Priapism is a pathological condition characterized by the appearance of prolonged erection unrelated to sexual stimulation. Usually, this state is accompanied by painful sensations in the root of the penis. Unlike true erection strained mainly the cavernous body, the head of the penis is still relatively soft. Urination is not violated. Sexual intercourse does not bring relief. Priapism is usually occurs at night during sleep. Priapism can occur as adult men and children.
Causes of priapism can be varied. Priapism can be psychogenic. In this case, it occurs in patients with mental diseases, epilepsy, patients with neuroses. Neurogenic priapism occurs in diseases of the brain and spinal cord – injuries, tumors, encephalitis. Somatic priapism occurs in patients with blood diseases (leukemia, sickle cell anemia) in patients with malignant diseases, in some allergic diseases. Intoxication priapism is the result of intoxication of alcohol, cocaine, psychotropic drugs. Medical priapism develops when using certain medications (antidepressants, drugs used to treat impotence). Idiopathic priapism – the reason for this type of disease remains unknown.
Treatment of priapism should be initiated urgently. Therefore, when a complaint should immediately seek medical attention and is best to call an ambulance. Initially conducted conservative treatment of priapism. The penis is cooled by means of hot-water bottles with ice. Spend a puncture of the cavernous bodies under local anesthesia, using a special needle. Perhaps a drug relieves priapism. Puncture gives good results mainly in the first days of the onset of the disease. If possible find out the cause of priapism and act on it.
If conservative methods fail to eliminate priapism, or relapse of the disease, carried out surgical treatment. The aim of surgical treatment improved blood outflow from the corpora cavernosa. To do this, create a connection between cavernous bodies and other veins. With timely treatment of priapism the results are good and erectile function over time is preserved. In severe cases it may be resistant impotence.