1. Diagnosis And Management Of Prolonged Penile Erection / Tips From Other Journals Highflow or arterial priapism results from increased arterial inflow into the cavernosal sinusoids Causes of high-flow priapism include idiopathic etiologies and groin or saddle http://www.aafp.org/afp/970901ap/tips12.html

Advanced Search American Family Physician Articles Departments Patient Information Editorials ... Special Medical Reports The following is part of " Tips From Other Journals " from the September 1, 1997 edition of American Family Physician Diagnosis and Management of Prolonged Penile Erection Priapism, a spontaneous, prolonged, usually painful penile erection, results from abnormal regulation of penile flaccidity. Harmon and Nehra review the diagnosis and management of different types of priapism. High-flow or arterial priapism results from increased arterial inflow into the cavernosal sinusoids, overwhelming venous outflow. This may cause a painless semirigid to rigid erection. Damage to cells is rare because of high oxygenation. Causes of high-flow priapism include idiopathic etiologies and groin or saddle trauma resulting in pudendal artery damage. Management of high-flow priapism is elective. In the flaccid state, vascular inflow is limited because of resistance caused by contracted cavernous arterial branches and sinuses. Neurotransmitters or vasoactive substances relax smooth muscles, with decreased compliance resulting in minimal resistance to incoming blood flow. Expansion of the sinusoidal walls inhibits venous outflow, and an erection occurs. Assessment of priapism includes a detailed history and a physical examination, observing the penile shaft for rigidity and pain. A complete blood count and a sickle cell preparation may be indicated. Medications most commonly associated with priapism include trazodone and chlorpromazine. Urologists treating erectile dysfunction with intracavernosal drug therapy using papaverine, phentolamine and prostaglandin E

2. Go Ask Alice!: What Is Priapism? Mac users please note that our site is optimized for the Safari browser. Genital wonderings. What is priapism? What is priapism? http://www.goaskalice.columbia.edu/1133.html

Mac users: please note that our site is optimized for the Safari browser Genital wonderings What is priapism? Originally Published: March 28, 1997 / Updated on: October 03, 2003 What is priapism? Priapism is a prolonged and painful erection that can last from several hours up to a few days. The priapismic erection is NOT associated with sexual thoughts or sexual activity. What happens is that blood flows into the penis, but is unable to drain as it would in a normally flaccid penis. Considering that the penis provides little room for blood to circulate, the blood becomes stagnant after a while, acidifies, and loses oxygen. Without oxygen, the red blood cells become stiff, and even less able to squeeze their way out of the penis. Very few cases of priapism are without an obvious cause. In most cases, priapism results from one of two things: certain medications or medical conditions. Under the category of medications, there are two primary culprits. For one, penile injections used to treat some forms of impotence can cause priapism; however, this usually only happens when a man decides, on his own, to increase the dosage. Second, psychiatric medications, such as anti-depressants, seem to cause some cases of priapism; however, how these drugs affect priapism is unclear. The second major cause of priapism is certain medical conditions and diseases generally, any that cause the blood to thicken, or cause red blood cells to lose their flexibility and mobility. Sickle-cell anemia and leukemia are probably the most common conditions that cause priapism.

3. EMedicine - Priapism : Article By Martin J Carey, MD, MPH, BCh priapism priapism is the presence of a persistent, usually painful, erection of the penis. Although frequently idiopathic, priapism is associated with some systemic diseases. priapism also is http://www.emedicine.com/emerg/topic486.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Genitourinary Priapism Last Updated: July 26, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: priapus, corpora cavernosa, arterial high-flow priapism, veno-occlusive priapism AUTHOR INFORMATION Section 1 of 9 Author Information Introduction Clinical Workup ... Bibliography Author: Martin J Carey, MD, MPH, BCh , Program Director, Assistant Professor, Department of Emergency Medicine, University of Arkansas for Medical Sciences Martin J Carey, MD, MPH, BCh, is a member of the following medical societies: American College of Emergency Physicians American Medical Association , and British Medical Association Editor(s): Lance W Kreplick, MD, MMM , Medical Director, Department of Emergency Medicine, Regional Medical Center - Bayonet Point; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; Richard Sinert, DO

4. Priapism priapism. priapism is the occurrence of any persistent erection for more than four hours duration in the absence of sexual stimulation. http://my.webmd.com/content/article/3/1680_50136.htm

WebMD Today Home WebMD News Center Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Quizzes, Calculators Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map Priapism By Christopher Steidle, M.D. WebMD Medical Reference from "The Impotence Sourcebook" Priapism is the occurrence of any persistent erection for more than four hours duration in the absence of sexual stimulation. Priapism is named after Priapus, the Greek god of fertility, and the son of Aphrodite, the goddess of love. He was apparently an ugly, satyrlike man with enormous genitalia. He was the god of gardens, bees, goats, and sheep. According to the story, Priapus had a huge tongue, a fat belly, and his penis was so large that he was restricted to the position of scarecrow in the fields. Most erections due to sexual stimulation never approach four to six hours. Priapism is not associated with sexual excitement, at least not initially, and the erection does not subside after ejaculation. Priapism can occur in all age groups, including newborns. Most cases of priapism are clustered between two age groups: between the ages of five to ten and twenty to fifty years. Priapism constitutes a true urologic emergency. Men often joke that they wish they could have a permanent erection, but in reality, men are extremely miserable when this actually happens. Many physicians have characterized priapism in different ways. I find it simplest to classify it by what caused it. Children with priapism are typically those who have leukemia. In this situation, the white blood cells occlude, or block the outflow of blood from the penis causing priapism. Also, children with sickle-cell disease can be afflicted with priapism. In this situation, the penis receives low oxygen, and therefore, the blood sickles and prevents outflow because of sludging. Other rare causes of priapism in childhood include trauma, either to the penis or to the area underneath the penis known as the perineum. Additionally, spinal cord injuries can cause priapism. Extremely rare causes of priapism include drug side effects, but typically these drugs are not used in children.

5. E + V = Priapism priapism, a program on FM 106.9, University of New England, Australia. http://tunefm.une.edu.au/priapism

As seen in Yahoo! Priapism: (noun) The occurrence of any persistent erection for more than four hours duration in the absence of sexual stimulation. Priapism is named after Priapus, the Greek god of fertility, and the son of Aphrodite, the goddess of love. THURSDAYS 8PM => 10PM ON TUNE! FM 106.9 The Priapism boys - Duck, Chris, Geoffrey Chris and Duck continue the broadcast dynasty that is Priapism . Expect the same hard beats, cringingly bad classics and inane chatter that made Priapism the most popular program on Armidale radio in 2001! Plus, extra special reports from the roving hard-cock reporter, Geoffrey, as he provides the weekly rundown on all that is good in the UK dance scene. Make A Request! If you would like to hear your favourite track, send us a mail and tune in to the next show! PRIAPISM@TUNEFM.UNE.EDU.AU Features Greatest Archive of Human Stupidity Save German Brewerys! Featured Websites The Great Arguement Season 2002 Playlists 03 January 2002 17 January 2002 Season 2001 Playlists! Last updated: 28 January 2002. ... Priapism

6. Prozac & Priapism The Urology Forum Question and answer about the use of anti-depressants and this disorder. http://www.medhelp.org/perl6/urology/archive/1157.html

Questions in The Urology Forum are currently being answered by by Kevin Pho, M.D., who is board certified in Internal Medicine. Dr. Pho has a private practice in Internal Medicine and is also affiliated with an academic medical center where he works in emergency and inpatient venues. Subject: Topic Area: Urology - General Forum: The Urology Forum Question Posted By: aumont@hotmail.com on Tuesday, July 14, 1998 Prozac has been a lifesaver for me, but it given me uncomfortable/ painful erections. These happen only in the middle of the night. I discover them when I get up at night to urinate. I stopped taking prozac for awhile, and the erections very slowly subsided after about one month. Then I started prozac again (20 mgs.) and developed the problem again after 7 or so days. (The only way to get the erections to go down is for me to stand up, and it takes maybe a minute or so for them to go away. Sometimes they come right back if I lie down, for some reason.) Questions: does this sound serious? Could this be a drug interaction?

7. Gay & Black Glossary : Priapism Definition of gay or black slang term priapism Gay Black Glossary priapism. Last updated 200404-19 by Roedy Green Gay and Black Glossary priapism. priapism. Abnormal male horniness http://mindprod.com/ggloss/priapism.html

Last updated 2004-05-30 by Roedy Green You are here : home Gay Menu Gay and Black Glossary priapism priapism Abnormal male horniness. Priapus was the ancient Greek god of procreation. An erection that won't go down, even after four hours. Up to that long is nothing to worry about. It can be caused by supersensitivity to impotence drugs such as Viagra or prostaglandins. 1 in 500 people have this. It can be caused by overdosing on such drugs. It can also happen naturally. It can be treated in stages. Three extra strength Sudafed should help, apply ice, jog 30 minutes then take a cold shower. If that does not work go to the emergency ward of your nearest hospital. They will first try xylocaine and draining the blood out of the penis with a needle. If that does not work they will try phenylephrine. If that does not work they will try neo-synephrine. If that does not work they will use surgery. If the problem is not treated within 12 hours, permanent damage to the penis may result from lack of oxygen. Canadian Men's Clinic impotence Muse premature ejaculation ... Viagra home C anadian M ind P roducts mindprod.com

8. EMedicine - Priapism : Article By Monica Parraga-Marquez, MD priapism priapism is defined as an abnormal persistent erection of the penis. It is an involuntary priapism. Last Updated June 19, 2002, http://www.emedicine.com/med/topic1908.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Urology Priapism Last Updated: June 19, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: cavernosal shunts, Ebbehoj procedure, El-Ghorab procedure, erectile dysfunction, erection, Grayhack shunt, prolonged erection, Quackle shunt, sexual dysfunction, sickle cell disease, Winter procedure, low-flow priapism, ischemic priapism, high-flow priapism, nonischemic priapism AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Monica Parraga-Marquez, MD , Program Director, Department of Emergency Medicine, Metropolitan Hospital Center; Clinical Assistant Professor, Department of Emergency Medicine, New York Medical College Coauthor(s): Paul S Wahlheim, MD , Staff Physician, Department of Emergency Medicine, Metropolitan Hospital, New York Medical College

9. Dictionary.com/priapism Definitions of priapism at Dictionary.com. Get the Top 10 Most Popular Sites for "priapism" 4 entries found for priapism. pri·a·pism ( http://www.dictionary.com/search?q=priapism

10. Priapism priapism. priapism is the occurrence of any persistent erection for more than four hours duration in the absence of sexual stimulation. http://my.webmd.com/content/article/3/1680_50136.htm?printing=true

11. Priapism The New Look Of Health And Wellness. priapism. priapism is a painful and continued erection of the penis in the absence of http://www.symptomtracker.com/page1122.htm

SymptomSolutions, Inc. The New Look Of Health And Wellness Priapism Priapism is a painful and continued erection of the penis in the absence of sexual arousal. Cause - Blood fills the penis and causes engorgement as a complication of an underlying cause such as nerve damage, blood disorder (i.e. Acute Leukemia , sickle cell anemia, pelvic blood clot), inflammation or infection around the male genitalia (i.e. Prostatitis Urethritis , or Cystitis ) or an adverse reaction to certain medications (i.e. trazodone, chlorpromazine, and certain antihypertensives, anticoagulants, and corticosteroids). Diagnosis - Observation of the aforementioned symptoms should prompt an immediate evaluation by a physician. Treatment - Emergency treatment is necessary to avoid permanent damage to the penis. This may include injection of anesthesia into the spinal cord region (if a nerve disorder is evident) or withdrawing blood from the penis directly. Further treatment may be necessary to address the underlying condition. If treatment is delayed the male may loss his ability to sustain a normal erection. Bookmark this site Tell your friends about this page Print this page We want to hear from you!

12. Hemolytic Anemia Looks at the course, management and complications of this disease. http://www.fpnotebook.com/HEM49.htm

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13. WWW: Priapism All about priapism www from BigTome.com http://www.bigtome.com/big/page/Priapism

WWW: Categories (1-2 of 2) Health: Men's_Health: Conditions_and_Diseases: Penis: Priapism Arts: Radio: Formats: College_and_Educational: Shows Web Pages What is Priapism? A discussion about this disorder, when to seek treatment and the possible causes. - http://www.goaskalice.columbia.edu/1133.html Health: Men%27s Health: Conditions and Diseases: Penis: Priapism Priapism Information on Priapism which is the presence of a persistent, usually painful, erection of the penis. - http://www.emedicine.com/emerg/topic486.htm Health: Men%27s Health: Conditions and Diseases: Penis: Priapism Priapism Priapism, a program on FM 106.9, University of New England, Australia. - http://tunefm.une.edu.au/priapism Arts: Radio: Formats: College and Educational: Shows Prozac and Priapism The Urology Forum - Question and answer about the use of anti-depressants and this disorder. - http://www.medhelp.org/perl6/urology/archive/1157.html Health: Men%27s Health: Conditions and Diseases: Penis: Priapism WebMD - Priapism An in depth look at this disorder by Christopher Steidle, M.D. Mentions possible complications as well. - http://my.webmd.com/content/article/3/1680_50136.htm

14. Trazodone And Priapism Trazodone and priapism. Forum The Mental Health Forum Topic Misc. I just started taking trazodone for ensomnia and I m concerned about priapism. http://www.medhelp.org/forums/MentalHealth/messages/C32513-1.html

Trazodone and Priapism Forum: The Mental Health Forum Topic: Misc. ID From To Post Q (08-Mar-04) I just started taking trazodone for ensomnia and I'm concerned about priapism. I read that it affects 1 in 10000 people. I take it before going to sleep. I've noticed if I wake up in the middle of the night I am semi erect. Each morning I wake up erect as well and it takes the lenght of my shower for the partial erection to go away. It is not painful and it does go away after I am up but still worries me after reading about priapism. Should I be concerned or is a normal side effect of the drug? Thanks A Forum-M.D.-RG (10-Mar-04) Priapism is such an unusal and rare side effect I don't think there is enough clinical information to answer your question. It certainly seems to be a relatively safe drug, and your description of erections does not sound alarming to me, but if you find it gets worse, then you might consider switching medicatins. Mental Health Forum Mental Health Archives Med Help Home Information contained within this forum is intended solely for general educational purposes and is not intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your physician or other health provider for any questions you may have regarding your medical condition. Only your physician can provide specific diagnoses and therapies. By using this site you agree to the following Terms and Conditions Med Help International

15. Dictionary.com/Priapism Definitions of priapism at Dictionary.com. Get the Top 10 Most Popular Sites for "priapism" 4 entries found for priapism. pri·a·pism ( http://www.dictionary.com/search?q=Priapism

16. THE MEDICAL DIARY - Priapism: Priapism, Sex Problems, Health Problems, Prolonged The MEDICAL DIARY priapism. This site is a medical resource for anyone who is curious about priapism, those that are concerned http://priapism.all-sexualhealth.com/

Home Trade Traffic With Us Introduction To Priapism Causes Of Priapism ... Education The MEDICAL DIARY - PRIAPISM This site is a medical resource for anyone who is curious about priapism, those that are concerned about the issue or have problems with priapism and wish to find out more about this medical issue. We recommend you use the supplied information as a guide only. We are not responsible for any physical or emotional harm or therof that may be caused through use of this advice and are in no way liable for actions taken through use and heed of this website. We recommend if you have any serious issues associated with the content presented that you contact a professional in this area.

17. THE MEDICAL DIARY - Priapism: Priapism, Sex Problems, Health Problems, Prolonged Introduction To priapism. priapism is a prolonged and painful erection that can last from several hours up to a few days. The priapismic http://priapism.all-sexualhealth.com/www/2.htm

Home Trade Traffic With Us Introduction To Priapism Causes Of Priapism ... Education Introduction To Priapism Priapism is a prolonged and painful erection that can last from several hours up to a few days. The priapismic erection is not associated with sexual thoughts or sexual activity. What happens is that blood flows into the penis, but is unable to drain as it would in a normally flaccid penis. Considering that the penis provides little room for blood to circulate, the blood becomes stagnant after a while, acidifies, and loses oxygen. Without oxygen, the red blood cells become stiff, and even less able to squeeze their way out of the penis.

18. Priapism priapism following trazodone overdose with cocaine use by Myrick H, Markowitz JS, Henderson S The Institute of Psychiatry, The Medical University of South http://www.biopsychiatry.com/priap.htm

Priapism following trazodone overdose with cocaine use by Myrick H, Markowitz JS, Henderson S The Institute of Psychiatry, The Medical University of South Carolina, Charleston 29425, USA. Ann Clin Psychiatry 1998 Jun; 10(2):81-3 ABSTRACT P riapism is a urologic disorder and medical emergency with a variety of known etiologies including the use of psychotropic medications. The antidepressant trazodone is the agent most frequently implicated in the precipitation of priapism. Additionally, a number of drugs of abuse including marijuana, ethanol, and cocaine have been known to cause the disorder. It is unknown if drugs may act in an additive or a synergistic manner to cause priapism. We report a case of priapism which occurred following trazodone overdose in an individual actively using cocaine. This case suggests that combined trazodone and cocaine use may pose an additional risk of priapism. Since trazodone is commonly employed as a hypnotic and often chosen for polysubstance abusers due to its low abuse potential, clinicians should be aware of the possible additive risk of priapism in this patient population. Viagra Cocaine Alcohol Marijuana ... When Is It Best To Take Crack Cocaine?

19. Cltoral Priapism Clitoral priapism a rare condition presenting as a cause of vulvar pain by Medina CA. Department of Obstetrics and Gynecology, Division http://www.biopsychiatry.com/clitoral-priapism.htm

Clitoral priapism: a rare condition presenting as a cause of vulvar pain by Medina CA. Department of Obstetrics and Gynecology, Division of Gynecology, University of Miami School of Medicine, Jackson Memorial Hospital, Miami, Florida, USA Obstet Gynecol 2002 Nov;100(5S):1089-1091 ABSTRACT B Viagra Cocaine Alcohol Priapism ... The Good Drug Guide The Responsible Parent's Guide To Healthy Mood Boosters For All The Family

20. Encyclopaedia Topic : Priapism, Section : Introduction priapism. Search. Help. Sections for this topic Introduction. priapism is a prolonged and painful erection of the penis in the absence of sexual interest. http://www.nhsdirect.nhs.uk/en.asp?TopicID=369

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