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Treatments for Priapism
Treatment list for Priapism:
The list of treatments mentioned in various sources for Priapism includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
- Emergency treatment
- Removal of penile blockage
- Needle aspiration of blood
Treatments of Priapism: Online Medical Books
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Priapism:
Treatment
(In a Page: Signs and Symptoms)
- Immediate urologic consultation is indicated
- Local: Ice packs; ice water enemas; if not effective, use hot water enemas; pressure dressing
- Medical: Sedatives; analgesics; may require narcotics; antispasmodic/anticholinergic drugs; estrogens; anticoagulants; procaine; amyl nitrate; IV fluids
- Injection: Local or general anesthesia; ketamine (IV or IM)
- Invasive: aspiration of the corpora cavernosa followed by injection of α-adrenergic agonist (e.g., phenylephrine, which may be repeated at 5 minute intervals)
- Surgery (urology referral): Cavernospongiosum shunt; glans-cavernosum shunt; cavernosaphenous shunt; arterial embolization
- Sickle cell disease: IV fluids; alkalinization; transfusion or exchange-transfusion; supplemental O2
Priapism:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If the patient has priapism, apply an ice pack to the penis, administer an analgesic, and insert an indwelling urinary catheter to relieve urine retention. Procedures to remove blood from the corpora cavernosa, such as irrigation and surgery, may be required.
Priapism:
Emergency Interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient has priapism, apply an ice pack to the penis, administer an analgesic, and insert an indwelling urinary catheter to relieve urine retention. Procedures to remove blood from the corpora cavernosa, such as irrigation and surgery, may be required.
Priapism:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for blood tests to help determine the cause of priapism.
▪ If he requires surgery, keep his penis flaccid postoperatively by applying a pressure dressing.
▪ At least once every 30 minutes, inspect the glans for signs of vascular compromise, such as coolness or pallor.
Patient teaching
▪ Explain the underlying condition and its treatments.
▪ Tell the patient with sickle cell anemia to report episodes of priapism.
Unlabelled alternative drug treatments include:
- Epinephrine
- Adrenaline
- Adrenalin
- Terbutaline
- Brethaire
- Brethine
- Bricanyl
- Bricanyl Spacer
- Med-Broncodil
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