# Treatment of Refractory Idiopathic Ischemic Priapism: A Case Report and Literature Review

## TL;DR

This case report describes a 35-year-old man with severe, treatment-resistant ischemic priapism and how he was successfully treated with medical and surgical methods.

## Contribution

The novelty lies in the successful treatment of refractory ischemic priapism without an identifiable underlying cause.

## Key findings

- The patient had refractory ischemic priapism with no known underlying cause.
- Combination of pharmacological and surgical interventions resolved the condition completely.
- Prompt treatment prevented long-term complications like erectile dysfunction.

## Abstract

Priapism is a medical condition characterized by a prolonged period of penile rigidity in the absence of external sexual stimulation. Three broad categories exist for this condition: ischemic (low venous flow), nonischemic (high arterial flow), and recurrent (stuttering). Ischemic priapism is a urological emergency necessitating immediate medical attention. This literature aims to highlight the importance of prompt workup and treatment of ischemic priapism in order to prevent irreversible damage to the penis, such as erectile dysfunction and impotence. This case report presents a 35-year-old patient who developed refractory ischemic priapism in the absence of an underlying causative agent. Fortunately, through pharmacological and surgical interventions, the patient was successfully treated with complete resolution of his symptoms.