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Question

Priapism in a young male could occur because of

The correct answer is
leukaemia

Priapism Causes in Young Males

Priapism is defined as a persistent erection of the penis, lasting longer than four hours, that is not associated with sexual arousal. It is considered a medical emergency.

Analyzing Priapism Causes

We need to identify which of the given conditions is a potential cause of priapism in a young male.

  • Testicular Cancer: While serious, it is not a direct or common cause of priapism.
  • Carcinoid Tumour of Appendix: This is rare and unrelated to priapism.
  • Leukaemia: Certain types of leukaemia, especially acute leukaemia, can lead to priapism. This occurs due to the infiltration of leukaemic cells into the penile erectile tissue or because of the hyperviscosity and thrombotic potential of the blood associated with leukaemia. Sickle cell disease, often screened for in young males, is also a common cause, but leukaemia is a relevant option here.
  • Penile Cancer: This condition affects the penis itself but doesn't typically cause priapism; it's more likely associated with erectile dysfunction or pain.

Conclusion on Leukaemia and Priapism

Among the options provided, leukaemia is the most recognized cause of priapism in young males, often linked to complications arising from the disease itself.

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Important Questions from Urinary System & Surgical Disorders

  1. Which of the following statements are correct regarding renal cell carcinoma? 

    1. It arises from the epithelium of the proximal convoluted tubule. 

    2. It has a female preponderance. 

    3. Major subtypes are clear cell, papillary and chromophobe. 

    4. Surgery is the mainstay of treatment for disease. organ-confined 

    Select the answer using the code given below.

  2. Which of the following are features of autosomal dominant polycystic kidney disease? 

    1. Cyst may also occur in liver, pancreas and arachnoid membrane. 

    2. Most commonly manifests between 20-30 years of age. 

    3. Clinical manifestations are renal and extrarenal. 

    4. Men tend to progress to renal failure more rapidly than women. 

    Select the correct answer using the code given below.

  3. Extracorporal Shock Wave Lithotripsy (ESWL) is most commonly used for the treatment of
  4. Which of the following are correct regarding pathology of stress urinary incontinence? 

    1. Hypermobility of urethra 

    2. Ascend of bladder neck and proximal urethra above diaphragm 

    3. Lowered urethral pressure 

    4. Increased detrusor activity 

    Select the answer using the code given below.

  5. Which of the following are correct about ectopic ureters ? 

    1. They are more common in males 

    2. They drain the upper pole of kidney 

    3. They are associated with duplex ureter 

    4. They may cause incontinence 

    Select the correct answer using the code given below :

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