15/05/2026
Priapism
Priapism is a prolonged and usually painful er****on of the p***s that lasts for more than four hours and occurs without sexual stimulation. It is considered a medical emergency because delayed treatment can lead to permanent damage to the p***s and erectile dysfunction.
Priapism occurs when blood becomes trapped in the erectile tissues of the p***s and cannot drain properly. There are two main types: ischemic (low-flow) priapism and non-ischemic (high-flow) priapism. Ischemic priapism is the most common and most serious type because the trapped blood lacks oxygen, causing tissue damage. Non-ischemic priapism is usually less painful and may occur after injury.
Common causes of priapism include sickle cell disease, blood disorders such as leukemia, trauma to the ge***al area, spinal cord injury, alcohol or drug abuse, and certain medications used for erectile dysfunction, depression, or mental illness. In some cases, the cause may be unknown.
Symptoms include prolonged er****on, pe**le pain, swelling, tenderness, and difficulty passing urine in severe cases. In ischemic priapism, the p***s is usually hard while the tip may remain soft.
Diagnosis is based on history, physical examination, and sometimes blood tests or imaging studies to determine the type and cause.
Treatment depends on the type and duration. Ischemic priapism requires urgent treatment to restore blood flow. Management may include pain relief, aspiration of trapped blood, injection of medications into the p***s, hydration, oxygen therapy, or treatment of underlying conditions such as sickle cell disease. Surgery may be needed if other treatments fail.
Complications of untreated priapism include permanent erectile dysfunction, pe**le scarring, and tissue damage.
Prevention involves proper management of underlying illnesses, avoiding harmful drugs, and seeking early medical care if symptoms occur.
In conclusion, priapism is a serious medical condition that requires prompt attention. Early diagnosis and treatment are important to prevent long-term complications and preserve normal sexual function.
