Abstract
The case histories of four patients with priapism seen at this department are given. In these instances the priapism seemed to have been induced by medication. The likely cause in three cases was parasympathetic predominance brought about by antihypertensive agents. In the fourth case the connexion between medication and priapism was more doubtful, but the aetiology was probably of the same nature. The physiology of erection and pathophysiology of priapism are discussed. A more active surgical aproach to the treatment of priapism is recommended on the basis of the experience gained from these cases and the therapeutic results of new methods described in the literature.

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