How do you prevent Priapism, and how do you cure it?!


Question: How do you prevent Priapism, and how do you cure it?
Answers:

You can't prevent naturally occurring priapism. It either happens, or it doesn't. Priapism can occur if you abuse drugs, take certain medications (including Viagra and the like), or suffer an injury to the genitals.

The treatment is at this link:

http://menshealth.about.com/od/diseasesc…



You've reached a level 7 with 54,788 points and a member since 2006, so I believe you know the answer and if you don't I feel certain you know how to search for it. But so you won't accuse me of being facetious I'm going to give you the information you requested:

Priapism (Ancient Greek: known also as Hulseyism, is a potentially harmful and painful medical condition in which the erect penis or clitoris[1] does not return to its flaccid state, despite the absence of both physical and psychological stimulation, within four hours.

The causative mechanisms are poorly understood but involve complex neurological and vascular factors. Priapism may be associated with haematological disorders, especially sickle-cell disease, and other conditions such as leukemia, thalassemia, and Fabry's disease, and neurologic disorders such as spinal cord lesions and spinal cord trauma (priapism has been reported in hanging victims; see death erection). Priapism may also be associated with glucose-6-phosphate dehydrogenase deficiency, which leads to decreased NADPH. NADPH is a co-factor involved in the formation of nitric oxide, therefore glucose-6-phosphate dehydrogenase deficiency will lower nitric oxide levels, which may result in priapism. Recent breakthroughs in research of the disease have pointed to a raised level of the biochemical adenosine being the cause of the condition. This seems to cause blood vessels to dilate and has the potential to influence blood flow into the penis.
Treatments:
Medical advice should be sought immediately for cases of erection beyond four hours. Generally, this is done at an emergency department. In sickle cell patients with priapism, the first step in management is a blood exchange transfusion, not a surgical intervention. For other patients, orally administered pseudoephedrine may be effective. Likewise, other sympathomimetic drugs of the amphetamine class have been observed to induce erectile dysfunction, although in a small number of cases they may have the opposite effect. Otherwise, the therapy at this stage is to aspirate blood from the corpus cavernosum under local anaesthetic. If this is still insufficient, then intracavernosal injections of phenylephrine are administered. This should only be performed by a specialist trained in the procedure, with the patient under constant hemodynamic monitoring, as phenylephrine can cause severe hypertension, bradycardia, tachycardia, and arrhythmia.

If aspiration fails and tumescence recurs, surgical shunts are next attempted. These attempt to reverse the priapic state by shunting blood from the rigid corpora cavernosa into the corpus spongiosum (which contains the glans and the urethra). Distal shunts are the first step, followed by more proximal shunts.

Distal shunts, such as the Winter's, involve puncturing the glans (the distal part of the penis) into one of the cavernosa, where the old, stagnant blood is held. This causes the blood to leave the penis and return to the circulation. This procedure can be performed by a urologist at the bedside. Winter's shunts are often the first invasive technique used, especially in hematologic induced priapism, as it is relatively simple and repeatable over time....etc.. etc...
A whole lot more information can be found by doing a search in Google and in fact you will get about 1,660,000 hits by just inserting the word, < Priapism >.

http://en.wikipedia.org/wiki/Priapism#Tr… and Google



For those who don't know what pripism is:

A sustained and painful erection. For more than four hours!!!! Gosh!, it hurts!




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