Priapism Questions & Answers

Updated: Dec 26, 2019
  • Author: Osama Al-Omar, MD, MBA, FACS, FEBU; Chief Editor: Edward David Kim, MD, FACS  more...
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Questions & Answers

Overview

How is priapism defined?

What are the sign and symptoms of low-flow priapism?

What are the sign and symptoms of high-flow priapism?

Which studies are performed in the workup of priapism?

What is the step-wise approach to the treatment of low-flow priapism?

Which techniques can be used to obliterate causative fistula in high-flow priapism?

How is prolonged or refractory priapism treated?

What is priapism?

What is the pathophysiology of priapism?

What is the pathophysiology of low-flow priapism?

What is the pathophysiology of high-flow priapism?

What causes priapism?

What is the prevalence of priapism in the US?

What is the global prevalence of priapism?

What are the racial predilections of priapism?

What are the sexual predilections of priapism?

Which age groups have the highest prevalence of priapism?

What is the prognosis of priapism?

What is included in patient education about priapism?

Presentation

Which clinical history findings are characteristic of priapism?

What is included in the physical exam to evaluate priapism?

Which physical findings are characteristic of low-flow priapism?

Which physical findings are characteristic of high-flow priapism?

DDX

Which conditions are included in the differential diagnoses of priapism?

How is low-flow priapism differentiated from high-flow priapism?

Workup

What is the role of lab tests in the workup of priapism?

What is the role of imaging studies in the workup of priapism?

Treatment

How is priapism treated?

What is included in prehospital care for priapism?

How is low-flow priapism treated?

How is aspiration and injection performed to treat low-flow priapism?

How is high-flow priapism treated?

What is the role of surgery in the treatment of priapism?

How is sickle cell disease-associated priapism treated?

How is priapism treated in females?

What causes neonatal priapism?

Which types of priapism may occur in patients with sickle cell trait or disease?

Which specialist consultations are beneficial to patients with priapism?

What is included in long-term monitoring of priapism?

Guidelines

What are the AUA treatment guidelines for priapism?

What are the EAU guidelines on the diagnosis and treatment of priapism?

Medications

What is the role of medications in the treatment of priapism?

Which medications in the drug class Antidotes are used in the treatment of Priapism?

Which medications in the drug class Adrenergic Agonists are used in the treatment of Priapism?