Priapism
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Priapism Overview

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What is the definition of Priapism?
Priapism is a prolonged, usually painful erection of the penis that lasts more than four hours. Priapism occurs when blood gets trapped in the penis and is unable to drain. There are two types of priapism: 1) Low-flow priapism, also known as ischemic priapism, in which blood is trapped in the erection chambers; and 2) High-flow priapism, also known as non-ischemic priapism, which is caused by an injury to the penis or the perineum that ruptures an artery, thus preventing normal blood flow.
What are the symptoms of Priapism?
Symptoms of priapism include a prolonged, and usually painful partial or full erection of the penis that last more than four hours. In some cases of priapism, a partial erection may last for weeks. Symptoms of priapism depends on the type: Low-flow (ischemic) priapism or high-flow (non-ischemic) priapism. Symptoms of low-flow (ischemic) priapism include an erection that lasts more than four hours unrelated to sexual stimulation, a rigid penile shaft, a soft penile tip (glans), and progressive penile pain. A subtype of low-flow-ischemic priapism, known as recurrent or stuttering priapism, may occur in males with sickle cell anemia and is characterized by repeated episodes of prolonged, painful erections. Symptoms of high-flow (non-ischemic) priapism may include an erection lasting more than four hours unrelated to sexual stimulation, and an erect, but not fully rigid, penile shaft. High-flow (non-ischemic) priapism is usually not as painful as low-flow (ischemic) priapism.
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What are the current treatments for Priapism?
Priapism is considered to be a medical emergency and treatment should be sought immediately. Treatment for priapism should be administered in a timely manner to prevent scarring and permanent erectile dysfunction (ED). Treatment for priapism focuses on relieving the erection and preserving erectile function. Treatment for priapism depends on the type: Low-flow (ischemic) priapism or high-flow (non-ischemic) priapism. Treatment for low-flow (ischemic) priapism involves a combination of medications, draining blood from the penis, or surgery. Medications for low-flow (ischemic) priapism include phenylephrine injection directly into the penis to constrict the blood vessels and allow the blood to drain more normally. Other therapies for low-flow (ischemic) priapism may include drainage of blood from the penis by aspiration with a small needle and syringe, after which a saline flush may be used. These therapies may be repeated until the priapism is relieved. Surgery may be performed to treat low-flow (ischemic) priapism by rerouting blood flow with the use of a surgical shunt if more conservative therapies are not successful. Patients with high-flow (non-ischemic) priapism may not require treatment (watch-and-wait) as the condition may resolve on its own. High-flow (non-ischemic) priapism may also be treated with ice packs and pressure applied to the perineum to stop the erection. In some cases of high-flow (non-ischemic) priapism, surgery may be necessary to stop the blood flow to the penis temporarily with the use of an absorbable gel or to repair arteries or tissue damage.
Who are the top Priapism Local Doctors?
Elite in Priapism
Elite in Priapism
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Johns Hopkins Outpatient Center

601 North Caroline Street, Floor 4, Floor 4, 
Baltimore, MD 
410-955-6100
Languages Spoken:
English
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Arthur Burnett is a Urologist practicing medicine in Baltimore, Maryland. Dr. Burnett is rated as an Elite provider by MediFind in the treatment of Priapism. He is also highly rated in 20 other conditions, according to our data. His clinical expertise encompasses Priapism, Erectile Dysfunction (ED), Peyronie Disease, Prostatectomy, and Penectomy. Dr. Burnett is board certified in American Board Of Urology.

Elite in Priapism
Elite in Priapism
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UCI Health Newport - Birch Street

20350 Southwest Birch Street, Suite 210, 
Newport Beach, CA 
714-456-7005
Languages Spoken:
English
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Offers Telehealth

Dr. Faysal A. Yafi is board-certified urologist and medical director of the Men's Health Center at the UCI Health Center for Urological Care.He specializes in erectile dysfunction, hypogonadism, Peyronie’s disease, prosthetic surgery, male voiding dysfunction, male infertility and other men's health conditions.Yafi earned his medical degree from the American University of Beirut, followed by an internship in general surgery at the Mayo Clinic in Rochester, Minn. He then completed a residency in urology at McGill University in Montreal, Quebec, followed by a two-year fellowship in andrology, sexual medicine and prosthetics at Tulane University in New Orleans, La.He has an avid interest in both basic and clinical research. He has written more than 70 peer-reviewed publications and book chapters, and has received multiple national and international awards and recognitions. He is a fellow of the Royal College of Surgeons of Canada and an active member of the Sexual Medicine Society of North America (SMSNA), the International Society for Sexual Medicine (ISSM), the American Society of Andrology, the American Urological Association (AUA) and the Société Internationale d’Urologie (SIU).Yafi sees patients in Newport Beach and Orange. Dr. Yafi is rated as an Elite provider by MediFind in the treatment of Priapism. He is also highly rated in 27 other conditions, according to our data. His clinical expertise encompasses Peyronie Disease, Erectile Dysfunction (ED), Priapism, Hormone Replacement Therapy (HRT), and Aquablation. Dr. Yafi is board certified in American Board Of Urology - Urology.

 
 
 
 
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Elite in Priapism
Elite in Priapism
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Urology Clinics Of North Texas, PLLC

5220 University Blvd, Suite 210, 
Mckinney, TX 
469-678-8370
Languages Spoken:
English
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Offers Telehealth

Allen Morey is a Urologist practicing medicine in Mckinney, Texas. Dr. Morey is rated as an Elite provider by MediFind in the treatment of Priapism. He is also highly rated in 20 other conditions, according to our data. His clinical expertise encompasses Urethral Stricture, Peyronie Disease, Stress Urinary Incontinence, Reconstructive Urology Surgery, and Prostatectomy. Dr. Morey is board certified in Urology - - and Urology- American Board Of Urology.

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