Titre
Sleep-related painful erections.
Type
étude de cas
Institution
Externe
Périodique
Nature Clinical Practice. Urology
Auteur(s)
Karsenty, G.
Auteure/Auteur
Werth, E.
Auteure/Auteur
Knapp, P.A.
Auteure/Auteur
Curt, A.
Auteure/Auteur
Schurch, B.
Auteure/Auteur
Bassetti, C.L.
Auteure/Auteur
Liens vers les personnes
ISSN
1743-4270
Statut éditorial
Publié
Date de publication
2005
Volume
2
Numéro
5
Première page
256
Dernière page/numéro d’article
260; quiz 261
Langue
anglais
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Résumé
BACKGROUND: A 45-year-old man presented with repeated awakenings at night caused by nocturnal painful erections, in sharp contrast with normal erections at other times, 2 years after surgical removal of a thoracic (Th6-7) ependymoma.
INVESTIGATIONS: Physical examination, pharmaco-sensitized penile Doppler ultrasound, spinal and brain MRI, neurophysiological work-up (tibial and perineal somatosensory-evoked potential; hand, foot and perineal sympathetic skin response assessment), polysomnography with recording of nocturnal penile tumescence.
DIAGNOSIS: Sleep-related painful erections, characterized by penile pain during nocturnal erection, typically during rapid eye movement sleep, in the presence of a residual thoracic spinal cord syndrome.
MANAGEMENT: Amitriptyline, an antidepressant that suppresses rapid eye movement sleep, was ineffective. Treatments with other antidepressants, clozapine and beta-blockers were suggested, but the patient declined because of potential severe side effects.
INVESTIGATIONS: Physical examination, pharmaco-sensitized penile Doppler ultrasound, spinal and brain MRI, neurophysiological work-up (tibial and perineal somatosensory-evoked potential; hand, foot and perineal sympathetic skin response assessment), polysomnography with recording of nocturnal penile tumescence.
DIAGNOSIS: Sleep-related painful erections, characterized by penile pain during nocturnal erection, typically during rapid eye movement sleep, in the presence of a residual thoracic spinal cord syndrome.
MANAGEMENT: Amitriptyline, an antidepressant that suppresses rapid eye movement sleep, was ineffective. Treatments with other antidepressants, clozapine and beta-blockers were suggested, but the patient declined because of potential severe side effects.
PID Serval
serval:BIB_78B5FC8B5D39
PMID
Date de création
2014-11-05T11:12:39.697Z
Date de création dans IRIS
2025-05-21T02:41:21Z