Priapism is an unwanted and prolonged hard-on of the penis , which can cause irreversible scathe .
The diagnosing of priapism itself is quite evident : the member appear erect , very rigid in the font of ischemic priapism , and does not relax despite the absence of sexual natural process . The man with priapism can be very unsatisfied about the botheration . The difference with a normal erection is that in priapism the glans and the spongy physical structure can remain flaccid .
It is very crucial to determine whether priapism is ischaemic or non - ischaemic . If there are dubiety about whether it is one type or another , a origin gas analysis of the erectile blood can be performed . If the erection has lasted more than four hours , blood is drawn from one of the erectile bodies with a very all right needle to minimize psychic trauma . It is enough with 3 - 5 ml of blood , which will then be psychoanalyse in a gasometer .
A rip test can also be performed . In hematological disease such as sickle cell disease , thalassemia , or leukemia , there are usually alterations in the counting of stemma cellular telephone routine , or alterations in the shape of red blood cell . It would also be important to perform coagulation tests . Doppler ultrasonography may be used instead of blood analysis of the erectile physical structure .
It can be expected at most until 3 - 4 hour of evolution to see if the priapism goes away on its own , but no more because of the hazard of sequelae . The treatment of priapism that has an evolution of few than 4 - 6 minute can be done with the decompression of the cavernous bodies by aspiration ( with or without irrigation with blood serum ) of 5 ml of blood , and then administer an intracavernous injection of a sympathomimetic drug as phenylephrine . The injection of the drug is done every 3 - 5 minutes until resolution , or for one hour .
What Is The Surgery For Priapism?
In plus to the treatment of priapism itself , the disease that caused it must be do by . Specifically in the character of perennial priapism is important to avoid repeated episodes to be increasingly intense . It is important to diagnose the cause for handle it properly , not only the priapism itself , which does not intercept being a symptom of very serious illnesses .
On the other hired hand , non - ischaemic priapism is not an exigency situation . It can solve impromptu in a few hours or a few sidereal day . If after a while it is not finish resolution , arteriography and embolization of the sinus that make the clinical presentation can be performed . Other prison term surgery may be necessary . In these typeface , the aspiration and the sympathomimetic drug injected are not useful .
Prevention of Priapism
There are many shape of priapism that can not be avoided while in others cases are convenient not to eat up drugs or inject core without aesculapian indication in the penis . Avoiding the consequences of priapism is the most important once it is lay out . Therefore , if the phallus has a painful , undesirable erection , and it does not resolve itself , it should be consulted in the emergency elbow room without wait .
Conclusion
The majority of patient respond to the discourse offered by urologists , but in the aforementioned cases it is necessary to do shunt surgeries or arterial embolization of the fistula to accomplish detumescence , which is the physiologic mental process of recoil of stock over-crowding . It can be the evacuation of the cavernous bodies of the penis , with the accompanying red of erection .
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