Once your doctor analyzes your symptoms and your medical history, they will perform a physical examination of your genitals, abdomen, groin, and perineum, to determine the type of priapism you have, for which they may require a series of tests to confirm the diagnosis, such as:
- Blood and laboratory tests: to help detect the presence of cancer, sickle cell disease, or other blood disorders.
- Identification and measurement of gases in the penis’ blood: to determine the type of priapism in question.
- Ultrasound: to measure blood flow inside the penis or observe any injury or abnormality in it.
- Toxicological studies: to determine if any medication is responsible for the condition.
The treatment to be followed will depend on the type of priapism you suffer from. If it is ischemic, the doctor will drain the blood from the penis with the help of a syringe and will administer medications that dilate the blood vessels to facilitate drainage. If this doesn't work, you may need to have surgery to drain the oxygen-depleted blood and restore blood flow.
In the case of nonischemic priapism, the erection will go away without the need for treatment. Besides, there is no risk of damaging the penis. The doctor may suggest the application of ice compressing the perineum to reverse the erection.
If you have sickle cell disorder, you'll need additional treatment for sickle cell disease in addition to what you receive for priapism.
At ABC Medical Center’s Internal Medicine Department, we offer health care services with the highest quality and safety, from the prevention, diagnosis, timely treatment, and monitoring of infectious, respiratory, endocrinological, dermatological, rheumatic, nephrological, gastrointestinal, and hematological pathologies of both chronic-degenerative diseases and acute conditions, through a comprehensive and multidisciplinary model.