HP-06-002 Nine years of priapism: Relationship with erectile dysfunction

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Objective

Priapism is considered a urological emergency and its treatment must try to avoid erectile dysfunction. The objetives were: to describe the population that developed priapism for nine years and to analyse the effect of the treatment on erectile function.

Methods

It was done a retrospective analysis of 65 cases of priapism occurred in 45 patients in a health institution between 2007 and 2016. The IBM SPSS Statistics 23.0 was used.

Results

The mean age was 47.5 years. Each patient had on average 1.93 episodes of priapism, with a mean duration time of 24.32 hours. The most common aetiology was taking an antipsychotic drug (29.8%). All cases of priapism were ischaemic. In 82.5%, the first treatment was cavernosal irrigation. In 36.8%, a distal shunt was further done, especially the Winter’s procedure (80%). In 26.3%, it was followed by a second procedure nearly after 5.9 days: a new distal Winter’s procedure (41.7%) or only

Conclusion

Erectile dysfunction is a reality after priapism: the need for a more aggressive attitude implies a poorer prognosis.

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