Which physical findings are characteristic of high-flow priapism?

Updated: Dec 26, 2019
  • Author: Osama Al-Omar, MD, MBA, FACS, FEBU; Chief Editor: Edward David Kim, MD, FACS  more...
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Aspects of the physical examination consistent with high-flow priapism are as follows:

  • Adequate arterial flow

  • Well-oxygenated corpora

  • Evidence of trauma

In young children, the presence of the Piesis sign (prompt detumescence upon perineal compression with the examiner’s thumb) indicates high-flow priapism.

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