Priapism

The EAU 2026 priapism pathway — the decisive first step separates ischaemic (low-flow) priapism, a urological emergency accounting for over 95% of episodes, from non-ischaemic (high-flow) priapism and stuttering priapism, using penile blood gas analysis and colour duplex ultrasound. From there the pathway runs the ischaemic ladder of aspiration, intracavernous phenylephrine, shunt surgery and early prosthesis, the non-ischaemic conservative-then-embolisation route, and prevention of stuttering episodes. Switch between the visual Pathway map and the phase-by-phase Explorer.