{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:57:58Z","timestamp":1772989078514,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":49,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Priapism, a persisting erection not associated with sexual stimulation, can be ischaemic, with the risk of permanent erectile dysfunction, or nonischaemic. Drugs\u2014e.g., injection therapies for erectile dysfunction, as well as neuroleptics, antidepressants and various other medicines\u2014can also cause priapism. This study aimed to describe presentations due to priapism and provide insights into specific causes, clinical presentations, diagnostic strategies and emergency management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010centre, retrospective, observational study of patients (\u2265\u200916\u2009years old) presenting to the University Hospital of Bern, Switzerland, between January 2010 and June 2023 due to priapism. The cases were retrieved from the electronic health records using full\u2010text search.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the study period, 40 cases corresponding to 32 patients were included. The mean\u2009\u00b1\u2009SD age was 48\u2009\u00b1\u200915\u2009years, and pain was present in 21 cases (53%) on presentation. Median time of erection was 15\u2009h (range: 1\u201380,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923). A penile blood gas analysis was performed in 32 cases (80%), and 29 of these (91%) were of the low\u2010flow type. Most commonly suspected causes were idiopathic (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925, 63%) and drug\u2010induced (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910, 25%). Suspected agents in the drug\u2010induced cases were corpus cavernosum autoinjection therapy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094), trazodone (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093), sildenafil (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092) and urapidil (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). Puncture of the corpus cavernosum and injection of noradrenalin and adrenalin were the therapeutic measure in 35 cases (88%). In 13 cases, there was at least one recurrence, including 10 within one week. Drugs given as recurrence prophylaxis included tadalafil (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099) and diazepam (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Presentations due to priapism appear to be rare, but the majority of the cases presented with ischaemic priapism, which is a medical emergency. The findings can be used to identify areas requiring further research (e.g., drugs used as recurrence prophylaxis) and raise awareness of this potentially severe complication\u2014which patients are often ashamed to report.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/emmi\/9996341","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:57:24Z","timestamp":1771491444000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Presentations Due to Priapism in an Urban Hospital in Switzerland"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4446-8882","authenticated-orcid":false,"given":"Julian 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