Priapism is defined as penile erection disease that is characterise by its lengthening and by the absence of stimulation or sexual excitement . It usually occurs with a lapsing of more than 6 hours and typically need only the cavernous body result in the dorsal erection of the penis with flabby secreter and ventral penis .
Some researchers have mentioned time as a criterion to place this upset , they have delineate in a 4 - time of day interval , based on clinical experience that has shown that a lapse large to this one fellow serious consequences for sexual mapping .
Classically this upset has been divided into two case , very different from each other , with different physiopathological mechanisms and dissimilar discourse . There are 2 types of priapism : ischaemic or veno occlusive and non - ischemic or arterial . The first represents the most common form of presentation and is more severe , while the non - ischemic one does not represent a urological urgency .
What can Cause Priapism?
The causes of priapism can be elemental , subaltern or idiopathic . Priapism with master aetiology is not go with by an organic disorder that is responsible for the draw out erection , so in this case physical and psychological cause are argue . The lowly is induced by factor that straight or indirectly affect the penial erection , for illustration : reaping hook mobile phone anemia , leukaemia , coagulopathies , and thrombosis of cavernous body , among others .
On the other bridge player , blue flow priapism is consociate with a severe decrease in the venous drain of the erectile bodies . It is usually due to a partial or accomplished impediment in the drainage that preclude the entry of arterial blood and generates acidosis and ischaemia . It is the most vulgar physique of presentation and behaves like a compartment syndrome with excessive pressure increase in the cavernous bodies .
In low-down flow rate priapism or occlusive nervure , the spectrum of symptoms and sign is analogous to any of those who are in a compartment syndrome .
In eminent - flow priapism , the erectile bodies are not completely rigid or dreadful .
Conclusion
Priapism represents a rarefied disease , with a comparatively low-toned incidence for the oecumenical population . However , the former realization of this disease is of great importance , since it has been seen that fateful consequences for the patient role ’s intimate life increase the longer the clinical intro and the later the treatment .
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