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Diagnosis and Management of Priapism
Abstract
This JAMA Clinical Guidelines Synopsis summarizes the 2022 American Urological Association/Sexual Medicine Society of North America guidelines on diagnosis and management of priapism.
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In the citing paper
“After first-line treatments failed, the patient underwent a distal T-shunt procedure within four hours of presentation, following American Urological Association guidelines for management of ischemic priapism [10]. The procedure was performed under local anesthesia, and complete detumescence was initially achieved.”
From Chlorpromazine-tadalafil interaction leading to refractory ischemic priapism and penile prosthesis implantation: a case report (2025) · cites this paper as [10]
In the citing paper
“For refractory cases or those presenting after prolonged duration (> 36 h), early penile prosthesis implantation may preserve penile length and address inevitable erectile dysfunction [10, 11].”
From Chlorpromazine-tadalafil interaction leading to refractory ischemic priapism and penile prosthesis implantation: a case report (2025) · cites this paper as [10]
In the citing paper
“Despite these measures, detumescence was not achieved. A second attempt with a higher concentration of epinephrine (1:50,000) was also unsuccessful [10].”
From Chlorpromazine-tadalafil interaction leading to refractory ischemic priapism and penile prosthesis implantation: a case report (2025) · cites this paper as [10]
In the citing paper
“The management of this patient followed a systematic, evidence-based approach in accordance with current guidelines. The American Urological Association and European Association of Urology guidelines recommend a stepwise approach to ischemic priapism [10, 16], which was meticulously followed in this case”
From Chlorpromazine-tadalafil interaction leading to refractory ischemic priapism and penile prosthesis implantation: a case report (2025) · cites this paper as [10]
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Citations
Cites
No references could be resolved yet.
Research works printed but not linked: 10
- Roghmann, 2013, Incidence of priapism in emergency departments in the United States., J Urol, 190, 1275, 10.1016/j.juro.2013.03.118 · DOI
- Bivalacqua, 2022, The diagnosis and management of recurrent ischemic priapism, priapism in sickle cell patients, and non-ischemic priapism., J Urol, 208, 43, 10.1097/JU.0000000000002767 · DOI
- Bivalacqua, 2021, Acute ischemic priapism., J Urol, 206, 1114, 10.1097/JU.0000000000002236 · DOI
- Nelesen, 2023, A systematic review to assess the burden of ischemic priapism in patients with sickle cell disease., Sex Med Rev, 11, 52, 10.1093/sxmrev/qeac001 · DOI
- Cifu, 2014, Introducing JAMA Clinical Guidelines Synopsis., JAMA, 312, 1208, 10.1001/jama.2014.12712 · DOI
- Reed-Maldonado, 2017, Avoiding complications: surgery for ischemic priapism., Transl Androl Urol, 6, 657, 10.21037/tau · DOI
- Martin, 2016, Effect of phenylephrine and terbutaline on ischemic priapism., Am J Emerg Med, 34, 222, 10.1016/j.ajem.2015.10.029 · DOI
- Constantine, 2017, Recurrent priapism gone wrong: ST-elevation myocardial infarction and cardiogenic shock after penile corporal phenylephrine irrigation., J Emerg Med, 52, 859, 10.1016/j.jemermed.2017.01.055 · DOI
- Ortaç, 2019, Anatomic and functional outcome following distal shunt and tunneling for treatment ischemic priapism., J Sex Med, 16, 1290, 10.1016/j.jsxm.2019.05.011 · DOI
- Milenkovic, 2022, Surgical and minimally invasive treatment of ischaemic and non-ischaemic priapism., Int J Impot Res, 10.1038/s41443-022-00604-1 · DOI
Cited by
Arici, C., Basaranoglu, M., Cayan, S., Bozlu, M., & Akbay, E. (2025) · Basic and Clinical Andrology · doi:10.1186/s12610-025-00278-x
Metadata
- Authors
- Fantus, R. J., Brannigan, R. E., & Davis, A. M.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2023-08-08
- Volume
- 330
- Issue
- 6
- Pages
- 559
- ISSN
- 0098-7484
- Cited by
- 14
- References
- 0
- Language
- en
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- CoChat. (2026). Citation check: Diagnosis and Management of Priapism. https://app.cochat.ai/papers/10.1001/jama.2023.13377
- The paper
- Fantus, R. J., Brannigan, R. E., & Davis, A. M. (2023). Diagnosis and Management of Priapism. JAMA. https://doi.org/10.1001/jama.2023.13377
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
