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Home >> Health >> Men's Health >> Conditions and Diseases >> Penis >> Priapism |
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Priapism (Greek πριαπισμός, the erection) occurs as painful & possibly harmful medical problem where a upright penis (erection) does not go to to its flaccid state (despite a absence of two physical & psychological stimulation). A causative mechanisms come ill understood however require complex neurologic & vascular factors. Likely complications include ischaemia, clotting of the blood retained in the member (thrombosis), and damage to the blood vessels of the phallus which might effect around an afflicted erectile work or even impotence. Witharound good subjects a problem could symptom in gangrene, which may require penis removal. Priapism occurs as medical emergency and needs proper treatment by a qualified medical practitioner.
Causes Priapism may be from either drugs such as certain antidepressants, antihypertensives, anticoagulants and corticosteroids. It can too be the withdrawal consequence of doses like heroin. Priapism is typically present within spinal injuries or even trauma to the spinal cord. One of a additional important classes of doses which can precipitate priapism come a phosphodiesterase nature and severity-Five (PDE5) inhibitors like sildenafil, tadalafil and vardenafil. Injected erectile-dysfunction therapies like alprostadil are also important.
Treatment Whenever a erection has been present for 2 hours a suggested therapy is pseudoephedrine 120mg orally. Whenever this has non subsided by little joe hours, the farther 120mg of pseudoephedrine is recommended. (Healing Guidelines, 2001) Whenever the erection has been present for vi hours, these are requisite to email a medical practitioner. A therapy at this stage is to aspirate blood from either a corpus cavernosum under local anaesthetic. In case this is however deficient, so aspiration is conducted by having injections of adrenaline as an adjuvant. (Remedial Guidelines, 2001) Whenever aspiration fails & tumescence re-occurs, surgical shunts come next attempted. These attempt to reverse a priapic state by shunting blood from either a rigid corpora cavernosa into a corpus spongiosum (which contains a glans & a urethra). Distal shunts come a number 1 step, followed by further proximal shunts.
Miscellaneous A female counterpart is referred to as clitorism.
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What is Priapism? A discussion about this disorder, when to seek treatment and the possible causes. Priapism Information on Priapism which is the presence of a persistent, usually painful, erection of the penis. Diagnosis and Management of Prolonged Penile Erection Tips From Other Journals - American Family Physician, September 1, 1997. A look at Priapism. Prozac and Priapism The Urology Forum - Question and answer about the use of anti-depressants and this disorder. WebMD - Priapism An in depth look at this disorder by Christopher Steidle, M.D. Mentions possible complications as well. Family Practice Notebook: Priapism in Sickle Cell Anemia Looks at the course, management and complications of this disease. |
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