Editing Priapism (section)

==== Patient Counselling ====

* '''<span style="color:#ff0000">Natural history of untreated acute ischemic priapism is (2):</span>''' 
*#'''<span style="color:#ff0000">Possible permanent loss of erectile function</span>'''
*#*ED is the most significant complication in patients with prolonged acute ischemic priapism.
*#'''<span style="color:#ff0000">Penile shortening due to corporal fibrosis</span>'''
* '''<span style="color:#ff0000">All patients with persistent acute ischemic priapism should be counseled that there is the chance of erectile dysfunction</span>'''
** '''<span style="color:#ff0000">If acute ischemic priapism event >36 hours, likelihood of erectile function recovery is low.</span>'''
**'''In a patient with acute ischemic priapism >36 hours, surgical interventions, such as distal shunting, with or without tunneling, may be required to achieve detumescence; as it is unlikely the acute ischemic event will resolve with ICI therapy of phenylephrine and aspiration.'''
***'''As the duration of the priapism increases, patients may be refractory to first-line treatments, such as ICI of phenylephrine and aspiration, with or without irrigation.'''