Última revisão: 1 Fev 2021
Última atualização: 21 Mar 2018

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • história de doença sistêmica atual
  • história de medicamento vasoativo ou uso de drogas
  • ereção prolongada com duração de >4 horas
  • pênis rígido doloroso
  • pênis não totalmente rígido e não doloroso
  • história de trauma geniturinário perineal

Fatores de risco

  • hemoglobinopatia
  • medicamentos e drogas vasoativas
  • trauma perineal ou peniano
  • neoplasias ou infecção local
  • doença da medula espinhal

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • amostra de sangue do corpo cavernoso
  • hemograma completo e diferencial
  • teste de solubilidade da hemoglobina (Hb)
  • exame de urina para pesquisa de tóxicos e medicamentos

Investigações a serem consideradas

  • ultrassonografia Doppler-duplex colorido
  • ultrassonografia
  • arteriografia peniana
  • eletroforese de Hb

Algoritmo de tratamento

Colaboradores

Helen R. Levey Bernie

Urology Resident

Department of Urology

University of Rochester Medical Center

Rochester

NY

Declarações

HRL declares that she has no competing interests.

Professor of Urology

Director of the Sexual and Reproductive Medicine Fellowship

Memorial Sloan-Kettering Cancer Center

New York

NY

Declarações

JM declares that he has no competing interests.

Dr Helen Levey and Dr John Mulhall would like to gratefully acknowledge Dr Trinity Bivalacqua, Dr Onder Canguven, and Dr Arthur L. Burnett, previous contributors to this topic. 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, organising education, and consulting, and has received research grants that support laboratory staff. OC declares that he has no competing interests.

RevisoresVER TUDO

Professor of Urology

Department of Urology

Tulane University Health Sciences Center

New Orleans

LA

Declarações

WH declares that he has no competing interests.

Assistant Professor

Division of Pediatric Urology

University of Utah

Primary Children's Medical Center

Salt Lake City

UT

Declarações

SO declares that she has no competing interests.

Associate Professor

Section Head of Minimally Invasive Surgery

The University of Texas Medical Branch

Galveston

TX

Declarações

GR declares that he has no competing interests.

Director

Center for Male Fertility

Glickman Urological and Kidney Institute

Cleveland

OH

Declarações

ES declares that he has no competing interests.

Professor of Urology

Division of Andrology

Department of Urology

Faculty of Medicine

Istanbul University

Istanbul

Turkey

Declarações

AK declares that he has no competing interests.

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