Priapism Flashcards
1
Q
What is priapism?
A
Unwanted sustained erection not associated with sexual desire >4 hours
2
Q
What are the types of priapism?
A
High flow
Low flow
3
Q
What is high flow priapism?
A
Unregulated cavernous arterial inflow - blood enters corpus cavernosum quicker than it can be drained
4
Q
What is low flow priapism?
A
Veno-occlusive - blockage to the venous drainage of the corpus cavernosum
5
Q
What can cause high flow priapism?
A
Penile/perineal trauma
Spinal cord injury
6
Q
What can cause low flow priapism?
A
Iatrogenic
Sickle cell
Haematological disorders
7
Q
What are the features of high flow priapism?
A
Painless erection >4hours
8
Q
What are the features of low flow priapism?
A
Painful erection >4hours
9
Q
How is priapism managed?
A
Corporeal aspiration
