Ao visualizar este tópico em um idioma diferente, você poderá notar algumas diferenças na forma como o conteúdo é estruturado, mas ele ainda refletirá as orientações baseadas em evidências mais recentes.

Priapismo

  • Visão geral
  • Teoria
  • Diagnóstico
  • Tratamento
  • ACOMPANHAMENTO
  • Recursos
Última revisão: 25 Set 2025
Última atualização: 06 Set 2022

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

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

Fatores de risco

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

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • amostra de sangue do corpo cavernoso
  • hemograma completo e diferencial
Detalhes completos

Investigações a serem consideradas

  • ultrassonografia Doppler-duplex colorido
  • RNM
  • teste de solubilidade da hemoglobina (Hb)
  • eletroforese de Hb
  • exame de urina para pesquisa de tóxicos e medicamentos
  • perfil de coagulação
Detalhes completos

Algoritmo de tratamento

AGUDA

priapismo isquêmico ou recorrente (stuttering)

priapismo não isquêmico

CONTÍNUA

priapismo recorrente (stuttering)

Colaboradores

Autores

Martin S. Gross, MD

Assistant Professor of Surgery (Urology)

Section of Urology

Dartmouth-Hitchcock Medical Center

Lebanon

NH

Declarações

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

Agradecimentos

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.

Declarações

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, organising education, and consulting, and has received research grants that support laboratory staff. OC declares that he has no competing interests.

Revisores

Wayne Hellstrom, MD

Professor of Urology

Department of Urology

Tulane University Health Sciences Center

New Orleans

LA

Declarações

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

Declarações

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

Declarações

GR declares that he has no competing interests.

Edmund Sabanegh, Jr, MD

Director

Center for Male Fertility

Glickman Urological and Kidney Institute

Cleveland

OH

Disclosures

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

Disclosures

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.

References

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.

Key articles

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.Full text  Abstract

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

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

Reference articles

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

  • Differentials

    • Doença de Peyronie
    • Implante peniano
    More Differentials

  • Guidelines

    • Evidence-based management of sickle cell disease
    • Sexual and reproductive health: priapism
    More Guidelines

  • Patient information

    Problemas de ereção

    More Patient information
  • padlock-lockedLog in or subscribe to access all of BMJ Best Practice

Use of this content is subject to our disclaimer