Open AccessStuttering priapism – a review of the therapeutic options
Author(s) -
Muneer A.,
Minhas S.,
Arya M.,
Ralph D. J.
Publication year - 2008
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/j.1742-1241.2008.01780.x
Subject(s) - priapism , medicine , stuttering , erectile dysfunction , disease , randomized controlled trial , intervention (counseling) , intensive care medicine , surgery , psychiatry , audiology
Summary 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.