{"product_id":"2940153981840","title":"Priapism (Painful Erection), A Simple Guide To The Condition, Treatment And Related Conditions","description":"\u003cp\u003ePriapism is a prolonged erection of the penis which is usually painful and lasts more than 4 hours.\u003cbr\u003eIt is not necessarily related with sexual desire or excitement and does not subside after ejaculation\u003cbr\u003ePriapism may occur by itself or caused by medical treatment (iatrogenic) and can occur in all age groups including newborns.\u003cbr\u003eIt usually affects men between the ages of 5 to 10 years and 20 to 50 years.\u003cbr\u003eThere are two types of priapism:\u003cbr\u003e1. The low flow priapism is the result of blood being stuck in the erection chambers.\u003cbr\u003eLow flow priapism usually occurs without a known cause in men who are otherwise healthy but also affects men with sickle cell disease, leukemia (cancer of the blood) or malaria.\u003cbr\u003e2. High-flow priapism is less common than low-flow and usually not painful.\u003cbr\u003eIt occurs from a ruptured artery from an injury to the penis or the perineum (area between the scrotum and anus) which prevents blood in the penis from circulating normally.\u003cbr\u003eMedically the condition is associated with high blood flow when there is little risk of tissue damage or low blood flow when the risk of damage is higher.\u003cbr\u003eSome 35 per cent of cases are idiopathic (unknown cause) and 21 per cent are associated with drug therapy or alcohol abuse.\u003cbr\u003eInjury accounts for 21 per cent and blood disorders 8 per cent.\u003cbr\u003eA painful erection that lasts for longer than four hours requires treatment in hospital.\u003cbr\u003eMany cases resolve spontaneously after repeated ejaculation, physical activity or a brisk walk.\u003cbr\u003eOral terbutaline (e.g. Bricanyl) or salbutamol (e.g. Ventolin) may help if given early.\u003cbr\u003eBlood (50ml) can be removed by a doctor inserting a large bore (19G+) needle into the penis often in conjunction with heparin and saline to reduce clotting.\u003cbr\u003eIn resistant cases, a reversing agent, metaraminol (1 per cent solution), may be injected into the penis.\u003cbr\u003eRarely surgery is required to avoid permanent damage to the muscle of the penis.\u003cbr\u003eSurgery may be suggested if the condition does not respond to aspiration or injections.\u003cbr\u003eThere are several operation procedures available depending on the type of priapism you have.\u003cbr\u003eIf you have low flow priapism, shunt surgery may be recommended.\u003cbr\u003eA small device called a shunt is implanted into the penis to re-route the blood supply out of the penis.\u003cbr\u003eTABLE OF CONTENT\u003cbr\u003eIntroduction\u003cbr\u003eChapter 1 Priapism\u003cbr\u003eChapter 2 More about Priapism\u003cbr\u003eChapter 3 Treatment of Priapism\u003cbr\u003eChapter 4 Erectile Dysfunction\u003cbr\u003eChapter 5 Sex and Priapism\u003cbr\u003eChapter 6 Sickle Cell Anemia\u003cbr\u003eChapter 7 Types of Penises\u003cbr\u003eEpilogue\u003c\/p\u003e\u003cp\u003ePriapism is a persistent erection which causes the penis pain.\u003cbr\u003eIt is not related to sexual desire or sexual excitement\u003cbr\u003ePriapism may be spontaneous or caused by medical treatment\u003cbr\u003eAny penis erection over 4 hours will require immediate management\u003c\/p\u003e\u003cp\u003eCauses for ischemic priapism are sickle cell anemia and blood conditions\u003cbr\u003ePatients with ischemic priapism typically have pain and rigid erections\u003cbr\u003eNon-ischemic priapism is often due to the rupture of artery in the penis from injury\u003cbr\u003eOther causes are perineum surgery and illegal drug therapy\u003c\/p\u003e\u003cp\u003eFull blood count and hemoglobin analysis will exclude sickle cell anemia\u003cbr\u003eIn high flow priapism ultrasonography can help identify and locate fistulas\u003cbr\u003eAspiration of old blood from the pooled blood in the penis is a simple intervention\u003cbr\u003eIntracavernous injection of alpha agonists will help in the arterial constriction\u003c\/p\u003e\u003cp\u003e-An original poem by Kenneth Kee\u003c\/p\u003e","brand":"Kenneth Kee","offers":[{"title":"Default Title","offer_id":47122712002800,"sku":"2940153981840","price":2.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/2940153981840_p0.jpg?v=1764061025","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/2940153981840","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}