• Br J Radiol · Nov 2012

    Review

    Priapism: pathophysiology and the role of the radiologist.

    • J E Halls, D V Patel, M Walkden, and U Patel.
    • Department of Radiology, St George's Healthcare NHS Trust, London, UK.
    • Br J Radiol. 2012 Nov 1; 85 Spec No 1: S79-85.

    AbstractPriapism is defined as a penile erection that persists for 4 h or longer and is unrelated to sexual activity. Its identification is important as lack of timely treatment (particularly of the low flow/ischaemic subgroup) can result in persisting erectile dysfunction as a consequence of irreversible corporal fibrosis. This review describes the physiology and anatomy of the normal erection, the aetiology and pathophysiology of the different types of priapism, and the role of the radiologist in the management of the condition. The treatment of iatrogenic priapism following intracavernosal injection of pharmacostimulant is discussed.

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