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What is the treatment for priapism?
The treatment of ischemic priapism includes several modalities and will
depend on how long the priapism has been present, and the results of the blood
tests. These interventions are performed in a step wise fashion with surgery
being the last resort. Unfortunately some of the treatments of priapism can lead
to erectile dysfunction in the future.
Treatments for priapism are as follows:
Aspiration: Blood is drained from the penis using a 16 or 18 gauge needle and
Medication: A medication that constricts blood vessels that carry blood into
the penis (Alpha Adrenergic Sympathomimetic; phenylephrine) is injected into the
penis using a small (29 gauge) needle into the corpora cavernosa area of the
Surgery: A surgical procedure that reroutes blood can be performed.
Ice to the area around the genitals is sometime utilized. I In severe cases
surgical procedures are available.
Non-ischemic priapism is usually not an emergency and will frequently resolve