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THE CURRENT CHALLENGES IN DIAGNOSING AND TREATING MALIGNANT PRIAPISM: A COMPREHENSIVE REVIEW

I WAYAN YUDİANA, RONALD SUGİANTO, PUTU EKA DİANTİ PUTRİ, Nİ PUTU EKAWATİ, GEDE WİRYA KUSUMA DUARSA

Urology Research & Practice - 2023;49(6):360-364

Department of Urology, Universitas Udayana, Prof. Dr. I.G.N.G Ngoerah General Hospital, Faculty of Medicine, Bali, Indonesia

 

Malignant priapism (MP) is defined as a condition of persistent erection of the penis without sexual stimulation due to the neoplastic process of the cavernous sinus and the efferent veins. The effectiveness of established therapeutic recommendations in priapism was ineffective in MP. Modalities of therapy for MP varied from medication treatment, nonsurgical treatment, surgical treatment, and radiotherapy. Despite aggressive surgical management combined with radiation therapy, chemotherapy, or targeted therapy, the survival rate remains low. Therefore, the treatment is usually palliative, focusing on the patient’s quality of life improvement and symptom relief.