Early intervention improves detumescence rates and erectile function preservation
AUA and EAU guidelines support aspiration plus intracavernosal phenylephrine as first line for acute ischemic priapism
Patient Discharge Instructions
copy discharge instructions
Discharge instructions
No sexual activity until pain resolves and urology cleared
Avoid alcohol and recreational drugs that can trigger recurrence
Return to ED immediately for erection 4 hours or more
Return to ED immediately for increasing penile pain or rigidity
Return to ED immediately for fever or systemic illness symptoms in sickle cell disease
Follow up with urology within recommended timeframe
If sickle cell disease, follow up with hematology for recurrence prevention plan
References
Clinical guidelines and evidence sources
Guideline sources
AUA SMSNA Acute Ischemic Priapism Guideline 2021
AUA SMSNA Diagnosis and Management of Priapism Guideline 2022
EAU Sexual and Reproductive Health Guidelines priapism chapter
BAUS priapism patient and professional guidance documents
Evidence summary on phenylephrine dosing consistent with AUA and EAU ranges
Source instructions file
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.