Priapismus iskemik dengan leukemia granulositik kronis

Priapism is one of urological emergency case. There are 2 types of priapism, the ischemic priapism and non-ischemic priapism due to treatment approach. Chronic myeloid leukemia is one of hematologic disorders that could cause ischemic priapism. A 24 years old male patient came with painful erection for 19 hours before hospital admission. Physical examination found an erecting penis more than 4 hours and prepuce edema. Blood gas analysis and complete blood count revealed penile blood ischemic, anemia Priapismus adalah kasus kegawatdaruratan di bidang urologi. Priapismus dibedakan menjadi 2 tipe, yaitu priapismus iskemik dan priapismus non-iskemik sesuai pendekatan tatalaksananya. Leukemia granulositik kronis adalah salah satu gangguan hematologi yang dapat menyebabkan priapismus iskemik. Seorang pasien laki-laki berusia 24 tahun datang ke rumah sakit mengeluhkan nyeri pada penisnya yang ereksi selama 19 jam. Pemeriksaan fisik didapatkan ereksi penis lebih dari 4 jam disertai edema prepusium. Pemeriksaan analisis gas darah dan darah and hyper-leukocytosis. Aspiration and irrigation procedure was done with adrenaline injection to corpus cavernosum. Dorsal slit incision was performed to relieve the tension caused by swelling prepuce to gland penis and subsequent acute urinary retention. In six hours, penile rigidity turn into flaccid then 16 Fr dower catheter was inserted and dressed by gauze. Bone marrow aspiration that was done by Hematology and Oncology Medicine (HOM) division revealed a chronic myeloid leukemia. Keywords: Priapism, Ischemic Priapism, Chronic Myeloid Leukemia, CML