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Updated: Jan 26, 2026

The Hypoxic Ischemic Encephalopathy Model of Perinatal Ischemia

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Published on: November 19, 2008

An Update on Non-Ischemic Priapism.

Amanda R Ingram¹, Stephanie A Stillings¹, Lawrence C Jenkins¹

¹The Ohio State University Department of Urology, Columbus, Oho, USA.

Sexual Medicine Reviews

|April 17, 2019

Summary

This summary is machine-generated.

Non-ischemic priapism, though rare, can be managed conservatively or with interventions like embolization. Angiographic embolization outcomes vary, with permanent agents potentially offering better erectile function preservation despite higher initial resolution rates with temporary agents.

Keywords:

Arterial Priapism Erectile Dysfunction High-Flow Priapism Non-Ischemic Priapism Priapism

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Area of Science:

Urology
Andrology
Vascular Surgery

Background:

Non-ischemic priapism, characterized by unregulated arterial inflow, is less common and understood than low-flow priapism.
This review focuses on recent data to better characterize this condition.

Purpose of the Study:

To summarize recent data on non-ischemic priapism management and outcomes.
To evaluate treatment success rates, need for repeat procedures, and impact on erectile function.

Main Methods:

A systematic literature review of non-ischemic priapism from 2000-2018 was conducted.
105 articles were included, analyzing 237 cases.
Treatment modalities, success rates, and erectile dysfunction (ED) rates were assessed.

Main Results:

73% of patients underwent immediate intervention, while 27% tried conservative management first.
Angiographic embolization was the most common intervention.
Embolization with permanent agents showed higher resolution and lower ED rates compared to temporary agents, contrary to some literature.

Conclusions:

Evidence quality is limited due to small case series.
Conservative management may be a viable first step.
Further research is needed to clarify angioembolization outcomes, particularly regarding ED rates with different agents.