Understanding high-flow priapism
High-flow priapism usually isn’t an emergency because blood is still flowing through the penis. However, only a doctor can tell whether your priapism is low-flow or high-flow.
If you think you have priapism, contact a doctor immediately. Avoid trying any treatments at home, as they could make things worse.
Important: If you have heart problems, tell your doctor before starting any treatment.
Treatment options depend on the type and how long the priapism has lasted. For high-flow priapism, the goal is to reduce the extra blood flowing into the penis.
The first steps may include:
- Observation: The doctor may simply watch the condition for a while.
- Ice or gentle pressure: Applying an ice pack or gently pressing on the injured area (between the scrotum and anus) may help reduce swelling.
If these measures don’t work, other treatments may be considered:
- Artery embolisation: A procedure to block the blood vessel causing the extra blood flow.
- Surgical ligation (rarely needed): Tying off the damaged artery, usually only if embolisation doesn’t help.
This chapter contains general information about the treatment of high-flow priapism. It is not a substitute for professional medical advice or treatment. Always consult your doctor or healthcare provider for guidance on your individual medical situation.
Last updated: September 2025
Reviewed by:
- Dr. Afonso Morgado (YAU Working Group Sexual and Reproductive Health)