Priapism: Comorbid Factors and Treatment Outcomes in a Contemporary Series

Objective. The goal of this study is to describe comorbid characteristics in patients who have priapism, and their treatment outcomes. Methods. Chart review was undertaken on men who had a diagnosis of priapism from a tertiary medical center, from 2000–2010. Men with priapism due exclusively to the...

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Main Authors: Henry P. Gottsch, Richard E. Berger, Claire C. Yang
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2012/672624
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author Henry P. Gottsch
Richard E. Berger
Claire C. Yang
author_facet Henry P. Gottsch
Richard E. Berger
Claire C. Yang
author_sort Henry P. Gottsch
collection DOAJ
description Objective. The goal of this study is to describe comorbid characteristics in patients who have priapism, and their treatment outcomes. Methods. Chart review was undertaken on men who had a diagnosis of priapism from a tertiary medical center, from 2000–2010. Men with priapism due exclusively to the use of prescription erectile aids and medications were not included in the review. Results. We identified 79 patients with the priapism. The most common type of priapism was the low flow variant. High flow priapism was identified in 2 patients. The most common general comorbid condition associated with priapism was mental illness (including substance abuse), which was present in 56% of the patients. Neurogenic priapism accounted for 19% of the total priapism events. Psychopharmaceutical agents and recreational drugs were commonly associated with ischemic priapism. Acute complications of priapism treatment were not common, but long-term complications, especially erectile dysfunction, were frequent. Conclusions. We describe the characteristics and outcomes of a large group of patients with priapism. Our experience at a tertiary care center indicates that mental illness, including substance abuse disorders, is a highly prevalent comorbid condition in men who experience priapism. Consistent with previous reports, erectile dysfunction is the most common complication from priapism and its treatment, occurring in the majority of men.
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spelling doaj-art-a209d1a43a574c1fbeac4dfc20f269a22025-02-03T01:00:35ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/672624672624Priapism: Comorbid Factors and Treatment Outcomes in a Contemporary SeriesHenry P. Gottsch0Richard E. Berger1Claire C. Yang2Department of Urology, University of Washington, USADepartment of Urology, University of Washington, USADepartment of Urology, University of Washington, USAObjective. The goal of this study is to describe comorbid characteristics in patients who have priapism, and their treatment outcomes. Methods. Chart review was undertaken on men who had a diagnosis of priapism from a tertiary medical center, from 2000–2010. Men with priapism due exclusively to the use of prescription erectile aids and medications were not included in the review. Results. We identified 79 patients with the priapism. The most common type of priapism was the low flow variant. High flow priapism was identified in 2 patients. The most common general comorbid condition associated with priapism was mental illness (including substance abuse), which was present in 56% of the patients. Neurogenic priapism accounted for 19% of the total priapism events. Psychopharmaceutical agents and recreational drugs were commonly associated with ischemic priapism. Acute complications of priapism treatment were not common, but long-term complications, especially erectile dysfunction, were frequent. Conclusions. We describe the characteristics and outcomes of a large group of patients with priapism. Our experience at a tertiary care center indicates that mental illness, including substance abuse disorders, is a highly prevalent comorbid condition in men who experience priapism. Consistent with previous reports, erectile dysfunction is the most common complication from priapism and its treatment, occurring in the majority of men.http://dx.doi.org/10.1155/2012/672624
spellingShingle Henry P. Gottsch
Richard E. Berger
Claire C. Yang
Priapism: Comorbid Factors and Treatment Outcomes in a Contemporary Series
Advances in Urology
title Priapism: Comorbid Factors and Treatment Outcomes in a Contemporary Series
title_full Priapism: Comorbid Factors and Treatment Outcomes in a Contemporary Series
title_fullStr Priapism: Comorbid Factors and Treatment Outcomes in a Contemporary Series
title_full_unstemmed Priapism: Comorbid Factors and Treatment Outcomes in a Contemporary Series
title_short Priapism: Comorbid Factors and Treatment Outcomes in a Contemporary Series
title_sort priapism comorbid factors and treatment outcomes in a contemporary series
url http://dx.doi.org/10.1155/2012/672624
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AT clairecyang priapismcomorbidfactorsandtreatmentoutcomesinacontemporaryseries