Medium urgency
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It is known as priapism, a prolonged and painful erection unrelated to sexual stimulation due to increased blood flow.
It is usually a fistula or abnormal communication between the cavernous artery and the corpus cavernosum, caused by injury or puncture.
Clinical manifestations are typically an incomplete and not very painful erection.
The diagnosis is made clinically by reviewing the patient's history and physical examination. A Doppler ultrasound and/or blood gas test may be performed as complementary tests.
Most cases resolve spontaneously. An arteriogram or surgery is rarely required.
- Serkan Deveci, MD. Priapism. UpToDate, Junio, 2015.
- Burnett AL. Priapism Impact Profile Questionnaire: Development and Initial Validation. Urology 2015; 85:1376.
- Roghmann F. Incidence of priapism in emergency departments in the United States. J Urol 2013; 190:1275.
- Cherian J. Medical and surgical management of priapism. Postgrad Med J 2006; 82:89.
- Montague DK. American Urological Association guideline on the management of priapism. J Urol 2003; 170:1318.
Dr. Patricia Sánchez
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