[Priapism: Diagnosis and management]

Our aim was to present a synthesis on the diagnosis and treatment of priapism.

For this purpose, a literature search was performed through PubMed to analyze literature reviews and guidelines regarding priapism.

Priapism is an erection that persists more than 4hours. There are 3 types of priapism: ischemic priapism, non-ischemic priapism and recurrent (stuttering) priapism. Ischemic priapism, often idiopathic, is the most frequent. When diagnosed, an urgent management is required to limit erectile dysfunction. Sickle-cell patients are prone to have ischemic and stuttering priapism. Non-ischemic priapism usually occurs after perineal trauma. Priapism management depends on the type of priapism. Medical treatment (corporal aspiration and injection of sympathomimetics) then if failed, surgery are indicated for ischemic priapism. The persistence of a non-ischemic priapism most likely requires a radiologic embolization.

Priapism is a condition that often requires emergency treatment to spare erectile function. It appears crucial to know this condition and its management.

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie. 2018 Sep 07 [Epub ahead of print]

D Carnicelli, W Akakpo

Department of Urology, Chambery Hospital, 73000 Chambery, France., Department of Urology, Pitié Salpétrière Hospital, Sorbonne Université, 47-83 boulevard de l'Hôpital, 75013 Paris, France. Electronic address: .