abstract_textpIntroduction : Priapism is a prolonged, painful and persistent erection, unrelated to sexual stimulation. The management of priapism is complex and requires various medical or surgical treatments. The authors review the aetiology, treatment and outcome of priapism./ppMaterial and methods : 26 cases of low-flow priapism were collected over a period of 23 years (1985-2007), corresponding to 22 adults and 4 children (average age: 32 years) with various types of priapism. The time to appropriate management after onset of priapism varied according to the aetiology and the time to consultation (range: 16 hours to 15 days)./ppResults : Complete and persistent detumescence for the first 24 hours was obtained in 84 of cases, sometimes with multiple successive procedures. No case of early recurrence was observed. 21 patients were regularly followed for a period of 3 months to 10 years (mean follow-up: 2 years). There were 9 (42.9) successes (recovery of normal erectile function), 4 partial results (19) and 9 (30.1) failures (complete erectile dysfunction)./ppConclusion : Low-flow priapism must be considered to be a serious andrological emergency. Medical treatment can be effective in early forms, but surgery must not be delayed to prevent permanent erectile dysfunction secondary to extensive corpora cavernosa fibrosis./p/abstract_text
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