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  • Two Types of Priapism
    • Low Flow “Ischemic” (Most Common >95% of Cases)
      • Urologic Emergency
        • Results in Erectile Dysfunction
      • Painful
      • Common Etiologies
        • Idiopathic
        • Erectile Dysfunction Drugs (ex. sildenafil)
        • Sickle Cell Disease
        • Trazodone (“TrazoBONE”)
        • Cocaine/Meth
    • High Flow
      • Caused by Trauma and AV Fistulas
  • Management
    • Analgesia
      • Dorsal Penile Nerve Block
    • Aspiration
      • Can intermittently irrigate with normal saline to dilute the clot
    • Injection
      • Phenylepherine
        • Recommend cardiac monitor