Glucose-6-Phosphate Dehydrogenase Deficiency Associated Stuttering Priapism: Report of a Case
Article first published online: 24 SEP 2008
© 2008 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 5, Issue 12, pages 2963–2966, December 2008
How to Cite
Finley, D. S. (2008), Glucose-6-Phosphate Dehydrogenase Deficiency Associated Stuttering Priapism: Report of a Case. Journal of Sexual Medicine, 5: 2963–2966. doi: 10.1111/j.1743-6109.2008.01007.x
- Issue published online: 3 DEC 2008
- Article first published online: 24 SEP 2008
- Ischemic Priapism;
- Glucose-6-Phosphate Dehydrogenase Deficiency;
Aim. Stuttering priapism is an uncommon form of recurrent priapism whose etiology if often unknown. To date, there has been one report of a patient with stuttering priapism and glucose-6-phosphate dehydrogenase (G6PD) deficiency. Herein we describe the second-known case of recurrent priapism in a patient with G6PD deficiency. The pathophysiology of G6PD deficiency and its potential to cause priapism is reviewed.
Methods. A case report is described of a 29-year-old African-American man with G6PD deficiency who presented with numerous episodes of recurrent ischemic priapism. Clinical data was reviewed.
Results. Despite medical management with gonadotropin-releasing hormone (GnRH) agonist, an antiandrogen, and baclofen, he required several surgical procedures which also ultimately failed. A continuous phosphodiesterase type-5 inhibitor (PDE5) was started and the patient had no recurrences at 3-month follow-up.
Conclusion. Idiopathic recurrent priapism may be explained by underlying hemolytic anemia associated with G6PD deficiency. Several possible mechanisms exist to explain this association, including hyperviscosity, direct endothelial dysfunction secondary to bare hemoglobin vasculotoxicity, and relative nitric oxide deficiency causing vasoconstriction and vascular smooth muscle proliferation. Finley DS. Glucose-6-phosphate dehydrogenase deficiency associated stuttering priapism: Report of a case. J Sex Med **;**:**–**.