Pathology is characterized by an erection limited to the corpus cavernosum of the penis, excluding the corpus spongiosum and the glans, lasting abnormally high, painful, without sexual desire.
Clinic:

  • rigidity of the corpora cavernosa of the penis
  • without turgidity of spongy body and glans
  • several hours
  • painful
  • without sexual desire

Etiology:

  • Idiopathic: some patients have no known cause in the onset of priapism.
  • Hematologic: leukemia, sickle cell disease.
  • Neoplastic: lymphoma or metastasis of the corpora cavernosa.
  • Neurological: multiple sclerosis, paraplegia.
  • Iatrogenic: the most frequent. It is injected intra-cavernous overdose during treatment of impotence.




Complication:
If no treatment is implemented, the priapism may resolve spontaneously but extensive fibrosis cavernosal appears responsible for a final secondary impotence.
Treatment:

  • exercise
  • Intra-cavernous injection of 6mg etilefrine, repeated once after 30 minutes if ineffective. Surgical treatment then if still ineffective
  • puncture of the corpora cavernosa,

  • incision of the corpora cavernosa.
  • anastomoses caverno-surgical sponge

The speed with which the injection etilefrine then, if necessary, the venous drainage of cavernous bodies are implemented remains an important success factor.

Be Sociable, Share!