Literature review and Case report : Treatment of recurrent attacks of idiopathic high-flow priapism in 13-year-old boy with Diazepam and local ice pad. Case report and literature review

Objective: Priapism is a fairly uncommon presentation to the emergency paediatrics department, but when it does present, it represents a real urologic emergency. Prompt treatment will decrease the risk of permanent consequences including impotency. Treatment should be based on aetiology, followed by an organized approach [1]. This report discusses a case of recurrent attacks of idiopathic priapism in a 13-year-old boy comparing the treatment with other experiences. Patient and methods: A 13-year-old boy was diagnosed at our hospital with idiopathic priapism which always happened at waking up time and which responded to oral diazepam and local ice pad therapy. Diagnosis was confirmed after exclusion of all other causes. This type of management was compared with retrospectively reviewed and reported in the PubMed web site. Results: Successful treatment of recurrent idiopathic priapism with oral administration of diazepam and local ice pad. Conclusion: As the problem was solved completely after the fifth attack of priapism, the utilisation of oral diazepam and local ice pad therapy may be considered as a less invasive method for the management of recurrent idiopathic priapism in children.