Deep Dive MW R8

* Two Types of Priapism





* Low Flow “Ischemic” (Most Common >95% of Cases)





* Urologic Emergency





* Results in Erectile Dysfunction

















* Painful











* Common Etiologies





* Idiopathic











* Erectile Dysfunction Drugs (ex. sildenafil)











* Sickle Cell Disease











* Trazodone (“TrazoBONE”)











* Cocaine/Meth























* High Flow





* Caused by Trauma and AV Fistulas























* Management





* Analgesia





* Dorsal Penile Nerve Block

















* Aspiration





* Can intermittently irrigate with normal saline to dilute the clot

















* Injection





* Phenylepherine





* Recommend cardiac monitor