Family Nurse Practitioner Exam

Which of the following is a common long-term complication related to untreated priapism in children?

1. Permanent erectile dysfunction

2. Psychological trauma

3. Infection

4. Structural anomalies

The correct answer is: Permanent erectile dysfunction

The correct response identifies permanent erectile dysfunction as a significant long-term complication associated with untreated priapism in children. Priapism, a prolonged and often painful erection that is not related to sexual desire or stimulation, can lead to irreversible damage to the penile tissues if not addressed promptly. During episodes of priapism, blood flow becomes stagnant, leading to ischemia and subsequent fibrosis. This can compromise the blood vessels and nerve function within the penis, potentially resulting in erectile dysfunction that persists even after the priapism resolves. While other complications could also occur, such as psychological trauma due to experiencing painful episodes, infections possibly arising from any resultant injuries, or structural anomalies from tissue damage, permanent erectile dysfunction stands out as a direct consequence of the vascular and tissue changes that occur due to prolonged ischemia. Addressing priapism quickly is crucial in preventing these severe and lasting effects.