Which treatment is recommended for ischemic priapism?

The recommended treatment for ischemic priapism is the administration of intracyvnormal phenylephrine. This condition occurs when blood becomes trapped in the penile tissues, leading to prolonged and painful erections that are not accompanied by sexual arousal.

Intracavernosal phenylephrine acts as a vasoconstrictor by stimulating alpha-adrenergic receptors. This response leads to decreased blood flow through the cavernosal sinuses, allowing for the resolution of the priapism. By constricting the blood vessels, phenylephrine helps alleviate the pressure and promotes venous outflow, restoring normal erectile function.

In comparison, other treatments mentioned may not effectively address the underlying problem of blood trapped in the corpus cavernosum. While suction and irrigation may be useful in certain cases for immediate management, it is generally not considered the first-line treatment. Oral antihypertensives are not effective in managing priapism, as they impact systemic vascular resistance rather than addressing the localized vascular issue. Lastly, cold compress therapy may provide temporary symptomatic relief but does not resolve the underlying pathological process involved in ischemic priapism and is therefore not a definitive treatment option.

Thus, the use of intracyvnormal phenylephrine