Details about the causes, symptoms, diagnosis and treatment of priapism in men

Priapism is an erection that evolved without sexual arousal, lasting more than 4 hours. Priapism in men is a rare disease that can manifest at any age. But the most frequently observed this condition in children 5-10 years of age and in men 20-50 years. It is associated with the violation of the outflow of venous blood from the corpus cavernosum of the penis. Treatment of diseases described below.

Classification and forms of manifestations

The disease may be accompanied with severe pain, seal penis. Man sometimes notes the absence of pain or the recurrence of bouts of prolonged and painful erection. Depending on the mechanism of development of priapism is divided into several types:

• Ischemic when the violation of the outflow of venous blood from the cavernous bodies. the Most common cause of violations of the outflow of blood is venous thrombosis. This is the most dangerous form of the disease. Ischemic priapism is accompanied by severe pain, seal penis.

These symptoms forced to seek medical help. The duration of pain symptom in the course of a day or more (if treatment is not available) leads to fibrotic degeneration of the penis with the development of impotence, resistant to conservative treatment. To help eliminate such impotence may operation prosthetic penis.

• Nonischemic priapism (arterial or) is associated with increased inflow of arterial blood to cavernous bodies of the penis, obstructing the venous outflow. Pain, as a rule, no. The symptoms are a little concerned about, the erection increases with any physical activity. Resolves on its own.
• Priapism happens to be intermittent. Its symptoms are varied, the reasons may have been mixed, but most often ischemic. It is characterized by the repetition of seizures painful erections lasting up to 3 hours with small breaks, accompanied by the decrease of tension of the penis, it is painful. Such a character has a night priapism (pseudoprimes or intermittent). Occurs in children, adult men.

The first episodes of the disease is usually rare in children (once a month less often) with age increase. They are accompanied by revival, physical activity (urination, straining, walking) that reduce the symptoms of the disease. Desire sexual intimacy is almost always there and the sexual act provokes, increases nocturnal priapism. These bouts of illness with chronic sleep deprivation changes the mood, the character of the men for whom treatment becomes necessary.

The treatment of the disease is complex, differs depending on the type of pathology. Expectant management is possible, if the pain is in the penis not. Applicationmedicines, surgical operations are being made after a medical examination. Peculiarities of treatment in different types of priapism:

1. The nonischemic normally requires a wait-and-see tactics, to the base of the penis is recommended to apply cold. This illness often resolves spontaneously, her treatment can begin at home. With the failure of home management for 4 hours a man has to seek medical help. The simplest way is to call an ambulance.
2. Ischemic, alternating types require medical treatment, which selects the physician. For example, vnutrividovoi introduction mezatona in the early stages of the attack. These injections may make the man.

3. Late stage of an attack of priapism require a small surgical intervention, such as puncture or lavage of the corpus cavernosum with saline. If the duration of the disease state, treatment must be surgical. Often in the early stages is operation prosthetic penis.

4. Intermittent (nocturnal) priapism is treated with medication, if you have the effect of taking drugs by mouth or by injection vnutrikawernozno. In the absence of results of medical treatment are offered surgical solution to the problem. Sometimes it's the bypass vessels of the penis or prosthesis.

Despite the fact that the described condition is a rare disease, the problem is quite solved. A man must know that the pain prolonged erection always requires attention, consult a doctor. If pain, circulatory disorders of the penis remain longer days, may develop irreversible impotence.