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Acute Ischemic Priapism: An AUA/SMSNA Guideline
Trinity J Bivalacqua1, Bryant K Allen2, Gerald Brock3
1Department of Urology, Perelman Center for Advanced Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
The Journal of Urology
|September 8, 2021
Summary
Prompt management of priapism is crucial for preventing erectile dysfunction. Early intervention for acute ischemic priapism, tailored to individual patient needs, offers the best outcomes.
Area of Science:
- Urology
- Emergency Medicine
- Men's Health
Background:
- Priapism is a prolonged erection unrelated to sexual stimulation.
- Acute ischemic priapism is a medical emergency with potential for cavernosal fibrosis and erectile dysfunction.
Purpose of the Study:
- To inform clinicians on diagnosing and treating acute ischemic priapism.
- To provide guidance on surgical and non-surgical management strategies.
Main Methods:
- Comprehensive literature search from 1960 to 2020.
- Inclusion of 137 unique articles after full-text review.
Main Results:
- Guideline addresses diagnosis, imaging, and laboratory testing.
- Recommends early urologist involvement and discusses conservative therapies.
- Details intracavernosal phenylephrine, novel surgical techniques, and prosthesis placement.
Conclusions:
- Emergent evaluation is essential to differentiate priapism subtypes.
- Early intervention for acute ischemic priapism is critical.
- Treatment should be individualized, utilizing a diversified approach based on patient goals and resources.
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