ABSTRACT
Ischemic priapism is a urological emergency.
Prompt treatment is the key to the resolution of ischemic priapism and the maintenance of subsequent erectile function.
Ischemic priapism is treated in a stepwise fashion starting with aspiration and intracavernosal sympathomimetic injection and progressing towards invasive surgical shunts.
Color duplex ultrasonography is helpful in the evaluation of non-ischemic priapism.
If expectant management fails, non-ischemic priapism is treated with selective embolization.
Stuttering priapism is best treated with systemic therapy aimed at the prevention of recurrence.
Prospective multi-institutional trials are needed to assess the safety and efficacy of treatments in this poorly understood disease.
