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Sickle cell disease is the most common cause of ischemic priapism. [3] Other causes include medications such as antipsychotics, SSRIs, blood thinners and prostaglandin E1, as well as drugs such as cocaine. [3] [5] Ischemic priapism occurs when blood does not adequately drain from the penis. [3]
Physiologic phimosis, common in males 10 years of age and younger, is normal, and does not require intervention. [26] [35] [27] Non-retractile foreskin usually becomes retractable during the course of puberty. [27] If phimosis in older boys or adult males is not causing acute and severe problems, nonsurgical measures may be effective.
A variety of treatments exist, most notably including the phosphodiesterase type 5 inhibitor drugs (such as sildenafil citrate, marketed as Viagra), which work by vasodilation. Priapism , a form of persistent genital arousal disorder , is a painful and potentially harmful medical condition in which the erect penis does not return to its flaccid ...
Common causative organisms include candida, chlamydia, and gonorrhea. The cause must be properly diagnosed before a treatment can be prescribed. A common risk factor is diabetes. Posthitis can lead to phimosis, the tightening of the foreskin which makes it difficult to retract over the glans. Posthitis can also lead to superficial ulcerations ...
Some drugs may be legally classified as over-the-counter (i.e. no prescription is required), but may only be dispensed by a pharmacist after an assessment of the patient's needs or the provision of patient education. Regulations detailing the establishments where drugs may be sold, who is authorized to dispense them, and whether a prescription ...
Counseling can be used if the underlying cause is psychological, including how to lower stress or anxiety related to sex. [12] Medications by mouth and vacuum erection devices are first-line treatments, [10]: 20, 24 followed by injections of drugs into the penis, as well as penile implants.
Oral anti-baldness drugs called finasteride and dutasteride have a known risk of psychiatric side effects. Finasteride, branded as Propecia, already comes with warnings about the risk of suicidal ...
Initial treatment in adults often involves simply pulling back the foreskin and cleaning the penis. [1] However, some topical antibiotic and fungal ointments may be used for treatment for mild cases. Depending upon severity, hydrocortisone and other steroidal creams may be used upon consultation.