Priapism is aesculapian condition characterise by prolonged and unwanted hard-on of member . The erecting is not have by any pattern of sexual arousal and can be exceedingly painful to the touched individual .
Arterial priapism is caused due to blood not being able to buy the farm the penis while venous priapism occurs due to excessive origin flow into the phallus as a solution of an accidental injury to the penis causing price to an artery .
What Happens if Priapism is Not Treated?
Priapism is considered a medical emergency that must receive adequate treatment by a qualified physician . The medical prognosis for the patient meliorate as long as it is by rights treated on metre . Nevertheless , if a patient denies receive treatment , hoping that it will go off on its own , permanent damage to the male genital may occur .
Patients with this condition should seek aesculapian care immediately , especially if the hard-on lasts more than 4 hours . It is crucial to determine the type of priapism ( ischemic or nonischemic ) because the treatment for each of them is dissimilar , as explained below :
Ischemic Priapism
-Aspiration . Emergency way handling includes aspirating blood from the cavernous body of the penis with local anesthesia through a phonograph needle . This treatment sedate the priapism painful sensation , cleanse the tissue off of deoxygenated bloodline and thus bring down the unwanted erection . The intervention can be repeated until the consequence the erection is over .
-Intracavernous Injection . If the aspiration process is not enough , injection of phenylephrine into the tissues of penis are done . The medicament makes the line vessel append blood to the penis narrow thus restricting superfluous blood flowing in the area . This opens up the vessel that carry blood from the phallus to open up thereby decreasing the accumulation of blood in the penis . The intervention may be repeated until optimal resolution are obtained . care needs to be uphold when treating priapism through this method acting of treatment as there may be sure side event especially in hypertensive or people with cardiovascular weather condition .
-Surgical Derivation . If all bourgeois approaches do not yield resultant role then the physician may opt for nidation of a shunt in the penis which will provide a passing for the rip to ooze out from the expanse and restore normal blood flow .
masses with a condition called sickle cellphone anemia who have priapism involve to receive oxygen supplement and endovenous fluids to maintain hydration .
Non-ischemic Priapism
Non - ischaemic priapism tend to be a self - limiting condition which does not always need any treatment . reflexion is the approach take in by physicians in such suit as there is no imminent danger to the functioning of the member . use ice and pressure in the recurrent area is proficient enough to bring in down the unwanted erecting .
Surgery may be required in some cause where absorbable implants may be introduce to block the flow of blood temporarily till the time the implant is absorbed by the eubstance . Surgery may also be necessary to address any damaged tissue or arteries as a result of some trauma to the penile area .
Prognosis
Complications
Ischemic priapism may lead to potentially serious complications . rip trap within the penile expanse becomes oxygen deficient which tends to make significant impairment to the tissue . When the hard-on live more than 4 hours , the deoxygenated stock starts to clot ( penile thrombosis ) and damage or destroy the tissues of the penis . Ultimately , untreated priapism can make :
-ED or impotence , the inability of the phallus to get to stay put upright with sexual arousal .
-Disfiguration of the penis .
In life-threatening showcase , gangrenemay occur , dying of penile tissue paper , and in the bad character , emasculation or penectomy ( surgical removal of the penis ) may be necessary .
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