How is prolonged or refractory priapism treated?

Updated: Dec 26, 2019
  • Author: Osama Al-Omar, MD, MBA, FACS, FEBU; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Surgery

Distal shunt in the form of transglanular-to–corpus cavernosal scalpel or needle-core biopsy (Ebbehoj or Winter technique) is the first reasonable approach to refractory cases. A unilateral shunt is often effective. Bilateral shunts are used only if necessary (usually apparent after 10 min).

Prolonged low-flow priapism results in a variable degree of cavernosal fibrosis and a subsequent loss of penile length. Immediate insertion of a penile prosthesis in patients with prolonged low-flow priapism is simple and maintains penile length.

See Treatment and Medication for more detail.


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