{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T09:08:28Z","timestamp":1768208908710,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Priapism is a persistent penile erection lasting &gt;\u20094\u2009h without sexual stimulation. Ischemic priapism requires urgent management. We report a recurrent ischemic priapism case post\u2010living\u2010donor kidney transplantation necessitating multiple interventions, including bilateral T\u2010shunt procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 44\u2010year\u2010old man with end\u2010stage kidney disease from malignant nephrosclerosis and IgA nephropathy underwent living\u2010donor kidney transplantation. On postoperative Day 5, priapism appeared upon catheter removal. Bedside corporal aspiration was initially performed. Recurrence prompted Winter's shunt on Day 6. Blood gas analysis confirmed ischemic priapism. On Day 7, further recurrence required bilateral T\u2010shunts, resolving the condition. Propofol, used during anesthesia, was suspected as the cause. At the 6\u2010month follow\u2010up, priapism had not recurred, though erectile dysfunction developed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights a rare but serious complication of kidney transplantation under general anesthesia, potentially linked to propofol. Timely escalation from aspiration to surgical shunting is crucial in persistent cases to prevent long\u2010term sequelae.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70090","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T12:22:48Z","timestamp":1756815768000},"page":"567-570","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Recurrent Priapism After Living Donor Kidney Transplantation Requiring Bilateral T\u2010Shunt Procedure: A Case Report"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3065-7835","authenticated-orcid":false,"given":"Hiroto","family":"Kishino","sequence":"first","affiliation":[{"name":"Department of Urology Tochigi Medical Center Shimotsuga  Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Sugihara","sequence":"additional","affiliation":[{"name":"Department of Urology Jichi Medical University  Shimotsuke Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Iwaki","sequence":"additional","affiliation":[{"name":"Department of Urology Chiba Tokushukai Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sho","family":"Nishida","sequence":"additional","affiliation":[{"name":"Division of Renal Surgery and Transplantation, Department of Urology Jichi Medical University  Shimotsuke Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoko","family":"Minamisono","sequence":"additional","affiliation":[{"name":"Division of Renal Surgery and Transplantation, Department of Urology Jichi Medical University  Shimotsuke Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2223-0769","authenticated-orcid":false,"given":"Takehiro","family":"Oyama","sequence":"additional","affiliation":[{"name":"Division of Renal Surgery and Transplantation, Department of Urology Jichi Medical University  Shimotsuke Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Ando","sequence":"additional","affiliation":[{"name":"Department of Urology Jichi Medical University  Shimotsuke Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimihiko","family":"Moriya","sequence":"additional","affiliation":[{"name":"Department of Pediatric Urology Tochigi Children's Medical Center, Jichi Medical University  Shimotsuke Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daiki","family":"Iwami","sequence":"additional","affiliation":[{"name":"Division of Renal Surgery and Transplantation, Department of Urology Jichi Medical University  Shimotsuke Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Fujimura","sequence":"additional","affiliation":[{"name":"Department of Urology Jichi Medical University  Shimotsuke Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.11.008"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01625.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)00941-4"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000087608.07371.ca"},{"key":"e_1_2_10_6_1","article-title":"Priapism After Propofol in a 7\u2010Year\u2010Old Child: A Case Report","volume":"2017","author":"Corten B. J. G. A.","year":"2017","journal-title":"BMJ Case Reports"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7613.68430"},{"key":"e_1_2_10_8_1","article-title":"Propofol\u2010Induced Priapism, a Case Confirmed With Rechallenge","volume":"21","author":"Young M. L.","year":"2020","journal-title":"American Journal of Case Reports"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12686"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.12.021"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2008.12.066"}],"container-title":["IJU Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70090","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T02:41:28Z","timestamp":1762137688000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/iju5.70090"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,2]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/iju5.70090"],"URL":"https:\/\/doi.org\/10.1002\/iju5.70090","archive":["Portico"],"relation":{},"ISSN":["2577-171X","2577-171X"],"issn-type":[{"value":"2577-171X","type":"print"},{"value":"2577-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,2]]},"assertion":[{"value":"2025-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}