Emergency evaluation and treatment of priapism.
Priapism is a fairly uncommon presentation to the Emergency Department, but when it does present, it represents a true urologic emergency. Prompt treatment will decrease the risk of permanent sequelae including impotence. Treatment should be based on etiology and follow an organized approach. Various cases will arise when conservative management will not remedy the priapism and more aggressive measures will be needed, particularly if emergent urological consultation is not available. This article reviews the causes of priapism and systematically reviews techniques and procedures used to manage and treat priapism.
Vilke
Gary M
GM
Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, California 92103, USA.
Harrigan
Richard A
RA
Ufberg
Jacob W
JW
Chan
Theodore C
TC
D000316:Adrenergic alpha-Agonists / Q000008:administration & dosage; D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage; D004635:Emergency Medicine / Q000379:methods*; D006801:Humans; D007267:Injections / Q000379:methods; D008297:Male; D008751:Methylene Blue / Q000008:administration & dosage; D011317:Priapism / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D013396:Suction / Q000379:methods; D013726:Terbutaline / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000009:adverse effects; D014947:Wounds and Injuries / Q000150:complications
D000316:Adrenergic alpha-Agonists; D000779:Anesthetics, Local; D014665:Vasodilator Agents; D013726:Terbutaline; D008751:Methylene Blue