Introduction. The incidence of
priapism in adults is higher than in children. Although approximately 50% of all episodes of
priapism are thought to be idiopathic, there are a number of known specific causes of this disorder. In adults intracavernous
therapy with
papaverine, phentolamine,
alprostadil or combinations of these agents is the most common cause of ischemic
priapism. In children the most common etiology is
sickle cell anemia for low-flow
priapism or post-traumatic high-flow
priapism. We present a 13-year-old boy, not sexually active presented to our outpatient clinic suffering from long standing (3.5 hours) sustained painful erection. To the best of our knowledge the idiopathic low-flow
priapism in pre-pubertal boy was not reported before in literature. Our case is the first case to be reported in pre-pubertal age. Conclusion. In pre-pubertal boys idiopathic recurrent
priapism is a rare condition. In the literature, several empirical
therapies are described. Recently, it is postulated that a low dose of a
PDE5 inhibitor. The early
conservative management is the best treatment option to safe the corporeal smooth muscles from irreversible damage.