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Int. braz. j. urol ; 42(2): 389-391, Mar.-Apr. 2016.
Artigo em Inglês | LILACS | ID: lil-782868

RESUMO

ABSTRACT Recurring priapism is rare in pre-pubertal children and may be attributed to multiple causes. We propose that voiding dysfunction (VD) may also justify this symptom and detail a clinical case of recurring stuttering priapism associated to overactive bladder that completely resolved after usage of anticholinergics and urotherapy. Sacral parasympathetic activity is responsible for detrusor contraction and for spontaneous erections and a relationship between erections and bladder status has been proved in healthy subjects (morning erections) and models of medullar trauma. High bladder pressures and/or volumes, voiding incoordination and posterior urethritis can potentially trigger reflex erections.


Assuntos
Humanos , Masculino , Pré-Escolar , Priapismo/etiologia , Priapismo/fisiopatologia , Bexiga Urinária Hiperativa/complicações , Bexiga Urinária Hiperativa/fisiopatologia , Priapismo/terapia , Micção/fisiologia , Resultado do Tratamento , Antagonistas Colinérgicos/uso terapêutico , Bexiga Urinária Hiperativa/terapia
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