Unusual Presentation of Priapism Associated with Acute and Chronic Myeloid Leukemia in Two Patients: Emergency Management

Table 1

Literature review of priapism and leukemia from 2003 to 2020 using the PubMed database.

Series	Age	Diagnosis	Presenting symptoms	WBC cell/mm^3	Platelet count cell/mm^3	Treatment of priapism and leukemia	Outcome
Becerra-Pedraza et al. [2]	52 yrs	Chronic myeloid leukemia	Priapism for 144 hrs, fatigue, pallor	282 000		Corpora cavernosa drainage-irrigation penile shunts. Dasatinib	No ED on follow-up
Hazra et al. [3]	14 yrs	Chronic myeloid leukemia	Priapism for 24 hrs	226 900	310 000	Cavernosal aspiration and phenylephrine irrigation	No recurrence at 2-month follow-up
Khan et al. [5]	16 yrs	Chronic myeloid leukemia	Priapism for 264 hrs	614 800	7 090 000	Glans-cavernosal shunt hydroxyurea and allopurinol	Achieved detumescence. No info on ED
Nerli et al. [8]	19 yrs	Chronic myeloid leukemia	Priapism for 24 hrs	296 800	936 000	Corporal aspiration and phenylephrine irrigation hydroxyurea and imatinib	Achieved detumescence. No info on ED
Minckler et al. [9]	18 yrs	Chronic myeloid leukemia	Recurrent priapism	5 880 000	1 090 000	Hydroxyurea and imatinib	No info on follow-up
Chang et al. [10]	21 yrs	Chronic myeloid leukemia	Priapism for 19 hrs	216 800	1 746 000	Cavernosa aspiration and epinephrine irrigation hydroxyurea and interferon	No ED on follow-up
Qu et al. [11]	18 yrs	Chronic myeloid leukemia	Priapism for 72 hrs	257 000	5 450 000	Cavernosa-corpus spongiosum shunt, imatinib	No ED at 3-month follow-up
Yoshida et al. [12]	29 yrs	Chronic myeloid leukemia	Priapism for 48 hrs	263 000		Glans-cavernosal shunt hydroxyurea and imatinib	No ED at 5-month follow-up
Tazi [13]	33 yrs	Chronic myeloid leukemia	Priapism for 22 hrs	400 000	1 200 000	Cavernosa aspiration and epinephrine irrigation	No recurrence on follow-up
Ponniah et al. [14]	19 yrs	Chronic myeloid leukemia	Priapism for 18 hrs	513 000		Failed cavernosal aspiration + leukapheresis	No ED on follow-up
Ergenc et al. [15]	18 yrs	Chronic myeloid leukemia	Priapism for 72 hrs	100 000	1 002 000	İmatinib, allopurinol + leukapheresis	No ED at 6-month follow-up
Gupta et al. [16]	10 yrs	Acute lymphoblastic leukemia	Priapism, fever, headache	693 000	40 000	Corporal aspiration followed by phenylephrine irrigation, allopurinol + steroids	Died after 48 hours
Güzelküçük et al. [17]	9 yrs	Acute lymphoblastic leukemia	Priapism for 18 hrs	583 000	51 000	Corporal aspiration followed by hydroxyurea, allopurinol + leukapheresis	Achieved detumescence

ED: erectile dysfunction; Hrs: hours; WBC: White Blood Cell; Yrs: years.