Priapism
| Subclass of | penile disease, peripheral vascular disease, disease  |
|---|---|
| Health specialty | urology |
| Anatomical location | human penis |
| ICD-9-CM | 607.3 |
Priapism be a condition insyd wich a penis remain erect for hours insyd de absence of stimulation anaa after stimulation end.[1] Der be three types: ischemic (low-flow), nonischemic (high-flow), den recurrent ischemic (intermittent).[1] Chaw cases be ischemic.[1] Ischemic priapism generally be painful while nonischemic priapism no be.[1] Insyd ischemic priapism, chaw of de penis be hard; however, de glans penis no be.[1] Insyd nonischemic priapism, de entire penis per be sam wat hard.[1] Very rarely, clitoral priapism dey occur insyd women.[2]
Sickle cell disease be de most common cause of ischemic priapism.[1] Oda causes dey include medications such as antipsychotics, SSRIs, blood thinners den prostaglandin E1, as well as drugs such as cocaine.[1][3] Ischemic priapism dey occur wen blood no dey adequately drain from de penis.[1] Nonischemic priapism typically be secof a connection wey dey form between an artery den de corpus cavernosum anaa disruption of de parasympathetic nervous system wey dey result in increased arterial flow.[1] Nonischemic priapism fi occur dey follow trauma to de penis anaa a spinal cord injury.[1] Diagnosis fi be supported by blood gas analysis of blood aspirated from de penis anaa an ultrasound.[1]
Treatment dey depend on de type.[4] Ischemic priapism typically be treated plus a nerve block of de penis followed by aspiration of blood from de corpora cavernosa.[4] If dis no be sufficient, de corpus cavernosum fi be irrigated plus cold, normal saline anaa dem inject plus phenylephrine.[4] Nonischemic priapism often be treated plus cold packs den compression.[4] Surgery fi be done if usual measures no be effective.[4] Insyd ischemic priapism, de risk of permanent scarring of de penis begin to increase after four hours den definitely occur after 48 hours.[4][5] Priapism dey occur insyd about 1 insyd 20,000 to 1 insyd 100,000 males per year.[4]
References
[edit | edit source]- 1 2 3 4 5 6 7 8 9 10 11 12 Podolej, GS; Babcock, C (January 2017). "Emergency Department Management Of Priapism". Emergency Medicine Practice. 19 (1): 1–16. PMID 28027457.
- ↑ Lehmiller, Justin J. (2014). The Psychology of Human Sexuality. John Wiley & Sons. p. 545. ISBN 978-1-119-16470-8. Retrieved February 8, 2018.
- ↑ "Alprostadil". The American Society of Health-System Pharmacists. Archived from the original on 16 January 2017. Retrieved 8 January 2017.
- 1 2 3 4 5 6 7 Podolej, GS; Babcock, C (January 2017). "Emergency Department Management Of Priapism". Emergency Medicine Practice. 19 (1): 1–16. PMID 28027457.
- ↑ Salam, Muhammad A. (2003). Principles & Practice of Urology: A Comprehensive Text (in English). Universal-Publishers. p. 342. ISBN 978-1-58112-411-8. Archived from the original on 2017-04-27.
External links
[edit | edit source]
- Guideline on the Management of Priapism (2003) Archived 2014-05-21 at the Wayback Machine - American Urological Association website - The unabridged 275-page version of this guideline.