Radiologic Evaluation of Penile Priapism

[madman]

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Dr. Jessica Fried is an Abdominal Imaging Specialist at the University of Michigan. This video reviews interpretation of penile ultrasound for the evaluation of priapism, an important urological emergency for which imaging can make a critical difference in the management and disposition of a patient presenting with this problem. This quick review will help you to interpret these uncommon but high stakes examinations with confidence.




Conclusion

 

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Review of Anatomy

 

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Penile US

Penile US with Doppler +/- Duplex

 

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Presentation

Presentation & Pathophysiology

Etiology

Interpretation

 

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Conclusion

 

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Thread 'Experts discuss urgent priapism management strategies, emphasizing timely intervention and collaboration for optimal patient outcomes.'

May 14, 2025

* Carrier emphasizes the urgency of intervention once priapism crosses the ischemic threshold. He outlines what to do when patients show up with erections lasting more than 12 hours, including aspiration, phenylephrine use, and when to escalate to surgical shunting. Broderick reinforces that every minute counts, sharing insights from decades of resident training and why aspiration should be performed until bright red blood returns—signaling better oxygenation and a higher chance of pharmacologic success....

• madman
• priapism; ed; treatments; aspiration/surgery
• Replies: 2
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