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Doctor insights on: Priapism

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Dr. Arnold Strashun
120 doctors shared insights

Priapism (Overview)

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


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How is priapism treated?

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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Dr. Arnold Strashun
120 doctors shared insights

Priapism (Overview)

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


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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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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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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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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 is the best treatment for priapism?

What is the best treatment for priapism?

Neosynephrine/surger: Treatment depends upon type of priapism. More common is ischemic priapism due to blood trapped in penis. Aspirate, blood will be dark and then inject neosynephrine (phenylephrine). Subject will require shunting surgery if priapism persists. High flow priaism, less common, diagnose by doppler ultrasound, bright red blood. Ice pack and may resolve spontaneously, if not blood clot be injected to slow down flow in. ...Read more

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Is there a cure for priapism?

Is there a cure for priapism?

Yes: Ischemic or low flow priapism is treated by aspirating stagnant blood from penile rods, then neosynephrine (phenylephrine) is injected into penile rods. This can be repeated. Penile shunt surgery, creating a window between corporal dods and urethral spongeous tissue maybe required if medication unsuccessful. Rarer high flow piiapism can resolve on its own or at worst require injection of blood clot to slow flow. ...Read more

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Recently had problems getting erection. Dr gave me a few viagra (sildenafil). Afraid to take because of risk of priapism. Thoughts?

PRIAPISM: It is a potential side effect but I have only seen it with patients with pooly controlled sickle cell anemia or elicit drug use. It is safe and effective. If this is not reassuring enough use a small dose first(25 mg) as a trial. The trials before it was fda approved used several times the eventual recomended dose to determine safety. ...Read more

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Can hydroxyurea prevent priapism?

Can hydroxyurea prevent priapism?

Let me try: Priapism is a rare condition which causes a persistent, and often painful, penile erection. An antineoplastic drug (hydroxyurea) may prevent future episodes of priapism for patients with sickle cell disease. ...Read more

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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

Prolonged Erection (Definition)

Generally an erection lasting over 4 hours is considered prolonged. If it is due to ed medications, it should resolve spontaneously, but consultation with ...Read more