ReviewInternational journal of impotence research2026
Current evidence on the management of ischaemic priapism post-shunting: a narrative review.
Review in International journal of impotence research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Top ten surgical tricks-penile prosthesis with corporal fibrosis.International journal of impotence research · 2026Review
- Chlorpromazine-tadalafil interaction leading to refractory ischemic priapism and penile prosthesis implantation: a case report.Basic and clinical andrology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
When ischaemic priapism becomes unresponsive to aspiration-irrigation and shunting, poor outcomes for priapism resolution and functional recovery are expected. This study reviews the strategies to improve the outcomes for priapism patients after shunting, based on a comprehensive literature-search on PubMed, Cochrane Library, and EMBASE. Erectile dysfunction is common after shunting, particularly in cases of pre-existing erectile dysfunction, older age, recurrent priapism, or necrosis detected by magnetic resonance imaging. Distal shunts are typically adopted as first-line options. Systemic anticoagulation may prevent thrombus-formation, which may lead to recurrence of ischaemic priapism. Both selective and non-selective phosphodiesterase type 5 inhibitors may enhance erectile function recovery and prevent priapism recurrence. A repeat penile blood gas analysis can help determine whether there has been a conversion to non-ischaemic priapism if shunts fail. Proximal shunts and the penoscrotal decompression can be considered when distal shunting does not result in complete detumescence. Early malleable penile prosthesis implantation is an option after shunting failure. Use of vacuum erection device regimens should be encouraged after shunting to minimize penile fibrosis, especially when late penile prosthesis implantation is needed due to erectile dysfunction previously unresponsive to medical management. More evidence is needed to achieve consensus regarding the optimal management of ischaemic priapism after shunting, and surgical innovation should continue to refine the current techniques.
Indexed as
Identifiers
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Registered trials
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