapism resolved with Li-ESWT. More investigation regarding the utilization of Li-ESWT in the treatment of clitoral priapism is highly encouraged.

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体外冲击波治疗作为持续性阴蒂勃起的一种治疗选择：1例报告。

简介：阴蒂勃起是指在没有性刺激的情况下阴蒂持续充血。表现稀少，因此研究了有限的治疗方案。目的：我们报告一例34岁女性在积极刺激阴蒂5年后出现持续性非缺血性阴蒂勃起。方法：患者每周接受6次频率为4hz的Li-ESWT治疗，每次治疗2000次，能量0.11 mJ。评估包括阴蒂龟头扩张和收缩的体格检查，总体反应评估（GRA）评分，局部使用苯肾上腺素的需求，以及达到性高潮的能力。结果：在治疗结束时，检查显示阴茎勃起完全消退，阴蒂完全缩回到阴蒂后。患者报告不再需要局部使用苯肾上腺素，GRA显著改善，并有能力达到性高潮。结论：我们报告了一例用Li-ESWT治疗的非缺血性阴蒂勃起。我们鼓励更多关于Li-ESWT在治疗阴蒂勃起中的应用的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sexual Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

5.40

自引率

0.00%

发文量

103

审稿时长

22 weeks

期刊介绍： Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.