[Treatment of priapism with phenylephrine]

Pathological erection may be ascribed to different causes and its treatment represents a challenge to the attending urologist. For the past 3 years we have utilized intracavernous phenylephrine to treat this condition. Our success rate is 93.1%, with detumescence achieved between 30 sec to 15 min. No complications have been observed and the responders have referred no changes in their sexual activity. We therefore advocate its use before recurring to more aggressive maneuvers.