• John P. Mulhall
  • Peter J. Stahl
  • Doron S. Stember


(A) Priapism is defined as a penile erection lasting longer than 4 h, unrelated to sexual stimulation, and persistent even after ejaculation/orgasm. It is sub-divided into two major types: ischemic (synonymous with low flow or venocclusive) priapism, which is a medical emergency that requires immediate attention and non-ischemic (synonymous with high flow or arterial) priapism, which is not an emergency. Ischemic priapism results from failure of the venocclusive mechanism to open during erection.


Sickle Cell Disease Tunica Albuginea Penile Prosthesis Urethral Injury Corporal Body 
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Suggested Reading

  1. Berger R, Billups K, Brock G, Broderick GA, Dhabuwala CB, Goldstein I, et al. Report of the American Foundation for Urologic Disease (AFUD) Thought Leader Panel for evaluation and treatment of priapism. Int J Impot Res. 2001;13 Suppl 5Suppl 5:S39–43.Google Scholar
  2. Broderick GA, Kadioglu A, Bivalacqua TJ, Ghanem H, Nehra A, Shamloul R. Priapism: pathogenesis, epidemiology, and management. J Sex Med. 2010;7:476–500.PubMedCrossRefGoogle Scholar
  3. Burnett AL. Surgical management of ischemic priapism. J Sex Med. 2012;9(1):114–20.PubMedCrossRefGoogle Scholar
  4. Montague DK, Jarow J, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, et al. American Urological Association guideline on the management of priapism. J Urol. 2003;170:1318–24.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • John P. Mulhall
    • 1
  • Peter J. Stahl
    • 2
  • Doron S. Stember
    • 3
  1. 1.Sexual and Reprodictive Medicine Program Department of Surgery Division of Urology, Department of SurgeryMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  2. 2.Department of UrologyColumbia University College of Physicians & SurgeonsNew YorkUSA
  3. 3.Department of UrologyBeth Israel Medical Center Albert Einstein College of Medicine of Yeshiva UniversityNew YorkUSA

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