Urology NEET MCQs
Practice questions likely from MCH exams
Q1. Which of the following is not a therapeutic option in management of Priapism
a) Needle aspiration of blood from penis
b) Exchange transfusion
c) Side to side anastomosis of corpora cavernosum and corpus spongiosum
d) Instillation of papaverine in corpora cavernosa
A1 ) d
First step in management of priapism is simple aspiration of blood from the corpus cavernosum
Next is irrigation of the corpus with a dilute solution of epinephrine or norepinephrine may work.
Papaverine should not be injected it is used to treat impotence.
Shunts between glans (corpus spongiosum) and the corpus cavernosa created with biopsy needles or scalpel blades may provide a path of egress for blood trapped in the penis.
Last option is formal spongiosum-to-cavernosum shunts may be created.
When priapism is secondary to sickle cell anemia, exchange transfusions might help
Treatment initiated after 24–36 hours rarely restores normal erectile function