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Priapismo

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Последний просмотренный: 15 Apr 2026
Last updated: 06 Sep 2022

Резюме

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • 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
Todos los datos

Factores de riesgo

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

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • amostra de sangue do corpo cavernoso
  • hemograma completo e diferencial
Todos los datos

Pruebas diagnósticas que deben considerarse

  • 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
Todos los datos

Algoritmo de tratamiento

Agudo

priapismo isquêmico ou recorrente (stuttering)

priapismo não isquêmico

En curso

priapismo recorrente (stuttering)

Colaboradores

Autores

Martin S. Gross, MD

Assistant Professor of Surgery (Urology)

Section of Urology

Dartmouth-Hitchcock Medical Center

Lebanon

NH

Divulgaciones

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

Agradecimientos

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.

Divulgaciones

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 por pares

Wayne Hellstrom, MD

Professor of Urology

Department of Urology

Tulane University Health Sciences Center

New Orleans

LA

Divulgaciones

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

Divulgaciones

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

Divulgaciones

GR declares that he has no competing interests.

Edmund Sabanegh, Jr, MD

Director

Center for Male Fertility

Glickman Urological and Kidney Institute

Cleveland

OH

Divulgaciones

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

Divulgaciones

AK declares that he has no competing interests.

Agradecimiento de los revisores por pares

Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.

Divulgaciones

Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

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.Texto completo  Resumen

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

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

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Priapismo images

  • Diferenciales

    • Doença de Peyronie
    • Implante peniano
    Más Diferenciales

  • Guidelines

    • Evidence-based management of sickle cell disease
    • Sexual and reproductive health: priapism
    Más Guías de práctica clínica

  • Patient information

    Problemas de ereção

    More Patient information
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