Zuclopenthixol Induced Ischemic Priapism:  Case Report and Review of Literature

Elias Mansour; Samer Danaf; Daniel Ghousayneh; Georges Assaf; Imad Ghantous; Fouad  El-Khoury

doi:10.18502/jfrh.v17i2.12875

Elias Mansour Department of Urology, University of Balamand, El-Koura‎, ‎Lebanon
Samer Danaf Department of Urology, University of Balamand, El-Koura‎, ‎Lebanon
Daniel Ghousayneh Department of Urology, University of Balamand, El-Koura‎, ‎Lebanon
Georges Assaf Department of urology, Saint George hospital university medical center, Achrafieh, Lebanon
Imad Ghantous Department of urology, Saint George hospital university medical center, Achrafieh, Lebanon
Fouad El-Khoury Department of urology, Saint George hospital university medical center, Achrafieh, Lebanon

DOI: https://doi.org/10.18502/jfrh.v17i2.12875

Keywords: Zuclopenthixol; Antipsychotics; Priapism

Abstract

Objective: Present a case of zuclopenthixol associated priapism, literature review and focus on the stuttering priapism entity as a potential serious complication as well as providing information about possible preventive treatments.

Case report: A 44 year-old male patient with history of cocaine abuse with associated priapism presents with acute painful erection after starting zuclopenthixol for treatment of a psychotic episode. This episode was later followed by many other similar episodes defined as stuttering priapism.

Conclusion: Acute ischemic priapism is a potential serious side effect of antipsychotics that physicians especially psychiatrists needs to be aware of especially if the patient has previous episodes in order to prevent reoccurrence.