Priapism

Painful, persistent, prolonged erection of the penis not related to sexual stimulation. Two broad categories low-flow (most common) and high-flow. 
  1. Low-flow priapism due to haematological disease, malignant infiltration of the corpora cavernosa with malignant disease or drugs. Painful because the corpora are ischaemic. 
  2. High-flow priapism—due to perineal trauma, which creates an arteriovenous fistula. Painless.
Diagnosis is usually obvious from the history and examination of the erect, tender penis (in low-flow priapism). Characteristically, the corpora cavernosa are rigid and the glans is flaccid. Examine the abdomen for evidence of malignant disease and perform a digital rectal examination to examine the prostate and check anal tone.



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Comments

  1. An anal Causes of Fistula is the result of previous or present abscess which fails to heal completely. It is more like a small bypass with one opening inside the anal canal and another outside on the skin of buttocks. Fistula is a sequel of a previous abscess or pus cavity. The pus formation is the result of an anal gland infection. When this abscess fails to heal completely, with or without treatment, a fistula develops.
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