21. PRIAPISM http://priapismania.tripod.co.jp/index2.htm

22. Peyronie's Disease priapism, Book, Home painful. Management priapism following AlprostadilPatient contacts office for Erection over 3 hours; Attempt http://www.fpnotebook.com/URO79.htm

Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Urology Penis Assorted Pages Balanitis Paraphymosis Phimosis Priapism ... Hypospadias Peyronie's Disease Peyronie's Syndrome Induratio Penis Plastica Plastic Induration of the penis Strabismus Penis Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Urology Index Bladder Endocrinology Examination Hematology and Oncology Infectious Disease Impotence Incontinence Laboratory General Obstetrics Pediatrics Penis Pharmacology Prevention Procedure Prostate Radiology Nephrology Surgery Symptom Evaluation Testes Urine Page Penis Index Foreskin Balanitis Foreskin Paraphymosis Foreskin Phimosis Peyronie's Disease Priapism Epidemiology Males aged 45 to 65 years old History Named for Italian physician to King Louis XIV of France Pathophysiology Diminished elasticity of collagen of penis Irregular fibrosis of the corpora cavernosa of penis Fibrosis of septum or sheath Extends into tunica albuginea Spares corpus cavernosum urethra Palmar Fibrosis Plantar Fibrosis Differential Diagnosis Tertiary Syphilis Gumma Scleroderma Alcohol Abuse Diabetes Mellitus Local trauma Gout y tophi Symptoms Focal pain with Erection (50 to 66%)

23. Nih Priapism Chapter 19priapism. priapism is a persistent, painful penile erection.Three clinical chronic priapism. RECURRENT ACUTE priapism. http://www.emory.edu/PEDS/SICKLE/nihchp19.htm

MANAGEMENT AND THERAPY OF SICKLE CELL DISEASE NIH Publication No. 95-2117, Revised December 1995 (Third Edition) National Institutes of Health, National Heart, Lung, and Blood Institute Chapter 19-Priapism Priapism is a persistent, painful penile erection. Three clinical categories are discussed in this chapter, including recurrent acute priapism, acute prolonged priapism, and chronic priapism. RECURRENT ACUTE PRIAPISM This is the most common form of priapism in which the patient gets short attacks that subside spontaneously. The patient usually copes with this problem and may not seek medical advice. The natural history is variable. Most patients will continue to get attacks throughout their lives and will maintain some degree of potency. Others will eventually become impotent. A small group will develop an acute attack that will not subside without active and aggressive treatment in a timely fashion. ACUTE PROLONGED PRIAPISM The painful erection that does not subside after several hours is an emergency and should be treated aggressively. If untreated, the attack will last for several weeks, resulting in total impotence. Even with aggressive treatment, preservation of potency may be compromised. The presenting features are persistent erection, severe pain, and tenderness of the penile shaft. Radionuclear penile scan may show a very low flow, and penile blood gas may have a pO2 of less than 5. CHRONIC PRIAPISM This is a rare form of presentation that may follow an acute episode or may arise de novo. The penis is semierect and there is no pain. Clinically, this results in a progressive increase in the size of the penis, and penile scan shows good blood flow. Penile ultrasound shows dilated deep dorsal arteries in both corporeal bodies, and the patient has difficulty in getting a complete erection. Occasionally these patients may develop an acute episode. Suddenly for no apparent reason the penis becomes rigid and painful. These episodes may affect only a part of the penile shaft.

24. Priapism by James Eckman, MD and Allan Platt, PAC. priapism. priapism is the persistent,painful erection of the penis. Glans involvement indicates tricorporal priapism. http://www.emory.edu/PEDS/SICKLE/priapism.htm

Sickle Cell Information Center Protocols by James Eckman, M.D. and Allan Platt, PA-C Priapism Priapism is the persistent, painful erection of the penis. It is relatively common in young males with sickle cell anemia. The onset may be in early childhood or adolescence. Recurrent or severe episodes can result in future impotence. Treatment is often not satisfactory. Clinical Findings Subjective Data Present Illness . Note time of onset of symptoms, frequency and duration of attacks, time of night, pain, dysuria, frequency, discharge. Association with dreams, sexual activity, or masturbation. Determine response to previous therapy. Objective Data Physical Examination - Vital Signs: Temperature, blood pressure. - Genitourinary: Document size and turgor of penis. Soft glans and ability to urinate indicate little involvement of the corpora spongiosa. Glans involvement indicates tricorporal priapism. Rule out discharge and inguinal adenopathy. - Rectal: Prostate size and tenderness. Laboratory Minimum Evaluation. CBC with differential, reticulocyte count, and urinalysis. Additional Evaluation. Nucleotide imaging, flow Doppler, MRI and pH/PO

25. DISEASE: Priapism DISEASE priapism. Featured Web Pages. Sexual Conditions priapism - http//www.webmd.comWelcome to the WebMD Sexual Conditions Center. http://disease.bigtome.com/big/page/Priapism

DISEASE: Priapism Featured Web Pages Sexual Conditions - Priapism - http://www.webmd.com Welcome to the WebMD Sexual Conditions Center. Learn about symptoms, treament and more for priapism. Categories (1-2 of 2) Health: Men's_Health: Conditions_and_Diseases: Priapism Arts: Radio: Formats: College_and_Educational: Shows Web Pages What is Priapism? A discussion about this disorder, when to seek treatment and the possible causes. - http://www.goaskalice.columbia.edu/1133.html Health: Men%27s Health: Conditions and Diseases: Priapism Priapism Information on Priapism which is the presence of a persistent, usually painful, erection of the penis. - http://www.emedicine.com/emerg/topic486.htm Health: Men%27s Health: Conditions and Diseases: Priapism Priapism Priapism, a program on FM 106.9, University of New England, Australia. - http://tunefm.une.edu.au/priapism Arts: Radio: Formats: College and Educational: Shows Prozac and Priapism The Urology Forum - Question and answer about the use of anti-depressants and this disorder. - http://www.medhelp.org/perl6/urology/archive/1157.html

26. Urologic Emergencies - Priapism - Urologychannel priapism is a prolonged, painful penile erection that occurs when bloodin the penis is unable to drain. The blood priapism priapism is http://www.urologychannel.com/emergencies/priapism.shtml

Home Search SiteMap Ask the Dr. ... Medical Store advertisement advertisement UROLOGICAL EMERGENCIES Overview Acute Urinary Retention Testicular Torsion Priapism ... Paraphimosis CONDITIONS Adrenal Cancer Bladder Cancer Bladder Control Problems BPH/Enlarged Prostate Emergencies Erectile Dysfunction Female Sexual Dysfunction Hematuria Incontinence Interstitial Cystitis Kidney Cancer ... Testosterone Deficiency Upper Tract Tumors Urethral Cancer Urinary Tract Infection Varicocele Vasectomy RESOURCES Anatomy Clinical Trials Education HealthProfiler ... Videos ABOUT US Healthcommunities.com Pressroom Testimonials Priapism Priapism is a prolonged, painful penile erection that occurs when blood in the penis is "trapped," or unable to drain. The stagnant blood causes an erection that can last from hours to days. A painful erection lasting for more than 4 hours indicates priapism. If not treated promptly, scarring and permanent impotence (inability to achieve an erection) can result. Types Veno-occlusive (low flow) Veno-occlusive (blocked vein) priapism develops when circulation in the penis becomes sluggish due to obstructed veins. This type usually occurs without a known cause in men who are otherwise healthy. Arterial (high flow) This rare, less painful type of priapism results from an injury to the penis or perineum (area between scrotum and anus) that prevents blood in the penis from circulating normally. It indicates a ruptured artery in the penis. There may be a lapse between the time of injury and onset of priapism. Incidence and Prevalence

27. Better Health Guide : Health Advice For Men, Women And Children Join our mailing list. » Sexual Health priapism. priapism is acondition in which a male develops a permanent erection. If your http://www.better-health-guide.com/www/health_priapism.htm

@import url("additional.css"); MENU Home General Health Lifestyle Exercise Sexual Health Anal Sex Vaginal Sex Missionary Woman On Top ... Priapism Mens Health Viagra Penis Enlargement Exercise Diet Womens Health Skin Care Weight Loss Dieting Cosmetics ... Pregnancy Children's Health Immunization Allergies Asthma Temper Tantrums - Better Health Guide.com Join our mailing list Priapism is a condition in which a male develops a permanent erection. If your erection lasts for an unusual period of time and is unrelated to sexual contact, go directly to the emergency department of the nearest hospital. Although this can be a potentially embarrassing situation, waiting to correct priapism may result in permanent damage. penile injection therapy for impotence physical trauma to the penis or surrounding region diseases which thicken the blood like leukemia or sickle-cell anemia cancerous growth around the penis preventing outflow of blood in some cases there is no known cause The physician will choose a different treatment depending on the severity of the priapism. Medication, or minor surgery to remove the old blood from the penis are the most common treatment options.

28. Priapism priapism is a persistent erection, usually painful, that is not necessarilyassociated with stimulation or sexual desire. priapism. http://www.netdoctor.co.uk/menshealth/facts/priapism.htm

The UK's leading independent health website Search NetDoctor NetDoctor.co.uk Home News and features News Newsletter Features Encyclopaedia Diseases Medicines Examinations Health centres Cancer Children's health Depression Erectile dysfunction ... All health centres Discussion and support Discussion forums Support groups Services Ask the doctor Find a hospital NetDoctor on call Search Medline ... Text message services Information About NetDoctor Commercial opportunities NetDoctor.com Priapism Written by Geoff Hackett , consultant in sexual dysfunction What is priapism? Priapism is a persistent erection, usually painful, that is not necessarily associated with stimulation or sexual desire. Much debate has taken place as to the meaning of 'persistent erection', but the current view is that the erection needs to be present for six hours. In practice, the usual recommendation is to seek medical help for a painful erection persisting for more than four hours. What causes priapism? A normal erection results from relaxation of the muscles within the penis and an increase in arterial blood flow to the penis. The resulting swelling of the muscles compresses the penile veins, thus trapping blood within the penis. After ejaculation, the associated adrenaline surge constricts the arteries and relaxes the pressure on the veins, which leads to loss of erection (detumescence). Priapism may be spontaneous or caused by medical treatment (iatrogenic). Some 35 per cent of cases are idiopathic (unknown cause) and 21 per cent are associated with drug therapy or alcohol abuse. Trauma accounts for 21 per cent and blood disorders 8 per cent. Medically, the important issue is whether 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.

29. Dysfunctions: Sexual Pain: Priapism Arts Sensuality, Impotence/Erectile Dysfunction, priapism. Commercial Sex, CommonPenis Problems. History of Sex, Retarded Ejaculation, priapism. Law Sex, priapism. http://www.bigeye.com/sexeducation/priapism.html

News Alphabetical Index of Topics Home AROUSAL DYSFUNCTIONS DYSFUNCTIONS Female Arousal Disorder SEXUAL PAIN Impotence/Erectile Dysfunction Priapism Commercial Sex Common Penis Problems Contraception INHIBITED ORGASM Disabilities/Illnesses Anorgasmia Ejaculatory Disturbances Dysfunctions Anejaculation Male Sexual Dysfunctions Human Body Ejaculatory Incompetence ... Priapism INHIBITED SEXUAL DESIRE Paraphilias Hypoactive Sexual Desire Priapism: Hidden Pain Pleasures of Sex ... Priapism: Sickle Cell Information Center SEXUAL PAIN Priapism: Web MD Research Dyspareunia STDs Priapism Search NFSHM (PDF files) Societies Vaginismus Understanding Ejaculatory Disorders ... Violence OTHER DYSFUNCTIONS Premature Ejaculation Retrograde Ejaculation Sex Education Links Have a website to list? Add Link . Have a question? Contact

30. Priapism Treatment priapism and Impotence. priapism is a condition wherein a man experiencespenile erection without sexual stimulation for an extended time. http://www.impotence-advice.com/impotence/priapism.htm

Down-to-earth advice from experienced medical professionals Impotence Advice Home Impotence Advice Site Map Medical Advice Ask the Sex Therapist eBook Treating Erectile Dysfunction Medical Education and Information Corner Impotence Info Impotence Treatment Premature Ejaculation Peyronie's Disease ... Female Orgasm Difficulties Other Products Condom Shopping Guide Massage Articles Education, Relaxation Nutritional Supplement ... Impotence (ebook) Impotence Products Testosterone HGH - Human Growth Hormone About Viagra ... Self-Help Books Other Topics Viagra and Impotence Treatments About Viagra Viagra Alternatives About erection ... Affiliate Programs Pharmacies KwikMed Pharmacy Herbal Alternatives Pillstore Pharmacy ... Home Medical Equipment Supplier Company Info About Us Privacy Statement Medical Education and Information Corner Priapism and Impotence Priapism is a condition wherein a man experiences penile erection without sexual stimulation for an extended time. The erection may last a few hours or even days. In addition to being embarrassing and inconvenient, priapism is often painful and it can result in extensive tissue damage to the penis, as well as long-term impotence if not treated promptly. Fortunately, it is uncommon compared to other forms of sexual dysfunction, and many men can return to normal sex lives after receiving proper treatment. In general, priapism results from a disturbance to the mechanisms that control penile detumescence (the process by which the penis becomes flaccid). Blood enters the penis, but it cannot drain properly because it becomes trapped in the corpora cavernosa, a large chamber in the penis. The penis glans (head) and area around the urethra, however, remain flaccid.

31. InteliHealth: Priapism is listed and crossreferenced in an AZ format. priapism. Health Ato Z, Reviewed by the Faculty of Harvard Medical School priapism http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10567.html

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32. InteliHealth: Reviewed by the Faculty of Harvard Medical School priapism What Is It?priapism is an abnormally prolonged, often painful erection. http://www.intelihealth.com/IH/ihtIH/WSIHW000/9105/25828/210716.html?d=dmtHealth

33. Priapism Resources On The Internet priapism. Health News, A look at priapism. priapism Information on priapism whichis the presence of a persistent, usually painful, erection of the penis. http://www.healthcyclopedia.com/priapism.html

Home Health Conditions by Category ... Contact Us Priapism Health News Search millions of published articles for news on Priapism The eLibrary newspaper and magazine archive contains articles from current and back issues of hundreds of publications, including: Modern Medicine Aging The Ardell Wellness Report HealthFacts The Journal of Environmental Health Medical Post Medical Update Men's Health and the National Women's Health Report Note: To access the full text of articles, sign up for a seven-day no-risk free trial subscription to eLibrary. Web Directory Web Links: Diagnosis and Management of Prolonged Penile Erection - Tips From Other Journals - American Family Physician, September 1, 1997. A look at Priapism. Priapism - Information on Priapism which is the presence of a persistent, usually painful, erection of the penis. Priapism - From Healthgate: General information, what to expect, how to treat, and when to call your doctor. Priapism in Sickle Cell Anemia - Fpnotebook looks at the course, management and complications of this disease. Prozac and Priapism - The Urology Forum - Question and answer about the use of anti-depressants and this disorder.

34. Priapism - A Review priapism is the occurrence of any persistent erection for more than fourhours duration in the absence of sexual stimulation. priapism http://www.medindia.net/patients/bif/priapism.asp

WAP About Us Chat Contact ... Feedback March 31, 2003 Search Home Directories Professionals Consumer Health ... My Health Record PATIENTS Find a Doctor Find a Hospital Emergency Nos Find a Chemist ... Discussion Forum BUSINESS Find Pharmaceuticals Find Surgical Suppliers Find a Hospital Find a Chemist ... Pharma News DOCTORS Find a Colleague Find a Hospital Find Surgical Suppliers Medical Journals ... Discussion Forum EDUCATION Medical Colleges Dental Colleges Pharma Colleges Nursing Colleges ... Indian Journals It is a painful erection unrelated to sexual stimulation. What is Priapism? How is Priapism caused? How is it diagnosed? What are the types of Priapism? ... How is priapism avoided? Priapism is the occurrence of any persistent erection for more than four hours duration in the absence of sexual stimulation. Priapism is named after Priapus, the Greek god of fertility, and the son of Aphrodite, the goddess of love. He was apparently an ugly, satyrlike man with enormous genitalia. He was the god of gardens, bees, goats and sheep. According to the story, Priapus had a huge tongue, a fat belly, and his penis was so large that he was restricted to the position of scarecrow in the fields.

35. Priapism priapism. priapism is a persistent, usually painful, erection that lasts for morethan four hours and occurs without sexual stimulation. What causes priapism? http://www.clevelandclinic.org/health/health-info/docs/2900/2908.asp?index=10042

36. Priapism priapism. priapism is a prolonged painful erection that is not relatedto sexual activity. In children, it is essentially limited http://www.drhull.com/EncyMaster/P/priapism.html

Help for sleepless parents Encyclopedia Index P priapism Search priapism Priapism is a prolonged painful erection that is not related to sexual activity. In children, it is essentially limited to patients with sickle-cell disease, but occurs rarely in children with other conditions such as advanced malignancies or blood clotting disorders. It is a urologic emergency, because if the blood in the penis clots extensively, the resultant scar tissue formation will permanently render the organ useless for procreation. Index P Encyclopedia Main Index Sleep Tight Video Home

37. Incidence Of Priapism Bandolier Library. search. Incidence of priapism. Clinical bottom line. IA Eland etal. Incidence of priapism in the general population. Urology 2001 57 970972. http://www.jr2.ox.ac.uk/bandolier/booth/SexHlth/priapinc.html

Bandolier Bandolier Library search Incidence of priapism Clinical bottom line The incidence of priapism in the general population is about 1.5 per 100,000 person (men) years. Most cases occur in men over 40 years. Intracavernosal injection of vasodilators and sickle-cell disease accounted for 3 or 5 cases found. Reference IA Eland et al. Incidence of priapism in the general population. Urology 2001 57: 970-972. Study The setting was a primary care database in Holland (Rotterdam), with 485,000 patients. All male patients registered from January 1995 to May 1999 were followed for a first episode of priapism, excluding two who had a history of priapism before the study period. Priapism was defined as proplonged, painful erection of several hours duration. All potential cases were reviewed, with additional information from GPs if needed. Results The study cohoirt of 145,000 men contributed 340,000 years experience. There were eight cases of suspected priapism, five of which were confirmed. Two followed intracavernosal injection of vasodilators, one due to sickle cell disease, and two had no obvious cause. It occurred mainly in men aged 40 years or older. The incidence was 1.5 per 100,000 person years (95% confidence interval 0.2 to 2.8), and was 2.9 (0.1 to 5.7) per 100,000 person years in men of 40 years or older.

38. Priapism priapism. priapism from Emergency Medicine / Genitourinary priapism - priapismis the presence of a persistent, usually painful, erection of the penis. http://www.health-nexus.com/priapism.htm

Health-Nexus.Net Health-Nexus.Org The #1 Health information site Home ... Up Search Health-Nexus for: Match ALL words Match ANY word Email this page to a friend ! Post a question or comment on our Message Board Home Page Health Specialties Health News ... Alternative Health Options Substance Abuse Animal Health Search: Books Magazines Video Keywords: Find it Here Priapism Priapism from Emergency Medicine / Genitourinary Priapism - Priapism is the presence of a persistent, usually painful, erection of the penis. Although frequently idiopathic, priapism is associated with some systemic ... Priapism Priapism is the occurrence of any persistent erection for more than four hours duration in the absence of sexual stimulation. Priapism is named after Priapus, the Greek god of fertility, and the son .... WebMD: Priapism by Christopher Steidle, M.D. Priapism in Sickle Cell Anemia Hematology and Oncology: Hemoglobin: Sickle Complications: Priapism Medical Diary - Priapism An in depth look at this disorder including the causes and treatments.

39. AYC:Priapism priapism is the persistence of a spontaneous penile erection for more than fourhours, in the absence of sexual stimulation. priapism Causes and Symptoms http://alwaysyourchoice.com/ayc/adult/mens/priapism.php

Adult Medicine General Health Men's Health Adult Circumcision ... Information Priapism Causes and Symptoms: Priapism is the persistence of a spontaneous penile erection for more than four hours, in the absence of sexual stimulation. It is caused by abnormal regulation of penile flaccidity, and is best treated quickly so as to prevent painful side-effects. It is named for Priapus, the Greek god of fertility, and the son of Aphrodite. In Greek mythology, Priapus is a ponderous, satyrlike humanoid figure with genitalia so oversized that his principal social role is as a scarecrow in the fields. Priapism is worse than it sounds. The priapism-related erection does not dissipate with ejaculation; it quickly becomes agonizing, and a true urologic emergency. Almost all patients with priapism report intolerable pain and discomfort. Priapism is not necessarily associated with sexual excitement, and in fact can occur in pre-pubescent boys, and even newborns. Most reported cases of priapism occur either between the ages of five and ten, or twenty and fifty.

40. Priapism .......MAIN SEARCH INDEX priapism. Definition. priapism is a rare condition thatcauses a persistent, and often painful, penile erection. http://www.hendrickhealth.org/healthy/001113.htm

MAIN SEARCH INDEX Priapism Definition Description Causes and symptoms Diagnosis ... Resources Definition Priapism is a rare condition that causes a persistent, and often painful, penile erection. Description Priapism is drug induced, injury related, or caused by disease, not sexual desire. As in a normal erection, the penis fills with blood and becomes erect. However, unlike a normal erection that dissipates after sexual activity ends, the persistent erection caused by priapism is maintained because the blood in the penile shaft does not drain. The shaft remains hard, while the tip of the penis is soft. If it is not relieved promptly, priapism can lead to permanent scarring of the penis and inability to have a normal erection. Causes and symptoms Priapism is caused by leukemia, sickle cell disease , or spinal cord injury . It has also been associated as a rare side effect to trazodone (Desyrel), a drug prescribed to treat depression. An overdose of self-injected chemicals to counteract impotence has also been responsible for priapism. The chemicals are directly injected into the penis, and at least a quarter of all men who have used this method of treatment for over three months develop priapism. Diagnosis A physical examination is needed to diagnose priapism. Further testing, including nuclear scanning or Doppler ultrasound, will diagnose the underlying cause of the condition.

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