{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T00:35:09Z","timestamp":1743726909471},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":460,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T00:00:00Z","timestamp":1628726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["smoa.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Clitoral priapism due to venous outflow obstruction is a rare event and medical emergency. Androgen-induced clitoromegaly in transgender men has not been previously identified as a risk factor.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Advance current knowledge on identification and treatment of clitoral priapism in the transgender male.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A 32 year-old presurgical transgender male underwent gender-affirming laparoscopic total hysterectomy and bilateral salpingo-o\u00f6phorectomy without incident. Seven days postop, he developed progressive and painful clitoral engorgement that was persistent. Examination and imaging were consistent with clitoral priapism.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Clitoral priapism was treated with adrenergic drugs (imipramine and pseudoephedrine) with rapid resolution of symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Clitoral priapism is a rare phenomenon usually associated with use of a psychotropic medication. Whether clitoromegaly secondary to androgen administration in transgender men is a risk factor for this rare medical emergency is unknown. Prompt recognition and treatment is paramount.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2021.100431","type":"journal-article","created":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T02:24:31Z","timestamp":1633055071000},"page":"100431-100431","update-policy":"http:\/\/dx.doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Clitoral Priapism in a Transgender Male"],"prefix":"10.1093","volume":"9","author":[{"given":"Rebecca E.","family":"Kusko","sequence":"first","affiliation":[{"name":"Texas Technical University Health Sciences Center School of Medicine, , Amarillo, Texas ,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esha","family":"Singhal","sequence":"additional","affiliation":[{"name":"Texas Technical University Health Sciences Center School of Medicine, , Amarillo, Texas ,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert P.","family":"Kauffman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u00a0 , Amarillo, Texas ,"},{"name":"Texas Technical University Health Sciences Center School of Medicine \u00a0 , Amarillo, Texas ,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"key":"2023012007394506200_bib1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1002\/smrj.51","article-title":"Penile priapism, clitoral priapism, and persistent genital arousal disorder: A contemporary review","volume":"3","author":"Yafi","year":"2015","journal-title":"Sex Med Rev"},{"key":"2023012007394506200_bib2","first-page":"235","article-title":"Clitoral priapism with no known risk factors","volume":"9","author":"Gharahbaghian","year":"2008","journal-title":"West J Emerg Med"},{"key":"2023012007394506200_bib3","first-page":"1089","article-title":"Clitoral priapism: A rare condition presenting as 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