Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Priapism

Priapism

Header Text: 

Priapism is defined as a prolonged erection developing in the absence of sexual stimulation and unrelieved by ejaculation. The condition obtains its name from the Greek god of fertility and lust, Priapus.

Body: 

The duration of the erection considered to represent priapism is generally over four hours. 

Priapism can be classified into 2 main types; ischemic (synonymous with venocclusive, low-flow) and non-ischemic (arterial, high-flow). Ischemic priapism results from the failure of blood to drain from the erect penis. This can be thought of as a compartment syndrome of the penis. Over time, the lack of oxygenated blood flow to the penis results in irreversible structural changes with in the erectile tissue leading to tissue death and scarring. It is believed that even after 6-8 hours of ischemic priapism, irreversible damage begins to occur.

Body Column 2: 

Non-ischemic priapism results form unregulated inflow of blood into the erect penis. This differs form non-ischemic priapism in that the blood is oxygenated and does not get trapped within the erectile tissue.

Proper categorization is essential, as the management of the two conditions is very different, particularly as ischemic priapism is a urologic emergency, while non-ischemic is not.

Priapism - Risks & Causes

Summary: 

Many outside sources and diseases may cause priapism.

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Priapism - Symptoms & Evaluation

Summary: 

Talk to your doctor if you have an erection lasting four or more hours to prevent irreversible damage. The most important step in evaluating and treating a man with priapism is differentiating between ischemic and non-ischemic priapism.

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Priapism - Treatment Options

Summary: 

Ischemic priapism needs to be treated immediately, whereas non-ischemic priapism is not considered a urologic emergency.

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Physicians & Faculty

Dr. Peter N. Schlegel, MD, FACS | Cornell Urology

Peter N. Schlegel

M.D., F.A.C.S.

212.746.5491
212.746.5491
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. Marc Goldstein, M.D., F.A.C.S. | Weill Cornell Medicine

Marc Goldstein

M.D., F.A.C.S.

212.746.5470
212.746.5470
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
Brady Urologic Health Center
Dr.  Darius Paduch, M.D., Ph.D.

Darius A. Paduch

M.D., Ph.D.

212.746.5309
212.746.5309
AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, EBCBS PPO/EPO, Medicaid, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. James A. Kashanian, M.D.

James A. Kashanian

M.D.

212-746-5309
212-746-5309
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Access, Affinity Essential, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Emblem Select Care, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, GHI, Health First, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Medicaid, Medicare, Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Medicare], Oxford Health Plans [Metro/Core/Charter], Rockefeller University-CoreSource, UHC Community Plan - Essential Plan, UHC Community Plan - Medicaid Plan, UHC Compass, UHC Compass-HMO, UHC Medicare, United Empire Plan, United Healthcare Commercial, VNSNY CHOICE Medicare, VNSNY CHOICE SelectHealth
The LeFrak Center for Robotic Surgery

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