Tricorporal priapism in a patient with metastatic esophageal cancer.

Tricorporal priapism refers to priapism involving the corpora cavernosa and spongiosum. It is exceedingly rare and, depending on the etiology, may be difficult or impossible to treat. We present a case of tricorporal priapism in a patient with metastatic esophageal cancer and complete thrombosis of all venous vasculature below the level of the renal veins. Ultimate management consisted of comfort measures and minimizing the risk of infection. In this case of tricorporal ischemic priapism, the recognized treatment options for ischemic priapism were not applicable, because no viable shunt targets were available. The treating urologist should be aware of this potential clinical entity and be prepared to offer conservative management.