April 15, 2023

Deep Dive MW R8

Deep Dive MW R8
Deep Dive MW R8
EM Clerkship
Deep Dive MW R8
Spotify podcast player icon Spotify Spotify
Spotify podcast player icon Spotify Spotify






* Two Types of Priapism

* Low Flow “Ischemic” (Most Common >95% of Cases)

* Urologic Emergency

* Results in Erectile Dysfunction





* Painful



* Common Etiologies

* Idiopathic



* Erectile Dysfunction Drugs (ex. sildenafil)



* Sickle Cell Disease



* Trazodone (“TrazoBONE”)



* Cocaine/Meth







* High Flow

* Caused by Trauma and AV Fistulas







* Management

* Analgesia

* Dorsal Penile Nerve Block





* Aspiration

* Can intermittently irrigate with normal saline to dilute the clot





* Injection

* Phenylepherine

* Recommend cardiac monitor