Dr. Westafer (@Lwestafer) is an attending physician and research fellow at Baystate Medical Center, clinical instructor at the University of Massachusetts Medical School in Worcester, and co-host of FOAMcast.
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ACEP Now: Vol 43 – No 06 – June 2024References
- Bivalacqua TJ, Allen BK, Brock GB, et al. The diagnosis and management of recurrent ischemic priapism, priapism in sickle call patients, and nonischemic priapism: an AUA/SMSNA guideline. J Urol. 2022;208(1):43-52.
- Habous M, Elkhouly M, Abdelwahab O, et al. Noninvasive treatments for iatrogenic priapism: Do they really work? A prospective multicenter study. Urol Ann. 2016;8(2):193-196.
- Lowe FC, Jarow JP. Placebo-controlled study of oral terbutaline and pseudoephedrine in management of prostaglandin E1-induced prolonged erections. Urology. 1993;42(1):51-53.
- Govier FE, Jonsson E, Kramer-Levien D. Oral terbutaline for the treatment of priapism. J Urol. 1994;151(4):878-879.
- Ridyard DG, Phillips EA, Vincent W, et al. Use of high-dose phenylephrine in the treatment of ischemic priapism: Five-year experience at a single institution. J Sex Med. 2016;13(11):1704-1707.
- Sidhu AS, Wayne GF, Kim BJ, et al. The hemodynamic effects of intracavernosal phenylephrine for the treatment of ischemic priapism. J Sex Med. 2018;15(7):990-996.
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One Response to “Updated Urology Guidelines for Priapism”
March 2, 2025
Ed ArnoldIt is unfortunate that most suppliers of Trimix direct their customers to have regular Sudafed or Afrin on hand to deal with priapism. My experience is that these simply don’t work. What suppliers should offer to new patients, is a vial of phenylephrine which they can inject themselves, if they raise their Trimix dose too fast. However there seems to be resistance to this idea. My Trimix vendor does not stock phenylephrine, and docs who write Trimix prescriptions do not routinely include a phenylephrine prescription.