Treating Priapism in the Emergency Department

It's clear to me that emergency physicians have a number of mental blocks when it comes to managing priapism, which means this penile compartment syndrome is often allowed to languish while we wait for the urologists to come to our rescue. In this video blog, I remove some of the performance anxiety associated with this condition by teaching how to mix up the phenylephrine used for intracavernosal blocks. And, in the second video, I demonstrate how to set up an aspiration and irrigation system, which dramatically simplifies the entire process.

Priapism: The ED-Focused Approach

Non-ischemic priapism is not an emergency. Management consists of observation with the expectation that it will resolve spontaneously.

Advances in the understanding of priapism

Priapism, a persistent penile erection lasting longer than 4 hours and unrelated to sexual activity, is one of the most common emergencies treated by urologists. Priapism can be categorized as ischemic, recurrent ischemic (stuttering), and non-ischemic.

All Questions about Priapism

As long as treatment is prompt, the outlook for most people is very good. However, the longer medical attention is delayed, the greater the risk of permanent erectile dysfunction.

How I manage priapism due to sickle cell disease

Priapism due to sickle cell disease is a common but less well characterized complication of the disorder. It represents a “medical emergency” with the key determinant of outcome being the duration of penile ischaemia and time to detumescence of <4 h associated with a successful treatment outcome.

Priapism: How To Treat It.

There are a large variety of “home remedies” that can be applied to priapism, but none of them are likely to make a difference under these circumstances for our patient. Oral pseudoephedrine can be given as a dose of 60-120mg, but the efficacy is unknown. For a patient with persistent ischaemic priapism of significant duration it’s best to just crack on and fix the problem.

Procedure Skill: Drainage of Ischemic (Low-Flow) Priapism

Inspired by the procedural skills of Dr.’s Lazarciuc, Milliner, and Rajpal...

That 'Four Hour Erection': Discovery May Help Prevent Complication Of Priapism

For men coping with painful erections lasting for long periods of time, or priapism, new research offers hope. That's because researchers show that the enzyme adenosine deaminase may prevent priapism from progressing to penile fibrosis, a condition associated with the build up of scar tissue and eventual impotence. Penile fibrosis is a complication of priapism and priapism is a complication of sickle cell disease.

Tired Urologist Mistakes Fire Hydrant for Man with Priapism

“Wow, I feel like an idiot,” said urologist Jason Breckinridge as a crowd surrounded him on the street. Breckinridge is not one to embarrass easily but he was blushing from head to toes if that’s even possible. So what exactly happened? Breckinridge just mistook a street fire hydrant for a man with priapism.

What Is Priapism?

Priapism is probably not a commonly known male condition but any man who has ever experienced it will tell you he never wants to have it again.

Your ADHD Meds Might Give You a Life-Threatening Erection

The FDA issued a warning today that a small number of the 5% of young boys who have been diagnosed with ADHD are at risk for priapism, aka: boners that won't go away.