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- Title
Sleep-Related Painful Erections in a Patient With Obstructive Sleep Apnea Syndrome.
- Authors
Abouda, Maher; Jomni, Taieb; Yangui, Ferdaws; Charfi, Mohamed; Arnulf, Isabelle; Charfi, Mohamed Ridha
- Abstract
Sleep-related painful erection (SRPE) is a rare sleep disorder characterized by recurrent, painful penile erections occurring when awakening from rapid eye movement sleep, while erections are painless during wakefulness. Almost 35 cases have been reported worldwide, and only two of them had an associated obstructive sleep apnea syndrome (OSAS). We report a new case of a 61-year-old man suffering from SRPE associated with OSAS. The adequate treatment of respiratory events with continuous positive airway pressure did not alleviate the SRPE symptoms and excessive daytime sleepiness. The SRPE diagnosis was made by polysomnography coupled with video surveillance when the patient was referred to the sleep laboratory for residual excessive daytime sleepiness. The patient had 2-4 episodes of SRPE/night. Beta-blocker did not alleviate the SRPE, but a transient improvement was noted when the patient was treated with paroxetine. In contrast with the two previously published cases of SRPE plus OSAS, continuous positive airway treatment did not improve SRPE symptoms in our patient.
- Subjects
PRIAPISM; SLEEP apnea syndromes; PENILE erection; DROWSINESS; OLDER patients; CONTINUOUS positive airway pressure; ADRENERGIC beta blockers; SLEEP apnea syndrome treatment; PAROXETINE; SLEEP; SLEEP disorders; POLYSOMNOGRAPHY; DISEASE complications; THERAPEUTICS
- Publication
Archives of Sexual Behavior, 2016, Vol 45, Issue 1, p241
- ISSN
0004-0002
- Publication type
journal article
- DOI
10.1007/s10508-015-0615-0