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Upon history taking, the following should be emphasised [2]: Duration of erection Association and severity of pain Episodes and prior treatment of ischaemic priapism Current erectile function Medication and drug use Medical history: Sickle cell disease, haemoglobinopathies, hypercoagulable states, vessel vasculitis Trauma or surgery to the pelvis, perineum, or penis Penile MRI likely does not have a role in the initial diagnostic and treatment phase of ischaemic priapism in acute settings due to the time-sensitivity of ischaemic priapism [40]

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