{"id":6752,"date":"2026-03-17T13:03:43","date_gmt":"2026-03-17T13:03:43","guid":{"rendered":"https:\/\/apexnewssl.com\/?p=6752"},"modified":"2026-03-17T13:03:43","modified_gmt":"2026-03-17T13:03:43","slug":"priapism-complete-explanation","status":"publish","type":"post","link":"https:\/\/apexnewssl.com\/?p=6752","title":{"rendered":"Priapism \u2013 Complete Explanation"},"content":{"rendered":"<p><strong>Definition<\/strong><\/p>\n<p>Priapism is a prolonged, persistent penile erection lasting more than 4 hours that occurs without sexual stimulation and does not subside after ejaculation. It is a urological emergency because prolonged erections can cause permanent tissue damage and erectile dysfunction.<\/p>\n<p><strong>Types of Priapism<\/strong><\/p>\n<ol>\n<li>Ischemic (Low-Flow) Priapism \u2013 Most Common &amp; Dangerous<\/li>\n<\/ol>\n<ul>\n<li>Caused by blocked venous outflow<\/li>\n<li>Blood becomes trapped and deoxygenated in the penis<\/li>\n<li>Very painful<\/li>\n<li>Penis is rigid, but the tip (glans) is often soft<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Why it\u2019s dangerous:<\/strong><\/p>\n<ul>\n<li>Lack of oxygen leads to tissue ischemia and necrosis<\/li>\n<li>After 6\u20138 hours \u2192 high risk of permanent erectile dysfunction<\/li>\n<\/ul>\n<ol start=\"2\">\n<li>Non-Ischemic (High-Flow) Priapism<\/li>\n<\/ol>\n<ul>\n<li>Caused by uncontrolled arterial inflow<\/li>\n<li>Usually follows perineal or penile trauma<\/li>\n<li>Less painful<\/li>\n<li>Penis is partially rigid<\/li>\n<li>Not an immediate emergency but still needs evaluation<\/li>\n<\/ul>\n<ol start=\"3\">\n<li>Stuttering (Recurrent) Priapism<\/li>\n<\/ol>\n<ul>\n<li>Repeated episodes of ischemic priapism<\/li>\n<li>Common in patients with sickle cell disease<\/li>\n<li>Episodes resolve but recur frequently<\/li>\n<\/ul>\n<p><strong>Causes of Priapism<\/strong><\/p>\n<p>Blood Disorders<\/p>\n<ul>\n<li>Sickle cell disease (most common in children)<\/li>\n<li>Leukemia<\/li>\n<li>Thalassemia<\/li>\n<\/ul>\n<p><strong>Medications<\/strong><\/p>\n<ul>\n<li>Erectile dysfunction drugs (sildenafil, tadalafil)<\/li>\n<li>Antidepressants (trazodone, SSRIs)<\/li>\n<li>Antipsychotics<\/li>\n<li>Blood thinners<\/li>\n<li>Recreational drugs (cocaine, marijuana, alcohol)<\/li>\n<\/ul>\n<p><strong>Trauma<\/strong><\/p>\n<ul>\n<li>Pelvic or perineal injury (especially for high-flow priapism)<\/li>\n<\/ul>\n<p><strong>Neurologic Conditions<\/strong><\/p>\n<ul>\n<li>Spinal cord injury<\/li>\n<li>Brain tumors<\/li>\n<\/ul>\n<p><strong>Idiopathic<\/strong><\/p>\n<ul>\n<li>No identifiable cause<\/li>\n<\/ul>\n<p><strong>Pathophysiology (How It Happens)<\/strong><\/p>\n<p>Normal Erection<\/p>\n<ul>\n<li>Increased arterial inflow<\/li>\n<li>Venous outflow decreases temporarily<\/li>\n<li>After ejaculation \u2192 blood drains<\/li>\n<\/ul>\n<p><strong>Ischemic Priapism<\/strong><\/p>\n<ul>\n<li>Venous outflow remains blocked<\/li>\n<li>Blood becomes hypoxic<\/li>\n<li>Leads to:<\/li>\n<li>Acidosis<\/li>\n<li>Edema<\/li>\n<li>Tissue necrosis<\/li>\n<\/ul>\n<p><strong>Non-Ischemic Priapism<\/strong><\/p>\n<ul>\n<li>Arterial blood flows uncontrollably into erectile tissue<\/li>\n<li>Blood remains oxygenated<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Definition Priapism is a prolonged, persistent penile erection lasting more than 4 hours that occurs&#8230;<\/p>\n","protected":false},"author":1,"featured_media":6753,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[14],"tags":[],"class_list":["post-6752","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Priapism \u2013 Complete Explanation - Apexnewssl.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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