Which treatment is NOT indicated for priapism?

In the management of priapism, immediate surgical resection is not typically indicated as a primary treatment option. Priapism, especially when it is ischemic (the most common form characterized by painful erections lasting more than four hours), often requires more conservative methods before considering surgical intervention. The primary goal is to relieve the prolonged erection and restore normal blood flow without resorting to invasive procedures.

Other treatments such as corporal aspiration of blood, administration of terbutaline (a beta-agonist), and application of ice packs are aimed at alleviating the symptoms and preventing complications. Corporal aspiration involves removing blood from the penis to relieve pressure and restore normal circulation, while beta-agonists can help stimulate rapid relaxation of penile vasculature. Ice packs may assist in reducing swelling and pain.

Surgical resection is generally reserved for cases where other treatments have failed or in severe situations where damage is imminent, making it an inappropriate initial approach in the acute setting. Thus, identifying immediate surgical resection as not indicated aligns with current treatment protocols for managing priapism effectively.