Surgical Management of Ischemic Priapism: what are the New Options?

Rohit Badia; Sidney Roberts; Alexandria Hertz; Allen Morey; Maia VanDyke

doi:10.1590/S1677-5538.IBJU.2024.0497

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Surgical Management of Ischemic Priapism: what are the New Options?

Journal article

Open access

Peer reviewed

Surgical Management of Ischemic Priapism: what are the New Options?

Rohit Badia, Sidney Roberts, Alexandria Hertz, Allen Morey and Maia VanDyke

International braz j urol : official journal of the Brazilian Society of Urology, Vol.51(1), pp.1-8

01/01/2025

DOI: 10.1590/S1677-5538.IBJU.2024.0497

PMCID: PMC11869914

PMID: 39556848

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https://doi.org/10.1590/S1677-5538.IBJU.2024.0497View

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Abstract

Ischemic priapism is a true urologic emergency. Prompt intervention is required to alleviate the compartment syndrome and restore perfusion to the corporal bodies; failure to do so results in irreversible damage, fibrosis, and profound erectile dysfunction. This paper's objective is to review current literature surrounding the management options for ischemic priapism, focusing on newer surgical techniques. A PubMed database search was performed in June 2024, encompassing the terms "priapism," and "surgical management." Articles were reviewed by two authors independently and included if they were deemed to pertain specifically to management of ischemic priapism. In the acute setting (certainly for priapism lasting <24 hours), management is often successful using bedside maneuvers such as aspiration, irrigation, and injection of sympathomimetic agents. For more prolonged priapism, more aggressive intervention is often warranted. Newer tunneling techniques-including penoscrotal decompression and the corporal snake maneuver-have shown promising preliminary results, not just in terms of priapism resolution but also perhaps sexual function recovery.

Humans

Ischemia - surgery

Male

Penis - blood supply

Penis - surgery

Priapism - etiology

Priapism - surgery

Details

Title: Subtitle: Surgical Management of Ischemic Priapism: what are the New Options?
Creators: Rohit Badia - The University of Texas Southwestern Medical Center
Sidney Roberts - The University of Texas Southwestern Medical Center
Alexandria Hertz - The University of Texas Southwestern Medical Center
Allen Morey - Urology Associates of North Texas
Maia VanDyke - The University of Texas Southwestern Medical Center
Resource Type: Journal article
Publication Details: International braz j urol : official journal of the Brazilian Society of Urology, Vol.51(1), pp.1-8
DOI: 10.1590/S1677-5538.IBJU.2024.0497
PMID: 39556848
PMCID: PMC11869914
NLM abbreviation: Int Braz J Urol
ISSN: 1677-5538
eISSN: 1677-6119
Language: English
Date published: 01/01/2025
Academic Unit: Urology
Record Identifier: 9984848501802771

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