A 12-year-old boy is brought to the emergency department by his parents, who are concerned about a persistent and painful erection that has lasted for the past 6 hours. The boy reports that the erection started suddenly without any sexual stimulation, and despite trying to alleviate it by urinating and changing positions, the erection has not subsided. He feels increasingly uncomfortable, and his pain is progressively worsening. On examination, the boy's penis is fully erect, firm, and tender, particularly around the shaft. The glans (tip of the penis) remains soft. There is no history of recent trauma, medication use, or sickle cell disease, though the family has no known medical history of sickle cell disease. The boy denies any drug use or other risk factors. The paediatric team diagnoses ischemic priapism, which is a medical emergency. An immediate treatment plan is discussed with the parents, involving aspiration of blood from the corpora cavernosa and potential irrigation to relieve the trapped blood. The boy is also referred for haematological testing to assess for underlying conditions, including sickle cell disease, as the aetiology of the priapism remains unclear.