Which conditions are included in the differential diagnoses of 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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Answer

The diagnosis of priapism may be straightforward, depending on the physical findings. Pathologic states associated with priapism give rise to the differential diagnosis. Some of the major considerations are as follows:

  • Intracavernosal agents used to treat erectile dysfunction
  • Oral agents used to treat erectile dysfunction
  • Genitourinary trauma
  • Medications
  • Cocaine
  • Spinal stenosis
  • High spinal cord injury
  • Urethral foreign body
  • Penile surgical implant
  • Erection from sexual arousal

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