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PRIAPISM


Authors: MUDr. Pavel Hanek;  doc. MUDr. Ivan Kawaciuk, CSc.
Authors‘ workplace: Urologická klinika UK 2. LF a FN v Motole, Praha
Published in: Urol List 2006; 4(1): 53-56

Overview

Priapism is a relatively rare disease characterized by prolonged erection that is not connected with sexual stimulation, is uncomfortable or even painful, and has no relation to ejaculation. Priapism can be preceded by sexual intercourse, but it is not a rule. Although priapism affects all age categories, the highest incidence is observed in men in their forties and fifties. Since priapism occurs very rarely, urologists could be sometimes at a loss to select an appropriate therapy. Although an appropriate therapeutic procedure is selected, priapism leads to subsequent erectile dysfunction in 50% of cases. Considering fast development of pathophysiological processes during low-flow priapism, it is necessary to control it within 24 hours in order to prevent later consequences. When initial conservative therapy fails, surgical approach should be selected without hesitation.

KEY WORDS:
priapism, high-flow priapism, low-flow priapism, spongiocavernous shunt, erectile dysfunction


Sources

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Labels
Paediatric urologist Urology
Topics Journals
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