Priapism is a painful condition in which erect penis not return to flaccid state despite absence of both physical and psychological stimulation within 4 hrs. Its uncommon condition, true incidence not known, affects only corpora cavernosum and can be divided in 2 types: Low flow type 80 to 90% pripism belongs to this categery,in this blood not return to systemic circulation,trapped blood become deoxygenated leads to ischemia and gangrene.

High flow..because short circuit in vascular system as fistula formation Most common causes are followings: Heamtological causes.. sickle cell disease,luekamias and thelesimia ntracavernosal agents injected for erectile dysfunction like papaverine and alprostadil Anti hypertensive and antipsychotic drugs like chlopramazine , trazodone and sodium valproat Brazalian spider bite Diagnosis: CBC Reticulocyte count Hb electrophoresis Urine examination Blood…