{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T15:57:45Z","timestamp":1765382265211},"reference-count":15,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Priapism, a time-sensitive urologic emergency, is associated with hematologic disorders, malignancies, trauma, pharmaceuticals, and recreational drugs. \n\nCase Report: A 51-year-old male presented with 36 hours of priapism after recreational use of nonprescribed pharmaceuticals including an oral phosphodiesterase inhibitor and intracorporally injected erectile medications, together with unspecified quantities of cocaine and alcohol. Venous blood gas confirmed ischemic priapism. Detumescence was achieved with intracavernosal phenylephrine injection, aspiration, and irrigation. \n\nConclusion: This case highlights the risk that recreational use of vasoactive medications by patients who seek to prolong sexual activity may lead to delayed presentation for ischemic priapism.<\/jats:p>","DOI":"10.5811\/cpcem.2020.8.47763","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T18:31:31Z","timestamp":1605637891000},"page":"591-594","source":"Crossref","is-referenced-by-count":1,"title":["Pharmacologically-induced Recreational Priapism: Case Report and Review"],"prefix":"10.5811","volume":"4","author":[{"given":"Grace","family":"Kunas","sequence":"first","affiliation":[{"name":"Abrazo Health, Department of Emergency Medicine, Goodyear, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Smereck","sequence":"additional","affiliation":[{"name":"Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Ladkany","sequence":"additional","affiliation":[{"name":"Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Davis","sequence":"additional","affiliation":[{"name":"Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Cuartas J, Sandoval-Salinas C, Mart\u00ednez J, et al. Treatment of priapism secondary to drugs for erectile dysfunction. Adv Urol. 2019;2019:6214921.","DOI":"10.1155\/2019\/6214921"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Vilke GM, Harrigan RA, Ufberg JW, et al. Emergency evaluation and treatment of priapism. J Emerg Med. 2004;26(3):325-9.","DOI":"10.1016\/j.jemermed.2003.12.011"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Scherzer ND, Reddy AG, Le TV, et al. Unintended consequences: a review of pharmacologically induced priapism.\u00a0Sex Med Rev. 2019;7(2):283-92.","DOI":"10.1016\/j.sxmr.2018.09.002"},{"key":"ref3","unstructured":"Nehra A. Oral and non-oral combination therapy for erectile dysfunction. Rev Urol. 2007; 9(3):99-105."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Zhao H, Berdahl C, Bresee C, et al. Priapism from recreational intracavernosal injections in a high-risk metropolitan community. J Sex Med. 2019;16(10):1650-4.","DOI":"10.1016\/j.jsxm.2019.07.024"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Saghafi O, Kao A, Druck J. Recurrent priapism from therapeutic quetiapine.\u00a0West J Emerg Med. 2014;15(1):114-6.","DOI":"10.5811\/westjem.2013.8.18548"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Bhat IA, Shannon KD, Ara A, et al. Ninety-six hours ordeal of priapism induced by paroxetine: a case report and literature review. Int J Psychiatry Med. 2015;50(3):326-34.","DOI":"10.1177\/0091217415610312"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Compton MT and Miller AH. Priapism associated with conventional and atypical antipsychotic medications: a review. J Clin Psychiatry. 2001;62(5):362-6.","DOI":"10.4088\/jcp.v62n0510"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Karanc\u0131 Y. Priapism associated with pregabalin.\u00a0Am J Emerg Med. 2020;38(4):852.e1-852.e2.","DOI":"10.1016\/j.ajem.2019.11.027"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Marconi M, Pavez P, San Francisco I, et al. Priapism induced by use of tamsulosin: a case report and review of the literature.\u00a0Arch Ital Urol Androl. 2019;91(3).","DOI":"10.4081\/aiua.2019.3.193"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Altman AL, Seftel AD, Brown SL, et al. Cocaine associated priapism.\u00a0J Urol. 1999;161(6):1817-8.","DOI":"10.1016\/S0022-5347(05)68812-X"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Campanelli M, De Thomasis R, Tenaglia RL. Priapism caused by \u2018Tribulus terrestris.\u2019\u00a0Int J Impot Res. 2016;28(1):39-40.","DOI":"10.1038\/ijir.2015.30"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Myers A and Barrueto F Jr. Refractory priapism associated with ingestion of yohimbe extract.\u00a0J Med Toxicol. 2009;5(4):223-5.","DOI":"10.1007\/bf03178272"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Gravel J, LeBlanc C, Varner C. Management of priapism with a trial of exercise in the emergency department. CJEM. 2019; 21(1):150-3.","DOI":"10.1017\/cem.2018.3"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Roberts J, Price C, Mazzeo T. Intracavernous epinephrine: a minimally invasive treatment for priapism in the emergency department. J Emerg Med. 2009;36(3):285-9.","DOI":"10.1016\/j.jemermed.2007.10.051"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T21:12:28Z","timestamp":1605820348000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/7jv7d0cp"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":15,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.8.47763","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}