Priapism

Revision as of 15:42, 5 October 2024 by Nikolas (talk | contribs) (Created page with "<section begin="urology" />'''Priapism''' refers to an erection which lasts for more than 4 hours and which is not due to sexual excitation. It is not relieved by ejaculation. * Low-flow priapism ** Due to inadequate venous drainage *** Sildenafil, sickle cell disease, other drugs, thrombosis, etc. ** Treatment *** Cavernosal aspiration and irrigation *** Phenylephrine *** Surgery * High-flow priapism ** Not as urgent as low-flow, not painful ** Due to excessive...")

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Priapism refers to an erection which lasts for more than 4 hours and which is not due to sexual excitation. It is not relieved by ejaculation.

Low-flow priapism
- Due to inadequate venous drainage
  - Sildenafil, sickle cell disease, other drugs, thrombosis, etc.
- Treatment
  - Cavernosal aspiration and irrigation
  - Phenylephrine
  - Surgery
High-flow priapism
- Not as urgent as low-flow, not painful
- Due to excessive arterial inflow
  - Injury -> fistula between artery and corpus cavernosum
- Treatment
  - Ice pack
  - Embolization of the fistula
  - Surgery