By age 18, approximately 90% of SCD males will have had at least one episode of priapism. Stuttering priapism, where erection episodes last anywhere from a few minutes to less than 2 hours, resolves spontaneously. Erections lasting more than 2 hours should be evaluated promptly. Goals of therapy are to provide pain relief, reduce anxiety, provide detumescense, and preserve testicular function and fertility. Initial treatment should include aggressive hydration and analgesia. Transfusion may or may not be helpful, but should be considered in anemic patients. Avoid the use of ice packs due to the risk of tissue damage.5,9

Both vasoconstrictors and vasodilators have been used in the treatment of priapism. Vasoconstrictors are thought to work by forcing blood out of the cavernosum and into the venous return. Aspiration of the penile blood followed by intracavenous irrigation with epinephrine (1:1,000,000 solution) has been effective with minimal complications.40 In severe cases, surgical intervention to place penile shunts has been used, but there is a high failure rate, and the risk of complications, from skin sloughing to fistulas, limits its use.

Stuttering Simple Techniques to Help Control Your Stutter

Stuttering Simple Techniques to Help Control Your Stutter

Discover Simple Techniques to Help Control Your Stutter. Stuttering is annoying and embarrassing. If you or a member of your family stutters, you already know the impact it can have on your everyday life. Stuttering interferes with communication, and can make social situations very difficult. It can even be harmful to your school or business life.

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