{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:07Z","timestamp":1756361407822,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,20]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>We present a case of intractable acute ischaemic priapism occurring secondary to newly commenced olanzapine. It demonstrates rapid intervention in a stepwise approach aiming to restore penile flaccidity in order to prevent chronic damage to the corpora cavernosa. After an unsuccessful conservative approach, our patient underwent two formal distal penile shunt procedures with no effective penile detumescence. Subsequently, bilateral proximal penile shunts were performed comprising a right corpus cavernosum to corpus spongiosum anastomosis and a left saphenous vein to left corpus cavernosum anastomosis. The patient remained an inpatient for observation, and detumescence was gradually achieved over several days after this procedure. However, follow-up revealed erectile dysfunction, and it was explained to the patient that he was unlikely to achieve further erections and that a penile implant was the only realistic option.<\/jats:p>","DOI":"10.1136\/bcr-2018-227466","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T05:10:46Z","timestamp":1554181846000},"page":"e227466","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Intractable acute ischaemic priapism occurring secondary to newly commenced olanzapine"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3306-1531","authenticated-orcid":false,"given":"Matthew","family":"Farag","sequence":"first","affiliation":[{"name":"Department of Urology, St Vincent\u2019s Hospital Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Goad","sequence":"additional","affiliation":[{"name":"Department of Urology, St Vincent\u2019s Hospital Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Temelcos","sequence":"additional","affiliation":[{"name":"Department of Urology, St Vincent\u2019s Hospital Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,31]]},"reference":[{"key":"2025082722444132000_12.3.e227466.1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-006-0061-6"},{"key":"2025082722444132000_12.3.e227466.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.11.008"},{"key":"2025082722444132000_12.3.e227466.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01625.x"},{"key":"2025082722444132000_12.3.e227466.4","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900506"},{"key":"2025082722444132000_12.3.e227466.5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2012\/496364","article-title":"Priapism in antipsychotic drug use: a rare but important side effect","volume":"2012","author":"Sinkeviciute","year":"2012","journal-title":"Case Rep Psychiatry"},{"key":"2025082722444132000_12.3.e227466.6","first-page":"430","article-title":"Psychotropic medication and priapism: a comprehensive review","volume":"51","author":"Thompson","year":"1990","journal-title":"J Clin Psychiatry"},{"key":"2025082722444132000_12.3.e227466.7","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1038\/ijir.2011.23","article-title":"Early insertion of inflatable prosthesis for intractable ischemic priapism: our experience and review of the literature","volume":"23","author":"Sedigh","year":"2011","journal-title":"Int J Impot Res"},{"key":"2025082722444132000_12.3.e227466.8","unstructured":"Traish A , Kim N , Moreland R , et al . Role of alpha adrenergic receptors in erectile function. International Journal Of Impotence Research [serial on the Internet] 2000 (cited 27 Aug 2018)."},{"key":"2025082722444132000_12.3.e227466.9","doi-asserted-by":"crossref","unstructured":"Andersohn F , Schmedt N , Weinmann S , et al . Priapism associated with antipsychotics: role of alpha 1 adrenoceptor affinity. journal of clinical psychopharmacology [serial on the Internet]. 2010;1:68.","DOI":"10.1097\/JCP.0b013e3181c8273d"},{"key":"2025082722444132000_12.3.e227466.10","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(76)90498-2"},{"key":"2025082722444132000_12.3.e227466.11","doi-asserted-by":"publisher","DOI":"10.3109\/02844317409084400"},{"key":"2025082722444132000_12.3.e227466.12","unstructured":"Quackles R . Cure of a patient suffering from priapism by cavernospongiosa anastomosis. Acta Urol Belg 1964;32. (cited 28 Aug 2018)."},{"key":"2025082722444132000_12.3.e227466.13","first-page":"1509","article-title":"Venous bypass to control priapism","volume":"1","author":"Grayhack","year":"1964","journal-title":"Invest Urol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227466","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:44:51Z","timestamp":1756359891000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227466"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,31]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-227466"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227466","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}