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[Priapism of low flow].

J L Ruiz Cerda1, B Moreno Pardo, G Server Pastor

  • 1Servicio de Urología, Hospital La Fe, Valencia, España.

Actas Urologicas Espanolas
|November 1, 1991
PubMed
Summary

Low flow priapism treatment outcomes varied. Intracavernous injection-induced cases responded well to aspiration and medication, preserving erectile function. Idiopathic cases required venous bypass, with limited recovery of normal erections.

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Area of Science:

  • Urology
  • Andrology
  • Emergency Medicine

Context:

  • Low flow priapism is a urological emergency requiring prompt diagnosis and management.
  • Diagnostic tools include cavernous gasometry, penile ecodoppler, and cavernosography.
  • Treatment strategies depend on the etiology and duration of priapism.

Purpose:

  • To evaluate the treatment outcomes for low flow priapism in 13 patients.
  • To compare the efficacy of different treatment modalities based on priapism etiology.
  • To assess the impact of treatment on subsequent erectile function.

Summary:

  • Seven patients (53%) with drug-induced priapism achieved detumescence with aspiration lavage and alpha-agonist therapy, maintaining erectile function.
  • Six patients (47%) with idiopathic priapism required venous bypass procedures.

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  • Only one patient with idiopathic priapism regained normal erectile function post-treatment.

    • Impact:

    • Aspiration lavage and alpha-agonist medication are effective for drug-induced low flow priapism, preserving erectile function.
    • Idiopathic low flow priapism often necessitates surgical intervention with a less favorable prognosis for erectile function recovery.
    • These findings guide clinical decision-making in managing low flow priapism based on its cause.