A 35-year-old male presents with a painful erection that has lasted 5 hours following recreational use of sildenafil and cocaine. He is in significant...

Question

A 35-year-old male presents with a painful erection that has lasted 5 hours following recreational use of sildenafil and cocaine. He is in significant distress. What is this condition and why is it time-critical?

Accepted Answer

Priapism - ischaemic (low-flow) priapism causes ischaemic damage to the corpus cavernosum; detumescence must be achieved within 4-6 hours to prevent irreversible erectile dysfunction

Answer

Normal physiological response to sildenafil

Answer

Urethral obstruction

Answer

Peyronie's disease exacerbation

Answer

Priapism - it is painful but not time-critical

uk-dipimc MCQ (SBA): Ischaemic Priapism

A 35-year-old male presents with a painful erection that has lasted 5 hours following recreational use of sildenafil and cocaine. He is in significant distress. What is this condition and why is it time-critical?