Effective Strategies for Priapism

Posted by R. Caleb Kovell, MD | May 2024

R. Caleb Kovell, MD, presented “Effective Strategies for Priapism” at the 11th Urology Today conference on October 27, 2023.

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How to cite: Kovell, R. Caleb. “Effective Strategies for Priapism.” October 2023. Accessed May 2024. https://grandroundsinurology.com/effective-strategies-for-priapism/

Effective Strategies for Priapism – Summary

R. Caleb Kovell, MD, discusses management strategies for acute refractory ischemic priapism, including shunting, tunneling, and prosthesis. Dr. Kovell begins his lecture by reviewing the erectile recovery windows and imaging techniques for establishing acute ischemic priapism.

Dr. Kovell then turns to effective treatment options after intracavernosal phenylephrine and corporal aspiration fail. He outlines various types of distal shunting, corporal tunneling, penoscrotal decompression, and early prosthesis placement.

Dr. Kovell concludes by discussing outpatient management of acute ischemic priapism. He highlights the importance of establishing the patient’s Sickle Cell Disease status, and cautioning against immediately prescribing PDE5is to outpatients.

About The 11th Urology Today Conference:

Presented by chair Ryan P. Terlecki, MD, FACS, the 11th Urology Today conference was designed to keep urologists, urologic oncologists, and other healthcare providers educated on the most pertinent issues in urology practices. Areas of focus included urologic oncology, men’s health and reconstruction, female urology, pediatric urology, kidney stones and related conditions, and methods of providing the best care amidst the required logistics of the business side of medicine.

For further educational activities from this conference, visit our collection page.

About The Author

R. Caleb Kovell, MD

R. Caleb Kovell, MD, is the Director of Genitourinary Reconstruction and Transitional Urology, Urology Medical Student Education, and the Urology Residency Program and Associate Professor of Urology at University of Pennsylvania School of Medicine and practicing physician at Penn Medicine and The Children’s Hospital of Philadelphia in Philadelphia, Pennsylvania. He is a board-certified urologist focused on providing individualized care for patients while helping them understand their options and achieve their goals. His practice focuses on reconstructive urology which includes improving urologic function when it has been compromised by trauma, congenital urologic conditions, cancer, previous surgery or radiation therapy. He treats a wide range of conditions including urethral strictures, ureteral injuries, post-prostatectomy erectile dysfunction and incontinence, penile cancers, rectourethral fistulas, neurogenic bladder, and penile curvature.

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