BAUS consensus document for the management of male genital emergencies: priapism BAUS Section of Andrology Genitourethral Surgery, Asif Muneer* , Gareth Brown † , Trevor Dorkin ‡ , Marc Lucky § , Richard Pearcy ¶ , Majid Shabbir** , Chitranjan J. Shukla †† , Rowland W. Rees ‡‡ and Duncan J. Summerton §§ *Department of Urology and NIHR Biomedical Research Centre, University College London Hospital, London, UK, † Department of Urology, Royal Glamorgan Hospital, Llantrisant, UK, ‡ Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK, § Department of Urology, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK, ¶ Department of Urology, Derriford Hospital, Plymouth, UK, **Department of Urology, Guy’s and Saint Thomas’ NHS Foundation Trust, London, UK, †† Department of Urology, Western General Hospital, Edinburgh, UK, ‡‡ Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK, and §§ Department of Urology, Leicester General Hospital, Leicester, UK Consensus Committee members are listed in Appendix 1. Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on-site expertise in genitourethral surgery. A series of consensus statements have been developed by an expert consensus committee comprising members of the BAUS Section of Andrology and Genitourethral Surgery together with experts from urology units throughout the UK. Priapism requires prompt assessment and treatment and these consensus statements provide guidance for UK practice. Keywords priapism, genital, ischaemic, consensus, non-ischaemic, penile prosthesis Background Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on-site expertise in genitourethral surgery. As a consequence of a previous consultation relating to the management of urological injuries following pelvic trauma, the BAUS Section of Andrology and Genitourethral Surgery (AGUS) decided to develop a series of consensus statements for genital emergencies which would provide a resource for clinicians to help manage these emergencies in an appropriate and safe manner and within the framework of the UK healthcare system. Methods The BAUS Section of AGUS executive committee are an elected group of experts in the field of andrology. The committee formatted a series of consensus statements relating to genital emergencies which were to be used by clinicians within the UK. As the conditions are rare and unsuitable for randomized trials, a meta-analysis was not deemed to be suitable and the recommendations were therefore developed by an expert consensus, existing guidelines from the European Association of Urology (EAU) and the American Urological Association (AUA), UK best practice and data from large case series (Level 4 Evidence, Oxford Centre for Evidence-Based Medicine). A meeting was convened in January 2017, whereby urological surgeons based in urology units allied to UK trauma centres as well as those offering a specialist andrology service were invited to a joint meeting with the BAUS AGUS executive committee to discuss the proposed consensus statements, which were then modified to reflect urological practice in specialist centres as well as non- specialist centres. The final statements were then sent to all the members of BAUS Council comprising 36 members for final approval. The final consensus statements were then modified based on the feedback, and were then subject to BAUS AGUS final approval. The consensus statements provide guidance for the management of four conditions: priapism; penile fracture; penile amputation; and testicular trauma. Each one will be published separately. © 2018 The Authors BJU International © 2018 BJU International | doi:10.1111/bju.14140 BJU Int 2018; 121: 835–839 Published by John Wiley & Sons Ltd. www.bjui.org wileyonlinelibrary.com Guidelines