High Flow Priapism After Perineal Trauma: A Case Report

ABSTRACT

Priapism is the pathologic prolongation of penile erection, accompanied by pain and tenderness but not by sexual exitement and not relieved orgasm. Priapism is a urologic emergency and treatment should not be delayed. The overall incidence and prevalence of priapism are unknown. Priapism can be classified as high flow or low flow depending on the status of th penile arterial blood flow. The initial evaluation of the priapic patient should attempt to differentiate the high from low flow state. A complete history should be obtained. Early determination of the state of corporal oxygenation is essential and will define the optimal management approach. Early intervention and prompt, appropriate therapy improves outcome. Through greater understanding of the pathophysiology of priapism, the clinician may become armed with etiology specific medical alternatives providing timely detumescence for men with prolonged erections. The authors report the experience of case of high flow priapism after perineal trauma with review of the literature.