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Stuttering priapism - a review of the therapeutic options

2008; Wiley; Volume: 62; Issue: 8 Linguagem: Inglês

10.1111/j.1742-1241.2008.01780.x

1742-1241

Asıf Muneer, Suks Minhas, Manit Arya, David Ralph,

Marriage and Sexual Relationships

Introduction: Priapism is a urological emergency which is commonly classified into low-flow and high-flow priapism. Immediate intervention is required for low-flow cases as the development of ischaemia ultimately leads to long-term erectile dysfunction. Stuttering or recurrent priapism is less well understood. This subtype is characterised by short-lived painful erections and is commonly encountered in patients with sickle cell disease. Methods: A systematic review of the treatment options available for stuttering priapism is presented combined with our own experience in managing this condition over a period of 25 years. Results: Although numerous medical treatment options have been reported, the majority are through small trials or anecdotal reports. Conclusions: Stuttering priapism is a condition which is still not well understood and there is no standardised algorithm for the management of this condition. A multicentre randomised trial is required to evaluate the treatment options.