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Ed 11 Chapter 028 : Priapism

ed-11-chapter-028-priapism

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Priapism associated with SCD is ischemic. The current pathophysiology is believed to be:

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Ischemic priapism in boys and men with SCD should focus on correcting the hemoglobinathy:

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A 27-year-old previously healthy white male is brought into the emergency department in the early morning hours by his girlfriend. She describes a night of partying with alcohol, energy drinks, and a small amount of cocaine. Her boyfriend has had a persistent erection for 6 to 8 hours. She says, "I've done all I can to help him—it won't go down!" The emergency department doctor calls the urologist to go over the case and initiate management. The best course of therapy would be:

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Phosphodiesterase type 5 inhibitors are first-line therapy for ED, but like intracavernous therapy, PDE5inhibitors have been associated with prolonged erection and priapism. Which agent is most likely to cause priapism?

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Early reviews concluded that the natural history of ischemic priapism is ED. Recent interventions have tracked sexual health function outcomes with evidencebased questionnaires such as the International Index of Erectile Function (IIEF-5). Improvements in medical and surgical management of ischemic priapism may preserve erectile function. Unfortunately, ED is likely to occur if reversal by medical or surgical means is not successful after how many hours?

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