title: [Priapism: decisional algorithm, our experience, and role of sildenafil in sexual rehabilitation].
abstract: OBJECTIVE
  We report our experience in the management of priapism.
  
  
  METHODS
  In a 2-year period we observed 7 patients of whom 4 presented with low flow and 3 with high flow priapism.
  
  
  RESULTS
  In 2 of the patients with ischemic priapism, simple blood aspiration from the corpora allowed for a quick detumescence, while in the other 2 cases a derivative intervention (1 spongio cavernous and 1 glans cavernous) had to be performed. In all the 3 patients with high flow priapism we performed a superselective arteriography that obtained the visualisation of the arteriovenous fistula. These patients restarted their sexual activity after about three months. At six months a patient with low flow priapism restored sexual activity due to sildenafil 50 mg.
  
  
  CONCLUSIONS
  The importance of distinguishing low and high flow priapism was confirmed.
authors.affiliation: Clinica Urologica Luciano Giuliani, Università degli Studi de Genova, Italia.
authors.forename: A F
authors.initials: AF
authors.lastname: De Rose
authors.forename: C
authors.initials: C
authors.lastname: Corbu
authors.forename: G
authors.initials: G
authors.lastname: De Caro
authors.forename: F
authors.initials: F
authors.lastname: Bonini
authors.forename: G
authors.initials: G
authors.lastname: Carmignani
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D003663:Decision Trees; D007172:Erectile Dysfunction / Q000188:drug therapy* / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010726:Phosphodiesterase Inhibitors / Q000627:therapeutic use*; D010879:Piperazines / Q000627:therapeutic use*; D011317:Priapism / Q000150:complications*; D011687:Purines; D000068677:Sildenafil Citrate; D013450:Sulfones
chemical_list: D010726:Phosphodiesterase Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate
vernacular_title: Priapismo: algoritmo decisionale, nostra esperienza e ruolo del sildenafil nella riabilitazione sessuale.