Pattern and management of priapism in a tertiary hospital of North-Western Nigeria

Abstract

Background: Priapism is a persistent penile erection that continues for more than four hours beyond sexual stimulation and orgasm or unrelated to sexual stimulation 1 . The objective is to document the pattern and management of priapism in our hospital. Methods: This is a retrospective study of patients managed for Priapism by Urology Unit of our hospital, from January 2009 to December 2015. Results: Thirty patients were managed for managed for priapism within the study period. The mean age at presentation was 23.9 ± 12.2 years with a range of 8-55 years. Fifteen patients (57.7 %) presented beyond 72 hours of the onset of priapism. All the patients had ischaemic priapism. Half of the patients had sickle cell disease, two (7.7 %) had chronic myeloid leukaemia, five (19.2%) used aphrodisiacs and cause was not established in six (23.1%). The most effective forms of treatments were corporal aspiration and glanulocavernosal shunt. Hydroxyurea was used for the patients with leukaemia. Thirteen (50.0%) of the patients were loss to follow-up after their first visits. Three patients (11.5%) developed erectile dysfunction. Conclusion: Sickle cell disease is the commonest cause of ischaemic priapism in our practice. Late presentation is common and is usually associated with the development of erectile dysfunction.

Urosepsis among Sudanese Patients: A Paradigm from Limited Resources Country

“…Researches that carried out in Sudan in the field of urology discussed the problems of UTIs and their complications, but there was no data about urosepsis, whichis a health problem with global concern. It was found that 30% of sepsis cases are suffered from urosepsis and mainly due to obstruction in various urogenital tract [16] [17] [18] with urosepsis [2]. The current findings showed that urosepsis is more frequently in male than female [18], although females were more affected by UTIs and complications.…”

“…It was found that 30% of sepsis cases are suffered from urosepsis and mainly due to obstruction in various urogenital tract [16] [17] [18] with urosepsis [2]. The current findings showed that urosepsis is more frequently in male than female [18], although females were more affected by UTIs and complications. Certain urological obstruction are related to male only and this include; benign prostatic hyperplasia, prostate cancer and urethral stricture [19].…”

Chlorpromazine-Induced Priapism in A 22-Year-Old Undergraduate Managed Conservatively in A Psychiatric Setting

“…The findings in this report stress the fact that patients with priapism should be evaluated emergently to identify the sub-type of priapism. This is because priapism, as multiple reports have shown, requires prompt evaluation and usually requires emergency management [1,19]. Therefore, those with an acute ischemic event, as identified clinically in this report, should be provided early and prompt clinical intervention [20].…”

“…Priapism is a rare pathological condition, characterized by a persistent and painful penile erection that persists beyond four (4) hours and is not related to sexual stimulation [1]. Priapism is considered a serious adverse drug reaction because it requires urgent intervention to preserve the erectile ability of corpora cavernosa [2].…”

Penile Skin Bridge: Uncommon Cause of Painful Spontaneous Erection in Young Males

“…The cavernous vein communicates with the emissary veins through the subtunica venous plexus, and these veins are compressed during erection. 3 Abnormality with adequate arterial and venous return during erection may result in persistent painful erection, especially in ischaemic priapism; 2,4 as well as penile fracture that occurs during sexual intercourse, when the penis slips outside the vagina, and hits the inferior pubic rami bone. 5,6 There is an association between lichen sclerosus et atrophicus and penile cancer.…”