Abstract
Priapism is defined as a pathologic condition in which penile erection persists beyond, or is unrelated to, sexual stimulation. Despite advances in the knowledge of erectile pathophysiology, priapism remains a diagnostic and therapeutic enigma. Cavernosal blood gas analysis and color Doppler ultrasonography aid in the differentiation between arterial and ischemic types. Aspiration therapy, shunt surgery, and implant surgery should be used to effect detumescence and preserve long-term sexual function in ischemic priapism. Internal pudendal angiography with selective embolization should be used to diagnose and treat arterial priapism.
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