Priapism Treatment Options In London

Priapism is a medical emergency that requires prompt attention. At Harley Street Andrology, we provide expert diagnosis and treatment for priapism to prevent complications and restore your health. This guide explains what priapism is, its causes, and how our men’s health clinic in London can help.

What is Priapism?

Priapism is a prolonged, painful erection lasting more than four hours, unrelated to sexual stimulation. It occurs when blood becomes trapped in the penis, preventing it from returning to the body. If untreated, it can lead to permanent erectile dysfunction or tissue damage, making early treatment critical.

Types of Priapism

• Ischaemic (low-flow) Priapism: The most common type, caused by blocked blood flow. Painful and requires urgent care.
• Non-ischaemic (high-flow) Priapism: Less common, often painless, due to excess blood flow from injury.
• Recurrent (stuttering) Priapism: Repeated episodes, often linked to conditions like sickle cell disease.

Common Symptoms

• Persistent erection lasting over four hours
• Pain or tenderness in the penis (especially in ischaemic cases)
• Rigid shaft with soft tip

If you experience these symptoms, seek immediate help from a priapism specialist in London.

Causes of Priapism

Priapism can result from:

• Medications: Erectile dysfunction drugs, antidepressants, or antipsychotics
• Medical Conditions: Sickle cell disease, leukaemia, blood disorders
• Injury: Trauma to the penis, pelvis, or perineum
• Substance Use: Alcohol, cocaine, or other recreational drugs

At Harley Street Andrology, we conduct thorough assessments to find the cause and tailor treatment.

Why Prompt Treatment is Essential

Untreated priapism can cause scarring or erectile dysfunction. Ischaemic priapism especially needs emergency care within 4–6 hours. Our team is equipped for urgent intervention to protect your long-term health.

Priapism Treatment Options in London

At our men’s health clinic in London, we offer advanced treatments:

1. Conservative Measures

• What it involves: Physical activity, or oral meds
• Best for: Early stages 

2. Aspiration And Injection Of Alpha Agonists

• What it involves: Draining trapped blood using a needle with injection of alpha agonist agents
• Benefits: Effective for ischaemic priapism; local anaesthesia

3. Surgical Intervention

• What it involves: Creating a shunt to redirect blood
• Best for: Severe or resistant ischaemic priapism

4. Management of Underlying Conditions

• What it involves: Diagnosing and treating causes like sickle cell disease or medication side effects
• Best for: Recurrent or stuttering priapism

In cases where all treatment options fail, an early penile prosthesis can be offered. 

Professor Muneer has conducted extensive research related to priapism and this has led to a change in international guidelines.  

What to Expect During Priapism Treatment

1. Consultation – Immediate evaluation of symptoms and history
2. Diagnosis – Physical exam, ultrasound or blood tests if needed
3. Treatment – Aspiration or surgery, usually within hours
4. Recovery – Mild discomfort for a few days; follow-up to check function

Risks and Complications

While generally safe, potential risks include:

• Infection or bleeding (rare, <1%)
• Erectile dysfunction (higher risk with delayed treatment)
• Recurrence, particularly in stuttering priapism

Our team minimises risks with precision and attentive aftercare.

Cost of Priapism Treatment in London

Treatment costs vary by procedure at private clinics. For a quote, contact Harley Street Andrology.