Urethral Abnormalities and Priapism

Question 1

Epispadias is highly associated with________ and concomitant_______

Answer 1

urinary incontinence

bladder exstrophy

Question 2

priapism definition

Answer 2

prolonged penile erection (more than 4–6 hours) in the absence of sexual stimulation. It is a urologic emergency.

Question 3

priapism There are 2 types:

Answer 3

Ischemic (low-flow)

Nonischemic (high-flow)

Question 4

Ischemic (low-flow) priapism, the ____ common type, is caused by _____

Answer 4

more

decreased venous flow.

Question 5

Nonischemic (high-flow) priapism is caused by ____________ and is often associated with _______

Answer 5

a fistula between cavernosal artery and corporal tissue

trauma to the perineum.

Question 6

Priapism is diagnosed with

Answer 6

clinical exam

Question 7

how To determine ischemic versus nonischemic,

Answer 7

blood should then be aspirated from the corpora cavernosum for blood gas analysis:

Question 8

blood gas analysis: ischemic VS non ischemic

sample
o2, CO2, ph

Answer 8

Ischemic: sample is black, analysis shows hypoxemia, hypercarbia, and academia

Nonischemic: sample is red, analysis shows normal levels of oxygen, carbon
dioxide, and pH

Question 9

Treat ischemic priapism with

Answer 9

intracavernosal injection of a vasoconstrictor (e.g. phenylephrine) and cavernosal blood aspiration

Question 10

Nonischemic priapism tx

Answer 10

monitored conservatively.