Priapism in the United States: the changing role of sickle cell disease.

Abstract:

BACKGROUND:Few patients with priapism require inpatient management unless they are refractory to intracavernosal therapy. Their risk factors and outcomes are poorly characterized. METHODS:This is a retrospective analysis of the Nationwide Inpatient Sample (1998-2006). Priapism patients were identified and analyzed over time by age, race, sickle-cell disease diagnosis, drug abuse, and penile operations. RESULTS:A total of 4,237 hospitalizations for priapism were identified (30% white, 61.1% black, and 6.3% Hispanics). There was an increasing incidence of priapism over time, concentrated in the middle-age group. There were 1,776 patients (41.9%) with diagnoses of sickle-cell disease, with decreasing proportions over time. Drug abuse was reported in 7.9%. CONCLUSIONS:Inpatient diagnoses of priapism are increasing over time with relatively constant numbers of sickle-cell disease patients, suggesting rising nonhematologic causes of priapism. One theory is that increasing use of aggressive therapies for erectile dysfunction might play a role, especially when combined with drug abuse.

journal_name

Am J Surg

authors

Chrouser KL,Ajiboye OB,Oyetunji TA,Chang DC

doi

10.1016/j.amjsurg.2010.03.017

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

468-74

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(10)00469-1

journal_volume

201

pub_type

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