AI Article Synopsis
- Priapism is a rare condition that involves a painful, prolonged erection not linked to sexual arousal, with ischemic priapism being the most common type that needs urgent care to avoid lasting damage.
- The article reviews initial treatment strategies for ischemic priapism, recommending intravascular injections of phenylephrine and aspiration as primary approaches, tailored to individual patient situations.
- While guidelines provide specific directions for cases lasting over 4 hours, addressing cases of shorter durations poses challenges due to a lack of sufficient evidence.
Article Abstract
Priapism is a rare condition characterized by prolonged and often painful penile erection unrelated to sexual stimulation. Ischemic priapism, the most common subtype, requires immediate attention to prevent irreversible damage to erectile tissue. This narrative review explores the initial management strategies for ischemic priapism. Intracavernosal phenylephrine injection and aspiration with or without irrigation are recommended as first-line treatments, with alternative options available depending on clinical settings and patient factors. While guidelines offer clear recommendations for priapism lasting more than 4 h, management of shorter-duration cases remains challenging due to limited evidence.
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| http://dx.doi.org/10.1038/s41443-024-00951-1 | DOI Listing |
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