SURMILA APRI YULISA

712016082
Reproductive health is a state of complete physical,
mental and social well-being and not merely the
absence of disease or infirmity, in all matters
relating to the reproductive system and to its
functions and processes.
A reproductive system disease is any disease of
the reproductive system, such as priapism and
chancroid.
Persistent erection not accompanied by
sexual desire or stimulation
Usually pain
> 4-6 hours
Corpora cavernosa only
Peak incidence 5-10 and 20-50yrs.
 Ischaemic (veno-occlusive)
Most common
Painful sec to tissue ischaemia and smooth muscle hypoxia
(compartment syndrome)
Emergency
Nonischaemic (arterial)
Less common
Unregulated cavernous inflow
Usually not fully erect and painless
Non-Emergency
ETIOLOGY
 Anamnesis : Pain, duration of priapism, existence
of etiologic conditions, erectile function status
before the priapism episode.
Physical Examination : Erect or semi-erect penis
with a flaccid glans, Search for signs of trauma,
Search for other possible .
Laboratory : Blood gases
Radiologic : Color duplex ultrasoud
*Acidotic : pH < 7.25, pO2 < 30 mmHg, pCO2 > 60 mmHg.
 Mechanical: iced compression
Pharmacologic: -agonists : Fenilefrin.
Aspiration and irrigation
Surgical: Fistula ligation

Arterial priapism : Selective embolization: new

procedure with varying degrees of success
Erectile dysfunction
Impotence
Gangrene
Hydronephrosis
The duration of symptoms before treatment
correlated markedly with the risk of impotence
In that 92% of those whose priapism had lasted
less than 24 h remained potent but only 22% of
those for whom it had lasted longer than 7 days.
CHANCROID
Chancroid is a sexually transmitted,
acute ulcerative disease usually localized
at the anogenital area and often
associated with inguinal adenitis or
buboes.
Caused by bacterial
Haemophilus ducreyi.
H. ducreyi is a short,
slender, gram-negative
bacillus with rounded
ends.
Factors in H. ducreyi infection :
Adherence to the epithelial surface
Rate production of exotoxins
Resistence of the host defence mechanism

Trauma or microabrasion to the skin or mucosa is

necessary for the penetration of the organism into
the epidermis.
 Incubation period of less than 7 days
Multiple lesion
Has sharply defined, undermined borders
Has irregular or ragged borders
Has A base that is covered with A gray or yellowish-gray
material
Has A base that bleeds easily if traumatized or scraped
Is painful
 Culture
Gram/ Giemsa staining.
PCR
Imunofluoresens technique.

*Clinical diagnosis and laboratory culture of H ducreyi

were used as gold standards for the diagnosis of
chancroid in the past.
 Sifilis Std I
LGV
Herpes Genitalis

Granuloma Inguinale
Antibiotics (various)
Treatment should be started promptly, without
waiting for test results. One of the following is
recommended:
A single-dose of azithromycin 1 g po or ceftriaxone
Erythromycin 500 mg po qid for 7 days
Ciprofloxacin 500 mg po bid for 3 days
COMPLICATIONS

Inguinal Lymphadenitis

Mixed Chancre

Fimosis
Fistula Uretra
The disease is self-limited, and systemic
spread does not occur.