Management Of Priamismus Caused By Sickle Cell Anemia?
Good morning, doctor, please enlighten me if priamismus is caused by sickle cell anemia, is it better to do arterial dep to the penis, do it … And how to deal with it further, thank you.
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Priapism is a prolonged erection without sexual stimulation due to impaired blood circulation to the penis. Based on the cause, priapism is divided into two, ischemic and non-ischemic.
Ischemic priapism occurs because the penile blood vessels become blocked, as a result blood collects in the penis and cannot flow. Can occur in patients with sickle cell anemia, leukemia, thalassemia, multiple myeloma, taking blood-thinning drugs, due to drugs, hormone therapy, and so forth. Noniscemic priapism occurs not because of a blockage, for example due to a torn or broken blood vessel, for example due to injury, insect / animal bites, nerve disorders and so forth.
In patients with sickle cell anemia, priapism can recur. Symptoms include erect penis for more than 4 hours, pain and stiffness with a soft tip. Treatment of ischemic priapism is including drugs that are injected directly into the penis, spending blood that accumulates until the erection subsides by the doctor, or by surgery that changes blood flow to the penis to prevent blockages. Surgical treatment of changes in blood flow is done if other methods are not effective.
In addition, the treatment of sickle cell anemia also needs to be done to avoid recurrent blockages. In addition to the penis, blockages can also occur in other organs, including the brain that can be life-threatening. The only treatment of sickle cell anemia that can handle it completely is bone marrow transplantation. Other treatments such as blood transfusion and prevention of sickle cell crisis can also be done to prevent more severe conditions.
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