41. THE MERCK MANUAL--SECOND HOME EDITION, Priapism In Ch. 238, Penile And Testicula or ephedrine) can relieve priapism caused by penile drug injection. Spinal anesthesiamay relieve priapism caused by a spinal cord injury. http://www.merck.com/mmhe/sec21/ch238/ch238e.html

var externalLinkWarning = "The link you have selected will take you to a site outside Merck and The Merck Manuals.*n*nThe Merck Manuals do not review or control the content of any non-Merck site. The Merck Manuals do not endorse and are not responsible for the accuracy, content, practices, or standards of any non-Merck sources."; Search The Second Home Edition , Online Version Search Index A B C D ... Z Sections Accidents and Injuries Blood Disorders Bone, Joint, and Muscle Disorders Brain, Spinal Cord, and Nerve Disorders ... Women's Health Issues Resources Anatomical Drawings Multimedia Pronunciations Weights and Measures ... , Online Version Section Men's Health Issues Chapter Penile and Testicular Disorders Topics Introduction Cancer of the Testes Epididymitis and Epididymo-orchitis Growths on the Penis ... Peyronie's Disease Priapism Swelling of the Testes Testicular Torsion Urethral Stricture Varicocele Priapism Buy The Book Print This Topic Email This Topic Pronunciations anesthesia corpora cavernosa ephedrine epididymo-orchitis ... varicocele Priapism is a painful, persistent erection unaccompanied by sexual desire or excitement. Priapism probably results from abnormalities of the blood vessels and nerves that cause blood to become trapped in the erectile tissue (corpora cavernosa) of the penis. In most cases, priapism is caused by drugs taken by mouth or injected into the penis to cause erection. Other known causes of priapism include blood clots, leukemia, sickle cell disease, a tumor in the pelvis, and an injury to the spinal cord. Sometimes, however, no cause can be found.

42. THE MERCK MANUAL--SECOND HOME EDITION, Priapism In Ch. 238, Penile And Testicula priapism is a painful, persistent erection unaccompanied by sexual desire priapism probably results from abnormalities of the blood vessels and nerves http://www.merck.com/mmhe/print/sec21/ch238/ch238e.html

var externalLinkWarning = "The link you have selected will take you to a site outside Merck and The Merck Manuals.*n*nThe Merck Manuals do not review or control the content of any non-Merck site. The Merck Manuals do not endorse and are not responsible for the accuracy, content, practices, or standards of any non-Merck sources."; Section Men's Health Issues Chapter Penile and Testicular Disorders Priapism Priapism is a painful, persistent erection unaccompanied by sexual desire or excitement. Priapism probably results from abnormalities of the blood vessels and nerves that cause blood to become trapped in the erectile tissue (corpora cavernosa) of the penis. In most cases, priapism is caused by drugs taken by mouth or injected into the penis to cause erection. Other known causes of priapism include blood clots, leukemia, sickle cell disease, a tumor in the pelvis, and an injury to the spinal cord. Sometimes, however, no cause can be found. Several symptoms help differentiate priapism from normal erections. Priapism lasts longer, usually several hours. Sexual excitement does not accompany priapism, and the erection is painful. Also, in priapism, the glans penis may be soft. The treatment of priapism depends on the cause. Any drug that appears to cause the priapism is discontinued immediately. Injection into the penis of a drug that decreases erection (for example

43. Priapism Several drugs suspected as causing priapism, such as chlorpromazine, prazosin,trazodone, and certain corticosteroids, anticoagulants, antihypertensives http://www.5mcc.com/Assets/SUMMARY/TP0736.html

Priapism DESCRIPTION: Painful and/or abnormally prolonged penile erection System(s) affected: Reproductive Genetics: N/A Incidence/Prevalence in USA: Unknown Predominant age: Young adult Predominant sex: Male only CAUSES: Intracavernosal injections of vasoactive drugs for erectile dysfunction; most common cause Pelvic vascular thrombosis Prolonged sexual activity Sickle cell anemia Leukemia Other blood dyscrasias Pelvic hematoma or neoplasia Cerebrospinal tumors Tertiary syphilis Bladder calculus Injury to penis Urinary tract infections, especially prostatitis, urethritis, cystitis Several drugs suspected as causing priapism, such as chlorpromazine, prazosin, trazodone, and certain corticosteroids, anticoagulants, antihypertensives Intracavernous fat emulsion ICD-9-CM: 607.3 Priapism SEE ALSO: Anemia, sickle cell Erectile dysfunction REFERENCES: Smith DR: General Urology. 15th Ed. Los Altos, CA, Lange Medical Publications, 2000 Harmon WJ and Nehra A: 'Priapism: Diagnosis and Management,' Mayo Clinic Proceedings. Vol 12 (4) April 1997: 350-355. Author(s): Bruce Block, MD

44. Priapism priapism. Definition. priapism is a rare condition that causes a persistent, andoften painful, penile erection. http://www.healthatoz.com/healthatoz/Atoz/ency/priapism.jsp

45. Information About Priapism This site contains information about priapism. priapism is a condition wherethe blood that circulates through the penis becomes trapped in its spongy http://www.mamashealth.com/men/priapism.asp

Mamashealth.com Home Men's Health Balanitis Epididymitis Erectile Dysfunction Male Hypogonadism ... Undescended Testicle Links Email Mama What is Priapism? Priapism is a condition where the blood that circulates through the penis becomes trapped in its spongy tissue. It can cause irreversible damage to the penis and prevent the patient from having a normal erection. If an erection continues for more than 4 hours, seek immediate medical attention. If priapism is not treated immediately, penile tissue becomes damaged. Priapism is a rare condition. Symptoms of Priapism? The most common symptoms are: persistent erection with sexual stimulation painful erection with sexual stimulation What Causes Priapism? The most common causes are: sickle cell anemia spinal cord disorder inflammation of the urethra leukemia (children with priapism usually have leukemia.) injury to the blood vessel that controls erection excessive response to alprostadil therapy for impotence Can Priapism be treated? Yes. The treatment depends on the cause. Placing a towel-covered ice pack over the penis usually stops the erection. In some cases, the doctor will need to withdraw blood from the penis.

46. Priapism : Gay & Black Glossary Roedy Green’s Glossary of Gay and Black Slang priapism. http://mindprod.com/ggloss/priapism.html

feedback Java definitions: A B C D ... Z You are here : home P words priapism priapism Abnormal male horniness. Priapus was the ancient Greek god of procreation. An erection that won't go down, even after four hours. Up to that long is nothing to worry about. It can be caused by supersensitivity to impotence drugs such as Viagra or prostaglandins. 1 in 500 people have this. It can be caused by overdosing on such drugs. It can also happen naturally. It can be treated in stages. Three extra strength Sudafed should help, apply ice, jog 30 minutes then take a cold shower. If that does not work go to the emergency ward of your nearest hospital. They will first try xylocaine and draining the blood out of the penis with a needle. If that does not work they will try phenylephrine. If that does not work they will try neo-synephrine. If that does not work they will use surgery. If the problem is not treated within 12 hours, permanent damage to the penis may result from lack of oxygen. Canadian Men's Clinic impotence Muse premature ejaculation ... Viagra home C anadian M ind P roducts mindprod.com

47. Introduction: Priapism - WrongDiagnosis.com Introduction to priapism as a medical condition including symptoms, diagnosis,misdiagnosis, treatment, prevention, and prognosis. http://www.wrongdiagnosis.com/p/priapism/intro.htm

Home Symptoms Diseases Risks ... Diseases Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Priapism Next sections Basic Summary for Priapism Causes of Priapism Symptoms of Priapism Complications of Priapism ... Misdiagnosis of Underlying Causes of Priapism Next chapters: Proctalgia Prolapse Psychosis Brain infection ... Feedback Introduction: Priapism Priapism: Prolonged erection Researching symptoms of Priapism: Further information about the symptoms of Priapism is available including a list of symptoms of Priapism , or alternatively return to research other symptoms in the symptom center Treatments for Priapism: Various information is available about treatments available for Priapism , or research treatments for other diseases. Causes of Priapism: Research more detailed information about the causes of Priapism , other possibly hidden causes of Priapism , or other general information about Priapism Contents for Priapism: Basic Summary for Priapism Causes of Priapism Symptoms of Priapism Complications of Priapism ... Glossary for Priapism Last revision: Nov 26, 2003

48. Treatments For Priapism - WrongDiagnosis.com Treatments for priapism including drugs, prescription medications, alternativetreatments, surgery, and lifestyle changes. http://www.wrongdiagnosis.com/p/priapism/treatments.htm

Home Symptoms Diseases Risks ... Priapism Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Priapism Next sections Glossary for Priapism Next chapters: Proctalgia Prolapse Psychosis Brain infection ... Feedback Treatments for Priapism Treatment list for Priapism: The list of treatments mentioned in various sources for Priapism includes the following list. Always seek professional medical advice about any treatment or change in treatment plans. Emergency treatment Removal of penile blockage Needle aspiration of blood Last revision: Nov 26, 2003 Diseases Priapism Did we miss something? Please provide feedback or suggestions By using this site you agree to our . Information provided on this site is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information on this site is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs. Please see our IMPORTANT! Use of this site is subject to our

49. Nih Priapism Concepts in the surgical treatment of severe priapism in sickle cell disease arecurrently priapism and impotence in homozygous sickle cell disease. http://www.scinfo.org/nihchp19.htm

MANAGEMENT AND THERAPY OF SICKLE CELL DISEASE NIH Publication No. 95-2117, Revised December 1995 (Third Edition) National Institutes of Health, National Heart, Lung, and Blood Institute Chapter 19-Priapism Priapism is a persistent, painful penile erection. Three clinical categories are discussed in this chapter, including recurrent acute priapism, acute prolonged priapism, and chronic priapism. RECURRENT ACUTE PRIAPISM This is the most common form of priapism in which the patient gets short attacks that subside spontaneously. The patient usually copes with this problem and may not seek medical advice. The natural history is variable. Most patients will continue to get attacks throughout their lives and will maintain some degree of potency. Others will eventually become impotent. A small group will develop an acute attack that will not subside without active and aggressive treatment in a timely fashion. ACUTE PROLONGED PRIAPISM The painful erection that does not subside after several hours is an emergency and should be treated aggressively. If untreated, the attack will last for several weeks, resulting in total impotence. Even with aggressive treatment, preservation of potency may be compromised. The presenting features are persistent erection, severe pain, and tenderness of the penile shaft. Radionuclear penile scan may show a very low flow, and penile blood gas may have a pO2 of less than 5. CHRONIC PRIAPISM This is a rare form of presentation that may follow an acute episode or may arise de novo. The penis is semierect and there is no pain. Clinically, this results in a progressive increase in the size of the penis, and penile scan shows good blood flow. Penile ultrasound shows dilated deep dorsal arteries in both corporeal bodies, and the patient has difficulty in getting a complete erection. Occasionally these patients may develop an acute episode. Suddenly for no apparent reason the penis becomes rigid and painful. These episodes may affect only a part of the penile shaft.

50. Priapism priapism is the persistent, painful erection of the penis. priapism.The diagnosis of priapism is usually obvious from the physical examination. http://www.scinfo.org/priapism.htm

Sickle Cell Information Center Protocols by James Eckman, M.D. and Allan Platt, PA-C Priapism Priapism is the persistent, painful erection of the penis. It is relatively common in young males with sickle cell anemia. The onset may be in early childhood or adolescence. Recurrent or severe episodes can result in future impotence. Treatment is often not satisfactory. Clinical Findings Subjective Data Present Illness . Note time of onset of symptoms, frequency and duration of attacks, time of night, pain, dysuria, frequency, discharge. Association with dreams, sexual activity, or masturbation. Determine response to previous therapy. Objective Data Physical Examination - Vital Signs: Temperature, blood pressure. - Genitourinary: Document size and turgor of penis. Soft glans and ability to urinate indicate little involvement of the corpora spongiosa. Glans involvement indicates tricorporal priapism. Rule out discharge and inguinal adenopathy. - Rectal: Prostate size and tenderness. Laboratory Minimum Evaluation. CBC with differential, reticulocyte count, and urinalysis. Additional Evaluation. Nucleotide imaging, flow Doppler, MRI and pH/PO

51. Center For Male Reproductive Medicine And Microsurgery priapism is defined as a prolonged erection developing in the absence of sexual The duration of the erection considered to represent priapism is http://www.maleinfertility.org/priapism.html

NEW YORK CORNELL Cornell University Weill Medical College Cornell Institute for Reproductive Medicine Center for Male Reproductive Medicine and Microsurgery State-of-the-Art Compassionate Care for the Infertile Couple PRIAPISM What is Priapism? Venocclusive Priapism and Arterial Priapism Clinical Evaluation at Cornell Suggested Reading What is Priapism? Priapism is defined as a prolonged erection developing in the absence of sexual stimulation and unrelieved by ejaculation. The duration of the erection considered to represent priapism is generally over 4-6 hours. The condition obtains its name from the Greek god of fertility and lust Priapus Venocclusive Priapism and Arterial Priapism Priapism can be classified into 2 main types; venocclusive (synonymous with ischemic, low-flow) and arterial (high-flow, non-ischemic). Proper categorization is essential, as the management of the 2 conditions is very different particularly as venocclusive is a urologic emergency while arterial is not. Venocclusive priapism results from failure of blood to drain from the erectile bodies due to prolonged blockage of the draining veins. Venocclusive priapism may result from paralysis (prolonged relaxation) of the erectile smooth muscle (generally due to drugs or toxins) or from sludging of blood (due to blood disorders) with subsequent prevention of venous drainage. Arterial priapism results from unregulated inflow of arterial blood into the erectile bodies (corpora cavernosa) secondary to a joining (fistula) between the main erection (cavernous) artery and the erectile body itself. This generally results from trauma to the perineum or penis.

52. Priapism Pathophysiology. Two types of priapism exist. Highflow; Low-flow Bibliography.Kalsi JS, Arya M, Minhas S, Ralph D J. priapism a medical emergency. http://www.surgical-tutor.org.uk/system/urinary/priapism.htm

Up Haematuria Renal cell carcinoma Bladder carcinoma ... Other transplantation Priapism Priapism is persistent erection of the penis It is uncommon but early diagnosis and treatment is essential Delayed presentation or treatment results in corporal anoxia and loss or erectile function Pathophysiology Two types of priapism exist High-flow Low-flow Low-flow priapism is more common Due to venous stasis and ischaemia Aetiological factors include Intracavernosal injection Pelvic malignancy Blood disorders - sickle-cell disease, leukaemia Trauma - spinal cord injury Prolonged sexual activity Urogenital tract inflammation Drugs High-flow priapism is uncommon Due to the development of an arteriocavernosal fistula Can follow blunt or penetrating penile or perineal trauma Clinical features History and clinical features will allow differentiation of low-flow and high-flow priapism Low-flow priapism presents with painful persistent erection Penile shaft is firm and glans penis is usually soft High-flow priapism is often painless There is invariably a clear history of trauma Management Aspiration of the corpora will distinguish the two types In high-flow priapism the blood is arterial In low-flow priapism the blood is dark and viscous and is similar to venous Early treatment is essential, preferably within 12 hours of onset

53. Priapism priapism may be spontaneous or caused by medical treatment (iatrogenic). Although controversy exists over the way in which priapism occurs, http://www.tiscali.co.uk/lifestyle/healthfitness/health_advice/netdoctor/archive

// Show bread crumbs navigation path. breadcrumbs('five'); //> From: www.tiscali.co.uk/lifestyle/ Calculators Calorie Counter Diseases Examinations ... Medicines Frames not supported Frames not supported HOTLINKS Health shop Health forum Health and Nutrition Health Centres Priapism Written by Geoff Hackett, consultant in sexual dysfunction What is priapism? What causes priapism? A normal erection results from relaxation of the muscles within the penis and an increase in arterial blood flow to the penis. The resulting swelling of the muscles compresses the penile veins, thus trapping blood within the penis. After ejaculation, the associated adrenaline surge constricts the arteries and relaxes the pressure on the veins, which leads to loss of erection (detumescence). Priapism may be spontaneous or caused by medical treatment (iatrogenic). Some 35 per cent of cases are idiopathic (unknown cause) and 21 per cent are associated with drug therapy or alcohol abuse. Trauma accounts for 21 per cent and blood disorders 8 per cent. Medically, the important issue is whether the condition is associated with high blood flow when there is little risk of tissue damage, or low blood flow when the risk of damage is higher. Although controversy exists over the way in which priapism occurs, a widely accepted view is that priapism results from injury or damage to the mechanism that produces detumescence of the penis. This damage can be caused by:

54. BBC - Health - Ask The Doctor - Priapism Dr Rob Hicks explains why men need treatment for priapism. http://www.bbc.co.uk/health/ask_the_doctor/priapism.shtml

@import url('/includes/tbenh.css') ; Home TV Radio Talk ... A-Z Index FRIDAY 9th September 2005 Text only BBC Homepage Lifestyle Health ... Help Like this page? Send it to a friend! Priapism Why do men need to have treatment for priapism? Surely having this is a good thing? Martin Dr Rob Hicks responds A priapism is a persistent erection of the penis that lasts for four hours or often much longer. Although many men may think this might be a good and desirable thing to have, there are a number of reasons why it isn't. First, it may be a real nuisance since priapism can occur when a man doesn't have any sexual desire. Second, priapism can damage the erectile tissues of the penis permanently. And third, it can be extremely painful. Priapism occurs because the blood in the penis that forms the erection can't escape. This might be because of prolonged sexual intercourse, medical conditions such as polycythaemia, or drug side effects. Very occasionally drugs used to treat impotence can cause priapism too. The problem of priapism can be relieved immediately by releasing the blood from the penis. A doctor will do this at the local casualty (accident and emergency) department with a needle and syringe. If priapism is a side effect of medication then a more suitable medication can be prescribed. If it's because of an underlying medical condition then this can usually be treated.

55. Priapism Definition - Medical Dictionary Definitions Of Popular Medical Terms Online Medical Dictionary and glossary with medical definitions. http://www.medterms.com/script/main/art.asp?articlekey=5040

56. Dysfunctions: Sexual Pain: Priapism Relationships priapism Sickle Cell Information Center Religion Sex,SEXUAL PAIN, priapism Web MD Research Dyspareunia Prozac priapism http://www.bigeye.com/sexeducation/priapism.html

News Alphabetical Index of Topics Want a new sexual companion? Home AROUSAL DYSFUNCTIONS DYSFUNCTIONS Female Arousal Disorder SEXUAL PAIN Impotence/Erectile Dysfunction Priapism Commercial Sex Common Penis Problems Contraception INHIBITED ORGASM Disabilities/Illnesses Anorgasmia Ejaculatory Disturbances Dysfunctions Anejaculation Male Sexual Dysfunctions Human Body Ejaculatory Incompetence ... Priapism INHIBITED SEXUAL DESIRE Paraphilias Hypoactive Sexual Desire Priapism: Hidden Pain Pleasures of Sex ... Priapism: Sickle Cell Information Center SEXUAL PAIN Priapism: Web MD Research Dyspareunia STDs Priapism Search NFSHM (PDF files) Societies Vaginismus Understanding Ejaculatory Disorders ... Violence OTHER DYSFUNCTIONS Premature Ejaculation Retrograde Ejaculation Sex Education Links Have a website to list? Add Link . Have a question? Contact If you are not interested in this important non-pornographic educational site but are over 21 and looking instead for sexually-explicit personal ads, adult chat-rooms with live video-cams , etc., Click Here Airline reservations, discount hotels, airline tickets, car rental, cruises world travel, vacation packages, travel discounts The Big Eye Travel Center Dental Plan - Discounts up to 60% Reverse Mortgages for Seniors Florida Reverse Mortgages Ohio Reverse Mortgages ... Reverse Mortgages in other states

57. The Management Of Priapism The ischemic priapism requires intracavernous treatment, and this should be Management of ischemic priapism should progress in a stepwise fashion to http://www.guideline.gov/summary/summary.aspx?ss=14&doc_id=3741&string=

58. The Management Of Priapism Management of ischemic priapism should progress in a stepwise fashion to In the management of nonischemic priapism, corporal aspiration has only a http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=3741&nbr=2967

59. Accessing Article International Journal of Impotence Research The Journal of Sexual Medicine isa print and online publication dedicated to providing the latest research in http://www.nature.com/ijir/journal/vaop/ncurrent/full/3901348a.html

NATURE.COM NEWS@NATURE.COM NATUREJOBS NATUREEVENTS ... Help E-MAIL: PASSWORD: Save password Forgotten password? Most users gain access to full text articles through a site license. This is available to institutional customers only. For further information visit the Librarian Gateway. Full-text articles are also available through a number of other options: I want to purchase this article Select this option to view this article immediately and access it for seven days. Price: US$30* In order to purchase this article you must be a registered user. Click here to register or log in above. I want to subscribe to International Journal of Impotence Research Select this option to purchase a personal subscription. I am already a personal subscriber to International Journal of Impotence Research Personal subscribers to International Journal of Impotence Research can view this article. To do this you need to associate your subscription with your registration via the My Account page. If you already have an active online subscription, log in via the login box in the top right-hand corner of this page. You can request the document from a number of document delivery services: British Library Document Supply Centre CISTI Canadian Institute for Scientific and Technical Information Infotrieve Thomson ISI Document Delivery You can also request the document from your local library through interlibrary loan services.

60. Nature Clinical Practice | Glossary | PRIAPISM Nature Clinical Practice glossary of medical terms with links to Nature ClinicalPractice journal articles. http://www.nature.com/glossary/clinicalpractice/defDetails.do?uid=ncp_508

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