National Nursing Review : Nursing Study Resources & Health Tips » Etiology http://nationalnursingreview.com Tue, 22 May 2012 13:59:42 +0000 en hourly 1 http://wordpress.org/?v=3.3.2 The priaprisme http://nationalnursingreview.com/2009/11/the-priaprisme/ http://nationalnursingreview.com/2009/11/the-priaprisme/#comments Sat, 21 Nov 2009 08:35:39 +0000 admin http://nationalnursingreview.com/?p=402 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.

]]> http://nationalnursingreview.com/2009/11/the-priaprisme/feed/ 0