Priapism

[bobbyseal]

Lately, I've been aspirating, irrigating, and injecting phenyl in a lot of priapisms. I've done about 4 or 5 in the last month. It's kind of irritating to get these guys in all the time.

Is there anything in the literature about non-ER methods of treating priapism? I'm really getting sick of injecting people while on call. What can I do to help these guys stay down?

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[former military]

if they don't have cardiac problems... they need a sudafed bottle and take two tabs after they are done with sex... that will keep some out... many priapisms are the result of too big of a dose of pge injections....

 

[bobbyseal]

Yeah, the guy already tried that. No help.

We started one person on tadalafil 5mg 3x/week. There were some case reports of it working in the gold journal. I'm not sure when he's set to come to clinic, but we'll see how it goes.

 

[former military]

patients with severe, recurrent priapism have been tried on ketoconazole on lupron injection... stuttering priapism is the term...

 

[Pir8DeacDoc]

lupron is what I've heard.. also could consider Winter Shunt