After treatment % of patients showed total or partial success, but during follow up (mean months, range 6-13) % failed to maintain this (% and % for 8- and 4-week treatment, respectively). During treatment, % presented side effects or complications: prepuce ardor (%), hyperemia (%), paraphimosis (%). Intervention or interruption of treatment was unnecessary. The two groups were statistically similar in all parameters, but time of treatment=8 weeks, previous urethral meatal exposure and no previous balanoposthitis increased the chance of total success. Surgery was indicated for failure or relapse in 181 patients (%).
Treatment for priapism is a medical emergency, because a prolonged erection can scar the penis and result in a long term complication of erectile dysfunction if if not treated. The goal of treatment is to relieve the erection and preserve normal penile function. In most cases, treatment involves draining the blood using a needle placed in the side of the penis. Medications that help shrink blood vessels, which decreases blood flow to the penis, also may be used. In rare cases, surgery may be required to avoid permanent damage to the penis. If the condition is due to sickle cell disease , a blood transfusion may be necessary. Treating any underlying medical condition or substance abuse problem is important to preventing priapism.