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Penile emergencies


Penile emergencies in primary care represent a spectrum of acute urological conditions that require prompt identification and management to prevent long-term complications. These conditions range from traumatic injuries and prolonged erections (priapism) to infections and vascular disorders, each presenting with distinct clinical features but sharing the potential for significant morbidity if not addressed quickly.


Primary care clinicians play a crucial role in the early recognition of these emergencies, facilitating timely referral to specialized care when necessary. Understanding the aetiology, key clinical presentations, and initial management strategies is essential for effective triage and care. This includes not only addressing the immediate clinical concern but also identifying underlying risk factors, providing patient education to prevent recurrence, and ensuring appropriate follow-up


Penile EmergencyDescriptionManagement
Penile TraumaBlunt or penetrating trauma, often from vigorous sexual activity. It is characterized by an audible snap, sudden pain, loss of erection, swelling, bruising, and deviation.Immediate referral to urology or ED. Imaging and possible surgical intervention.
PriapismPathological prolonged erection. They are classified as low-flow (ischemic) or high-flow (non-ischemic).Low-flow: Urological emergency requiring prompt treatment to prevent permanent damage.
High-flow: Often managed conservatively, not an immediate emergency.
Penile Mondor's DiseaseAcute thrombosis of the superficial dorsal...

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