Fig. 2

Proposed algorithm for the evaluation and management of ISP. Legend: This proposed algorithm provides a structured approach for the evaluation and management of Intermittent Stuttering Priapism (ISP). The process involves the following steps: 1. History Taking: Primarily used to identify ISP, with the aid of physical examination and paraclinical tests to confirm the diagnosis. 2. Patient Counseling: Once ISP is confirmed, provide patient counseling to discuss the condition and its implications. 3. Management Categories: - Acute Management: Immediate interventions to manage active priapic episodes. - Preventive Measures: Strategies to reduce the frequency and severity of future episodes. - Refractory ISP Management: Advanced treatments for cases that do not respond to standard management approaches. Abbreviation List for the figure : 1. 5 ARI - 5-Alpha Reductase Inhibitors. 2. ED - Erectile Dysfunction. 3. ISP - Intermittent Stuttering Priapism 4. PDE5i - Phosphodiesterase Type 5 Inhibitors. 5. QoL - Quality of Life . 6. WBC - White Blood Cell