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
Autores

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.
Revisores
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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