Priapism

Priapism is a long pathological erection. Causes of priapism: inflammatory diseases of the genital glands of the penis and urethra, leukemia; lesion of the spinal cord in syphilis, transverse myelitis (see), tumors.
Long, from several hours to several days, and painful erection does not disappear after sexual intercourse. The voltage does not capture the cavernous body of the urethra and therefore penis arched curves to the pubic. Priapism can be acute, chronic, alternating.
Treatment is the removal of the underlying disease. Prescribed drugs bromine, Valerian, cool baths, procaine blockade and different types of anesthesia until the anesthesia. Surgical treatment (puncture and dissection of the tunica) produces a bad result.
Chronic priapism often leads to impotenceis not curable.

Priapism (gr. priapismos) - long abnormal penile erection without sexual desire, not stopping after intercourse.
Priapism is a rare disease. The etiology of a variety of: changes in the rear part of the urethra, gonads and the penis (inflammation, tumor), lesions of the Central nervous system (spinal the " dryness", fractures of the spine with spinal cord compression, transverse myelitis, and so on). The most common cause is leukemia. There are idiopathic priapism.
The clinical course priapism can be divided into acute and chronic (alternating). Acute priapism is characterized by sudden onset, the dramatic tension of the penis and strong pain. Lasts from several hours to several weeks. The penis is erect and stiff only his cavernous bodies; the cavernous body of the urethra and the head is not erect. The skin of the penis swollen and hyperemic. The pain gradually increases and becomes unbearable. Urination in most cases, free. Chronic priapism can last for years in the form of recurring abnormal erections. Sexual intercourse if priapism is not accompanied by orgasm and ejaculation, erection after it is terminated.
Diagnosis of priapism is straightforward. Should be distinguished priapism from satyriasis stores libido, orgasm and ejaculation. The forecast is favorable; the leukemia priapism it is associated with the forecast of the main disease.
Treatment. Use of drugs (drugs, bromine, camphor), long cool sedentary baths facilitates the patient's condition. Sometimes it helps novocaine blockade (perirenal, or the intraarterial. With the continuing sharp pains - spinal or epidural anesthesia. Sometimes resort to bandaging a. pudendae. Often see good effect by injections of small doses of heparin directly into the corpora cavernosa or application of leeches on the root of the penis. With the failure of conservative treatment resort to surgical interventions - wide dissection of the tunica and squeezing condensed in the cavernous bodies of blood. This surgery can be done very carefully, as remaining after her large scars can deform the penis. When blood diseases surgical treatment of P. not shown, appoint x-ray treatments and other protivoanemicescoe treatment. In chronic P. the effect sinestrol (8-10 injection 20 mg).
In most cases, after priapism occurs impotence (see), in the cavernous parts of the penis develops sclerosis and fatty degeneration of tissue. A certain effect in the treatment of impotence, which came after P. reach surgery - implantation cartilage or plastic prosthesis under the tunica albuginea of the penis. Conservative therapy impotence to priapism ineffective.

Long penile rigidity, not associated with sexual irritation, called priapism. Erection may last several hours, days, weeks and even months. Pain can be expressed in different degrees. Unlike normal erections during priapism overflowing with blood only cavernous bodies of the penis, and the cavernous body of the urethra and the heads of the member not involved in erection.
Causes of priapism many and varied. They can be divided into three groups:
1) the reasons for neurogenic nature - back " dryness", tumors of the brain and spinal cord, spinal cord compression, myelitis, multiple sclerosis;
2) local pathological changes in the cavernous bodies, Cabernet, tumours and injuries of the penis, thrombosis of the corpora cavernosa, metastases of malignant tumors;
3) common diseases - poisoning, infectious diseases, uremia, and especially often leukemia that causes the pelvic thrombosis of the veins.
Priapism occurs in connection with sexual intercourse, or no apparent reason. After a few days or weeks erection stops, but erectile ability of the penis disappears, comes impotence.
In early cases shown spinal or epidural anesthesia. The effect is usually temporary. Thrombosis of the corpora cavernosa, you can apply the anti - heparin, dikumarina or Palantin. If no effect is used to puncture the cavernous bodies with a following sucking blood or incision of the corpora cavernosa and the destruction of blood clots.
The Outlook for sexual function unfavorable.