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1058714Priapism (Painful Erection), A Simple Guide To The Condition, Treatment And Related Conditionshttps://www.gandhi.com.mx/priapism-painful-erection-a-simple-guide-to-the-condition-treatment-and-related-conditions/phttps://gandhi.vtexassets.com/arquivos/ids/257289/176fa516-887a-449d-9360-55a96d229e2f.jpg?v=6383339917097000005656MXNKenneth KeeInStock/Ebooks/1053281Priapism (Painful Erection), A Simple Guide To The Condition, Treatment And Related Conditions5656https://www.gandhi.com.mx/priapism-painful-erection-a-simple-guide-to-the-condition-treatment-and-related-conditions/phttps://gandhi.vtexassets.com/arquivos/ids/257289/176fa516-887a-449d-9360-55a96d229e2f.jpg?v=638333991709700000InStockMXN99999DIEbook20179781370780150_W3siaWQiOiJlNjM5OWE0ZC01OTk0LTQwNGMtYjlkOS0wNjY4MjU5ZDk3ZDciLCJsaXN0UHJpY2UiOjU2LCJkaXNjb3VudCI6MCwic2VsbGluZ1ByaWNlIjo1NiwiaW5jbHVkZXNUYXgiOnRydWUsInByaWNlVHlwZSI6IklwcCIsImN1cnJlbmN5IjoiTVhOIiwiZnJvbSI6IjIwMjQtMDUtMjFUMDE6MDA6MDBaIiwicmVnaW9uIjoiTVgiLCJpc1ByZW9yZGVyIjpmYWxzZX1d9781370780150_<p>Priapism is a prolonged erection of the penis which is usually painful and lasts more than 4 hours.<br />It is not necessarily related with sexual desire or excitement and does not subside after ejaculation<br />Priapism may occur by itself or caused by medical treatment (iatrogenic) and can occur in all age groups including newborns.<br />It usually affects men between the ages of 5 to 10 years and 20 to 50 years.<br />There are two types of priapism:</p><ol><li>The low flow priapism is the result of blood being stuck in the erection chambers.<br />Low flow priapism usually occurs without a known cause in men who are otherwise healthy but also affects men with sickle cell disease, leukemia (cancer of the blood) or malaria.</li><li>High-flow priapism is less common than low-flow and usually not painful.<br />It occurs from a ruptured artery from an injury to the penis or the perineum (area between the scrotum and anus) which prevents blood in the penis from circulating normally.<br />Medically 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.<br />Some 35 per cent of cases are idiopathic (unknown cause) and 21 per cent are associated with drug therapy or alcohol abuse.<br />Injury accounts for 21 per cent and blood disorders 8 per cent.<br />A painful erection that lasts for longer than four hours requires treatment in hospital.<br />Many cases resolve spontaneously after repeated ejaculation, physical activity or a brisk walk.<br />Oral terbutaline (e.g. Bricanyl) or salbutamol (e.g. Ventolin) may help if given early.<br />Blood (50ml) can be removed by a doctor inserting a large bore (19G) needle into the penis often in conjunction with heparin and saline to reduce clotting.<br />In resistant cases, a reversing agent, metaraminol (1 per cent solution), may be injected into the penis.<br />Rarely surgery is required to avoid permanent damage to the muscle of the penis.<br />Surgery may be suggested if the condition does not respond to aspiration or injections.<br />There are several operation procedures available depending on the type of priapism you have.<br />If you have low flow priapism, shunt surgery may be recommended.<br />A small device called a shunt is implanted into the penis to re-route the blood supply out of the penis.<br />TABLE OF CONTENT<br />Introduction<br />Chapter 1 Priapism<br />Chapter 2 More about Priapism<br />Chapter 3 Treatment of Priapism<br />Chapter 4 Erectile Dysfunction<br />Chapter 5 Sex and Priapism<br />Chapter 6 Sickle Cell Anemia<br />Chapter 7 Types of Penises<br />Epilogue</li></ol><p>Priapism is a persistent erection which causes the penis pain.<br />It is not related to sexual desire or sexual excitement<br />Priapism may be spontaneous or caused by medical treatment<br />Any penis erection over 4 hours will require immediate management</p><p>Causes for ischemic priapism are sickle cell anemia and blood conditions<br />Patients with ischemic priapism typically have pain and rigid erections<br />Non-ischemic priapism is often due to the rupture of artery in the penis from injury<br />Other causes are perineum surgery and illegal drug therapy</p><p>Full blood count and hemoglobin analysis will exclude sickle cell anemia<br />In high flow priapism ultrasonography can help identify and locate fistulas<br />Aspiration of old blood from the pooled blood in the penis is a simple intervention<br />Intracavernous injection of alpha agonists will help in the arterial constriction</p><p>-An original poem by Kenneth Kee</p>...9781370780150_Kenneth Keelibro_electonico_b8363274-3fb1-348a-8e71-08ea6496c8f4_9781370780150;9781370780150_9781370780150Kenneth KeeInglésMéxicohttps://getbook.kobo.com/koboid-prod-public/smashwords-epub-a19b88bd-59f9-4e55-bfa7-4c0c794a3b35.epub2017-01-24T00:00:00+00:00Kenneth Kee