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A Case of Priapism

A 65-year-old man experienced prolonged and painful erection of the penis lasting over a week following a horse riding accident. Various treatments including cold compresses, bromide, hot baths, and belladonna were unsuccessful in resolving the priapism. Upon the suggestion of another doctor, belladonna suppositories were administered but the patient attempted to insert them in his penis rather than rectally due to the pain. When used properly via the rectum along with iodoform and conium pills, the erection gradually subsided over the next three weeks.

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26 views2 pages

A Case of Priapism

A 65-year-old man experienced prolonged and painful erection of the penis lasting over a week following a horse riding accident. Various treatments including cold compresses, bromide, hot baths, and belladonna were unsuccessful in resolving the priapism. Upon the suggestion of another doctor, belladonna suppositories were administered but the patient attempted to insert them in his penis rather than rectally due to the pain. When used properly via the rectum along with iodoform and conium pills, the erection gradually subsided over the next three weeks.

Uploaded by

sarina satei
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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A CASE OF PRIAPISM. By A. H. Boys, L.R.C.P.

W. S., set. 65, gardener, came to see me on the 12th May,


1883, complaining of an erection of the penis which had
already lasted a week.
The history was that while riding a horse it ran away
with him, and the unusual exertion had rubbed the skin
off the nates, there was also considerable bruising of the
gluteal region generally. The next morning he had an
erection (a rarity with him) which had lasted ever since.
He had had sexual intercourse in the hopes it would
disappear, but that seemed to make it worse; he also
suffered a good deal of pain. On examination I found the
whole penis swollen, red and (edematous, and it looked at
first sight as if he had a paraphimosis; this was in con-
sequence of the foreskin (which was naturally retracted)
at the base of the glans being so puffy and cedematous.
I at first ordered a cold lead lotion to be constantly
applied, and gave him a mixture containing ten grains of
bromide of potassium every three hours. In five days
there was no improvement. I then pricked the penis all
over with a fine needle; serum flowed abundantly, so I

ordered hot bathing, poultices, &c., hoping to encourage


the flow of serum, and so reduce the tension on the whole
organ.
There nothing to account
was for this erection ap-

parently beyond the slight injury to the nates before


mentioned. His bowels were thoroughly cleared out by
aperients of calomel and jalap ; there was no swelling to
be felt per rectum, or by palpation anywhere in the pelvis.
HEMORRHAGES IN THE PIA MATER. 22 ^

The man is temperate ; rather prematurely aged. He


had a slight attack of bronchitis, also slight hemiplegia
about six months before, but there are no signs of
paralysis now, and with the exception of the persistent
erection of the penis, together with in that organ,
the pain
and consequent irritability of temper, he is quite well.
The hot treatment failing to produce relief, I again
applied cold, in the shape of ice, to the penis and scrotum,
a mustard plaister to the spine, giving him internally ten

minims of tincture of belladonna every three hours. On


the 22nd May, ten days after he came to me, Dr.
Shingleton Smith saw him with me. He suggested
belladonna suppositories, each containing half a
grain of
that drug. One
ordered to be inserted every four
was

hours. I visited him on the 24th, when he assured me


he could not the
suppositories as they caused so much
use

pain, but on more minute enquiry I discovered to my


horror he had been vainly struggling to push a large sup-
pository down his penis!
From this date, however, they were used properly and

persistently, in conjunction with a pill containing two


grains of iodoform and a grain and a half of extract of
conium. In about three days there was a decided im-
provement, the penis gradually recovered its normal con-
dition, till at the end of three weeks there was no trace
of its recent turbulence.

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