Local fibrinolysis and perfusion in the treatment of priapism of the corpora cavernosa and corpus spongiosum.

A 69-year-old patient was referred with priapism of the corpora cavernosa and the corpus spongiosum. Blood aspiration, irrigation with heparin-saline solution and metaraminol injections proved unsuccessful. Surgical intervention was inadvisable in view of delayed coagulation. Complete detumescence was achieved after intracorporeal perfusion with streptokinase.