What are the EAU guidelines on the diagnosis and treatment of priapism?

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

The European Association of Urology released guidelines on the diagnosis and treatment of priapism in 2014. [40] Treatment recommendations include the following:

  • Interventions for ischemic priapism, which is an emergency condition, should begin within 4-6 hours and include decompression of the corpora cavernosa by aspiration and intracavernous injection of sympathomimetic drugs
  • When conservative management for ischemic priapism fails, surgical treatment is recommended
  • For patients with long-lasting priapism, immediate implantation of a prosthesis should be considered
  • For arterial priapism, which is not an emergency, selective embolization has high success rates
  • The main therapeutic goal for stuttering priapism is prevention of future episodes, which may be achieved pharmacologically (although information on the efficacy of such treatment is limited)

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