ABSTRACT

A 43-year-old man had been admitted to the hospital with a six hours of prolonged painful erection. His history was a very usual one. He had been tested with an intracavernosal injection test because of erectile dysfunction (ED) and right after the test, his hard erection due to the injection did not resolve, and in two hours he had severe penile pain. His blood gas results revealed ischemic low-flow priapism. Initial ice pack compression to the penis to resolve the erection did not work. Then intracavernous phenylephrine injection had been tried and luckily it worked and the erection had been resolved and penile pain diminished. The follow-up of the patient was without any complication. He experienced spontaneous morning erections, proving that no permanent pathology remained because of the priapism he had.