Priapism
- Ischemic priapism is a urologic emergency
- Aspirate/irrigate corpus cavernosum
- Intracavernosal phenylephrine is first-line drug
- Monitor BP/HR during sympathomimetic treatment
- Refractory ischemia → surgical shunt
- Nonischemic priapism is managed differently
Use at a glance
- Ischemic priapism is a urologic emergency
Escalation / refractory disease
- Intracavernosal phenylephrine is first-line drug
- Refractory ischemia → surgical shunt
Practical pearls
- Aspirate/irrigate corpus cavernosum
Other practical pearls
- Nonischemic priapism is managed differently
Monitoring / follow-up
- Monitor BP/HR during sympathomimetic treatment
Self-check
- What is the first-line drug for ischemic priapism?
Intracavernosal phenylephrine. - What is monitored during sympathomimetic priapism treatment?
BP/HR.
Drugs used for this (1)
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