Resolution of Recurrent Ischemic Priapism after Celiac Plexus Block: Case Report Evidence for its Neurogenic Origin?


Arthur L. Burnett, MD, Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, 600 North Wolfe Street, Marburg 407 Baltimore, MD, 21287, USA. Tel: 410-614-3986; Fax: 410-614-3695; E-mail:


Introduction.  Recurrent ischemic priapism likely has a neurogenic basis for some clinical presentations.

Aim.  To describe a phenomenon of resolved recurrent ischemic priapism in a patient following celiac plexus block for recurrent upper abdominal pain.

Methods.  The case report profiled a 44-year-old Caucasian man who developed recurrent ischemic priapism after retroperitoneal surgery. He had failed multiple conventional interventions for his priapism. After he underwent a celiac plexus block for recurrent upper abdominal pain, his recurrent priapism episodes immediately stopped.

Main Outcome Measures.  Clinical history regarding priapism occurrences.

Results.  The patient obtained a resolution of his priapism after celiac plexus block, without recurrences at a 6-month follow-up assessment.

Conclusions.  Celiac plexus block successfully led to resolution of recurrent ischemic priapism of probable neurogenic origin associated with spinal nerve outflow injury. Burnett AL, and Santiago CS III. Resolution of recurrent ischemic priapism after celiac plexus block: Case report-evidence for its neurogenic origin? J Sex Med 2009;6:886–889.