Priapism | Symptoms, Causes And Treatment

What is Priapism

Priapism is often a prolonged erection of this penis. The unwanted, persistent erection isn’t due to sexual stimulation or arousal, and priapism is frequently painful.

Priapism is an uncommon condition that really needs immediate medical attention. Prompt treatment for priapism is frequently needed to prevent tissue damage that could result in the inability to obtain or maintain an erection (erectile dysfunction).

Priapism is most usually between ages 5 and also 10 in boys and also ages 20 and 50 within men.

What are the Symptoms of Priapism?

Priapism symptoms may vary depending on the type of priapism. You can find two main types: ischemic and also nonischemic priapism.

Ischemic priapism

Ischemic, also called low-flow, priapism is the effect of blood not being competent to leave the penis. It’s the more common type of priapism. Signs and symptoms include:

  • Unwanted erection lasting a lot more than four hours
  • Unwanted erection on / off for several hours (stuttering priapism)
  • Rigorous penile shaft, but typically soft tip of male member (glans)
  • Usually painful or tender penis
Treatment of Priapism
Treatment of Priapism

Nonischemic priapism

Nonischemic, or high-flow, priapism occurs when too much blood flows into this penis. Nonischemic priapism is frequently painless. Signs and symptoms include:

  • Unwanted erection lasting at the least four hours
  • Erect and not rigid penile shaft

Causes of Priapism

Blood disorders

Blood-related diseases may contribute to priapism — usually ischemic priapism, when blood isn’t being able to flow out of the penis. These disorders include:

  • Sickle cell anemia
  • Leukemia
  • Blood clots

Sickle cell anemia is the most common cause of priapism in boys. Sickle cell anemia is an inherited disorder characterized by abnormally shaped red blood cells. These abnormally shaped cells can block the flow of blood.

Personal injury

A common cause associated with nonischemic priapism — a persistent erection caused by excessive blood flow in the penis — is trauma or injury to your genitals, pelvis or perhaps the perineum, the region involving the base of the penis and the anus.

Alcohol consumption and drug use

Misuse of prescription medications, and alcohol and drug use can cause priapism, especially ischemic priapism. Possible reasons include:

  • Recreational use of erection problems drugs
  • Drinking too very much alcohol
  • Use of illegal drugs, for instance, marijuana or cocaine

What is the prevention of Priapism?

Depending on the probable reason behind the priapism, ssteps to prevent recurrent priapism may include:

  • Treating the disease that may have caused priapism
  • Changing medications if the prescription medication was the particular probable cause
  • Avoiding invokes, such as alcohol or illegal drugs
  • Self-injection of phenylephrine to stop prolonged erections

Treatment of Priapism

Depending on the Type of priapism you have, there are so many treatments of Priapism, some of them are:

Ischemic priapism

Ischemic priapism — the effect of blood not being capable of exit the penis — is definitely an emergency situation that needs immediate treatment. This treatment usually begins with a mix of draining blood from the particular penis and using medicines.

Aspiration — after your penile is numbed with community anesthetic, excess blood is drained as a result, using a small filling device and syringe. As a part of this procedure, the penile veins can be flushed with a saline option. This treatment relieves soreness, removes oxygen-poor blood and could stop the erection. Laser hair removal may be repeated before the erection ends.

Nonischemic priapism

Nonischemic priapism often disappears altogether with no treatment. Because there’s no risk of damage to the penis, your doctor might suggest a watch-and-wait technique. Putting ice and pressure about the perineum — the region between the base of the penis as well as the anus — may support end the erection.

Surgery may be necessary in some instances to insert material that temporarily blocks the circulation of blood to the penis. The entire body eventually absorbs the substance. Surgery may also be required to repair arteries or tissue damage resulting from harm.

If you suspect that you are experiencing priapism, you should NOT attempt to treat it yourself. Instead, seek emergency care as soon as possible. However If you have injured your genital area, and you have a painful and persistent erection, try holding an ice pack wrapped in a tea towel against your penis. Climbing up and down stairs may also help.



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