Priapism

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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
    • 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