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Priapism

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High Yield Notes

15 pages

Flashcards

Priapism

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Questions

USMLE® Step 1 style questions USMLE

of complete

A 22-year-old man presents to the emergency department for evaluation of penile pain of six hours duration. Past medical history is significant for sickle cell disease. He does not use illicit drugs or take any medications daily. Temperature is 37.0°C (98.6°F), pulse is 94/min, and blood pressure is 125/80 mmHg. Physical examination demonstrates an engorged penis that is painful with manipulation. No urethral discharge is noted. The testicles are nontender, and the cremasteric reflex is intact. Which of the following best describes the underlying pathophysiology of this patient’s condition?

External References

First Aid

2024

2023

2022

2021

Erection

ischemic priapism p. 669

Ischemic priapism p. 669

Priapism p. 669

sickle cell anemia p. 415

trazodone and p. 594

Sickle cell disease

priapism p. 669

Trazodone p. 594

priapism p. 669

External Links

Summary

Priapism is a persistent and often painful erection of the penis that occurs without sexual stimulation or desire and lasts for at least four hours. It is a medical emergency and requires prompt treatment as it can cause permanent damage to the erectile tissue. There are two main types of priapism. First, there is ischemic priapism, which is often associated with sickle cell disease. The second type is non-ischemic, mostly seen in settings of prior trauma or instrumentation of the penis. Symptoms include a prolonged erection lasting at least four hours. There is also pain, and color change to the penis.