إدارة الانتصاب المؤلم الإقفاري الحاد من الخط الأول

References

DOI: 10.1097/JU.0000000000002236

• Clinicians should manage acute ischemic priapism with intracavernosal phenylephrine and corporal aspiration, with or without irrigation, as first-line therapy and prior to operative interventions.
• While use in this context is off-label, phenylephrine is recognized as the preferred agent of choice.
• However, given the relatively high resolution rates, surgical shunting should not be performed until both alpha adrenergics and aspiration and saline irrigation have been attempted.