Deep Dive MW R8

* Two Types of Priapism * Low Flow “Ischemic” (Most Common 95% of Cases) * Urologic Emergency * Results in Erectile Dysfunction * Painful * Common Etiologies * Idiopathic * Erectile Dysfunction Drugs (ex. sildenafil) * Sickle Cell Disease * Trazodone (“TrazoBONE”) * Cocaine/Meth * High Flow * Caused by Trauma and AV Fistulas * Management * Analgesia * Dorsal Penile Nerve Block * Aspiration * Can intermittently irrigate with normal saline to dilute the clot * Injection * Phenylepherine * Recommend cardiac monitor

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