
PRIAPISM
PRIAPISM
Priapism is a condition in which a penis remains erect for hours in the absence of stimulation or after stimulation has ended.[3] There are three types: ischemic (low-flow), nonischemic (high-flow), and recurrent ischemic (intermittent).[3] Most cases are ischemic.[3] Ischemic priapism is generally painful while nonischemic priapism is not.[3] In ischemic priapism, most of the penis is hard; however, the glans penis is not.[3] In nonischemic priapism, the entire penis is only somewhat hard.[3] Very rarely, clitoral priapism occurs in women.[4]
Priapism: Fresco in Pompeii depicting Priapus
Specialty: Urology, emergency medicine
Symptoms: Penis remains erect for hours[3]
Complications: Permanent scarring of the penis[3]
Types: Ischemic (low-flow), nonischemic (high-flow), recurrent ischemic (intermittent)[3]
Causes: Sickle cell disease, antipsychotics, SSRIs, blood thinners, cocaine, cannabis, trauma[3]
Treatment: Ischemic: Removal of blood from the corpus cavernosum with a needle[3]
Non-ischemic: Cold packs and compression[3]
