Priapism is a disorder in male genitals are marked with an erection that lasts over time and is often accompanied by pain.
Priapism requires immediate medical attention. The delay in medical treatment can cause scar tissue (scar), so that disrupt the ability of future erections. If treated quickly, priapism will usually recover without residual effects.
Symptoms and signs of priapism include:
1. Erection of a continuous period of at least four to six hours.
2. Erection unrelated to sexual desire, or the erection continues even sexual arousal or orgasm has ended.
3. There is pain during erection.
4. Stem genitals hard, but soft edges.
Various types of drugs can be blamed for the occurrence of priapism. The drugs include:
* Drugs drinking for erectile dysfunction such as sildenafil (Viagra) or vardenafil (Levitra).
* Drugs are injected directly to the genitals, such as papaverine.
* Antidepressants such as trazodon.
* The drugs for the treatment of mental disorders (psychotic) such as chlorpromazine, risperidon, or olanzapin.
* Diazepam (Valium).
* Blood thinner such as heparin and warfarin.
* The drugs lowering blood pressure.
Besides drugs, the following may also cause priapism.
* Injury to the genitals, thighs, or spinal cord.
* Blood Coagulation
* Leukemia
* Inflammation of the urinary tract (urethra)
* Tumors in the pelvic area
* Abuse of alcohol, cocaine, or marijuana.
* Sickle cell anemia
* Fabry Disease, a metabolic disorder in which fat is not digested properly in the digestive system.
* Carbon Monoxide Poisoning
The principle of treatment of priapism is having blood trapped in the genitals, which cause a prolonged erection. This can be done by:
1. Injections intrakavernosa with sympathomimetic drugs (epinephrine, norepinephrine, phenylephrine, ephedrine, metaraminol). The goal is to narrow the size of blood vessels, allowing blood that entered the genital area is reduced, whereas blood that out increases.
2. Suction, which suck the blood that exists in the genitals, of course, after being given a local anesthetic. Suctioning is usually done in conjunction with action shots intrakavernosa.
3. Surgery. If the above treatment does not work, surgery can be performed. Surgery is most suitable for priapism caused by arterial rupture genitals. Taken from : http://www.wartamedika.com
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