PRIAPISM

Priapism is an emergency condition which is a disorder of penile erection that persists > 4 hours and is not related to sexual interest or stimulation. This condition may occur at all ages without relation to a certain group.

Types Of Priapism :

Non-ischaemic priapism is a condition of persistent erection more than 4 hours caused by uncontrolled cavernous arterial inflow. The patient typically complaining of not completely rigid erections which is not accompanied with pain .patient may report full rigid erections which occur with sexual stimulation.

Ischaemic priapism is a condition of persistent erection more than 4 hours characterized by rigidity of the corpora cavernosa and by penile doppler decreased or no cavernous arterial inflow. The typical picture is patient complaining of penile pain and a rigid erection by clinical examination.

Stuttering priapism “recurrent or intermittent” is a definite condition that is characterized by repeated and painful attacks of long-lasting erections. Erections are self-limited with periods of detumescence in between. This condition is due to repeated attacks of ischaemic priapism. The duration of the erectile episodes is less than in ischaemic priapism. frequency of episodes and its duration is variable. a single episode may progress to a full ischaemic priapism.