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Doctor insights on: Prepiasm

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What is priapism?

What is priapism?

Priapism: Priapism is an painful erection that won't go away (4hrs is the defining time limit) in the absence of physical or psychological stimulation. It is usually painful and is a medical emergency (something to go to the ED for - now) ...Read more

Dr. Arnold Strashun
120 doctors shared insights

Priapism (Definition)

Priapism by definition, is it painful erection that lasts more than four hours. Prolonged erection results in low oxygen level in the erectile chambers which causes pain ...Read more


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What causes priapism?

What causes priapism?

Trapped Penile Blood: Priapism results most commonly when blood gets trapped in the penis. The trapped blood doesn't allow fresh oxygenated blood in, which can result in penile pain and tissue death. Common causes are sickle cell disease, various medications (rarely those advertised for ed), Cocaine use, injection ED therapy and trauma. This is an emergency, and the blood needs to be drained immediately in the er. ...Read more

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How is priapism treated?

Medications: The treatment of priapism initially includes medications. If this fails, then a needle must be placed into the penis and potent medicaions must be injected directly into the penis. If these measures fail, then surgery for a penile shunt is needed to prevent future penile scarring and erectile dysfunction. ...Read more

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How do you know you've had a priapism?

See below: A condition where there is prolonged painful erection and needs intervention by a doctor. ...Read more

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How common is it for somebody to get priapism?

Not common: Ischemic priapism due to blood sludging in the penile corpora (rods) is most frequent in men with sickle cell disease. Rarely occurs with use of medications for ed, viagra, (sildenafil) Cialis etc. Probably < 1 in 1000 men using meds. Occasionally is idiopathic, no known cause. 2nd very rare form is high flow priapism. Doppler ultrasound can differentiate between both. ...Read more

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What is the definition or description of: Priapism?

What is the definition or description of: Priapism?

Prolonged erection: Priapism by definition, is it painful erection that lasts more than four hours. Prolonged erection results in low oxygen level in the erectile chambers which causes pain and potentially, permanent damage ...Read more

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What does it mean if you have priapism in the past?

What does it mean if you have priapism in the past?

ED: Priapism can lead to long term erectile dysfunction if not treated in a timely manner. Drugs such as trazadone can lead to this. Priapism from pd5 inhibitors such as viagra, cialis, and levitra, (vardenafil) is actually very rare. Sickle cell crisis can cause priapism. Those who have previously had pripism are more likely to have it occur again. ...Read more

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What are the common presenting symptoms of priapism?

Persistent erection: Erection lasting > 4 hours, usually painful. Go to er! ...Read more

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