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Priapism

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  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 1 Feb 2026
Last updated: 06 Sep 2022

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • history of current systemic disease
  • history of vasoactive medication or drug use
  • prolonged erection of >4 hours' duration
  • painful rigid penis
  • penis not fully rigid and not painful
  • history of perineal or genitourinary trauma
Полная информация

Факторы риска

  • hemoglobinopathy
  • vasoactive drugs
  • perineal or penile trauma
  • malignancies or local infection
  • spinal cord disease
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • corpus cavernosum blood sampling
  • CBC and differential
Полная информация

Исследования, проведение которых нужно рассмотреть

  • color duplex ultrasonography
  • MRI
  • Hb-solubility testing
  • Hb electrophoresis
  • medication/toxicology urine screen
  • coagulation profile
Полная информация

Алгоритм лечения

Острый

ischemic or recurrent (stuttering) priapism

nonischemic priapism

ПРОДОЛЖЕНИЕ

recurrent (stuttering) priapism

Составители

Авторы

Martin S. Gross, MD

Assistant Professor of Surgery (Urology)

Section of Urology

Dartmouth-Hitchcock Medical Center

Lebanon

NH

Раскрытие информации

MSG is a consultant for Coloplast. MSG is an author of a reference cited in this topic.

Выражение благодарностей

Dr Martin S. Gross would like to gratefully acknowledge Dr Helen R. Levey Bernie, Dr John Mulhall, Dr Trinity Bivalacqua, Dr Onder Canguven, and Dr Arthur L. Burnett, previous contributors to this topic.

Раскрытие информации

HRLB and JM declare that they have no competing interests. TB is an author of a number of references cited in this topic. ALB has been reimbursed by Pfizer Inc. and Lilly LLC for attending symposia, speaking, organizing education, and consulting, and has received research grants that support laboratory staff. OC declares that he has no competing interests.

Рецензенты

Wayne Hellstrom, MD

Professor of Urology

Department of Urology

Tulane University Health Sciences Center

New Orleans

LA

Раскрытие информации

WH declares that he has no competing interests.

Siam Oottamasathien, MD

Assistant Professor

Division of Pediatric Urology

University of Utah

Primary Children's Medical Center

Salt Lake City

UT

Раскрытие информации

SO declares that she has no competing interests.

Gabriel Rodriguez, MD

Associate Professor

Section Head of Minimally Invasive Surgery

The University of Texas Medical Branch

Galveston

TX

Раскрытие информации

GR declares that he has no competing interests.

Edmund Sabanegh, Jr, MD

Director

Center for Male Fertility

Glickman Urological and Kidney Institute

Cleveland

OH

Раскрытие информации

ES declares that he has no competing interests.

Ates Kadioglu, MD

Professor of Urology

Division of Andrology

Department of Urology

Faculty of Medicine

Istanbul University

Istanbul

Turkey

Раскрытие информации

AK declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Bivalacqua TJ, Allen BK, Brock GB, et al. The diagnosis and management of recurrent ischemic priapism, priapism in sickle cell patients, and non-ischemic priapism: an AUA/SMSNA guideline. J Urol. 2022 Jul;208(1):43-52.Полный текст  Аннотация

European Association of Urology. Guidelines: sexual and reproductive health. 2022 [internet publication].Полный текст

National Heart, Lung, and Blood Institute. Evidence-based management of sickle cell disease: expert panel report, 2014. Sep 2014 [internet publication].Полный текст

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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