%0 Journal Article
%T A novel approach to treatment of priapism refractory to non-surgical methods: A single-case experience
%A Gerges Bustros
%A Jad A. Degheili
%A Muhammad Bulbul
%A Nassib Abou Heidar
%A Wassim Wazzan
%J Arab Journal of Urology
%D 2019
%R https://doi.org/10.1080/2090598X.2019.1626130
%X ABSTRACT Ischaemic priapism is a rarely encountered urological emergency that can lead to erectile dysfunction if not treated. Treatment strategies for ischaemic priapism include: cavernosal sympathomimetic injections; percutaneous shunts; and surgical procedures including shunts and penile prostheses. We present a case of a middle-aged man presenting with ischaemic priapism refractory to cavernosal injections and percutaneous T-shunt procedure. After refusal of surgery, a continuous cavernosal infusion of phenylephrine was successfully performed with resolution of erection and no sequelae. For the treatment of ischaemic priapism, adherence to management guidelines should be encouraged; however, it is still a disease entity that is not well understood and new treatment protocols may have a role in the future. Abbreviation: ED: erectile dysfunctio
%U https://www.tandfonline.com/doi/full/10.1080/2090598X.2019.1626130