Abstract:
:Recent advances in the understanding of erectile physiology have improved the prompt diagnosis and treatment of priapism. During initial assessment, the physician must distinguish between veno-occlusive low flow (ischemic) and arterial high flow (nonischemic) in order to choose the correct treatment option for each type of priapism. Patient history, physical examination, penile haemodynamics and corporeal metabolic blood quality assist the distinction between static and dynamic priapism. Normally, priapism is effectively treated with intracavernous vasoconstrictive agents or surgical shunting. However, when these two methods fail, subsequent treatment procedures are a matter for debate. Alternative options, such as intracavernous injection of methylene blue or selective penile arterial embolization, for the management of high and low flow priapism are described and a survey of current treatment modalities is presented.
journal_name
Andrologiajournal_title
Andrologiaauthors
Martínez Portillo FJ,Jünemann KPdoi
10.1111/j.1439-0272.1999.tb01451.xkeywords:
subject
Has Abstractpub_date
1999-01-01 00:00:00pages
53-8eissn
0303-4569issn
1439-0272journal_volume
31 Suppl 1pub_type
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