Outcome of Priapism after Early & Late Management

Abstract

Objectives: To assess the outcome patients presenting with priapism during the last six years. Patients & methods: Record of the patients presenting with priapism was evaluated retrospectively. Following parameters were assessed; etiology, duration, management complications and final outcome. Results: Fifteen patients with mean age of twenty seven years presented from Jan 2000 to Dec, 2006. Etiological factors were intracavernosal injection of papavarine 6 (40%), hakeem medication 4 (26.7%). thalasemia 2 (13.3%) and idiopathic in 3(20%) patients. Mean duration of priapism was 80.8 hours. Initial conservative management was successful in 7 (46.7%) patients. Non responders were treated with distal cavernosospongiousus shunt. Out of eight, three (37.5%) patients responded and remaining four ended up with corporeal fibrosis and erectile dysfunction (ED) One patient develop urethrocutaneous fistula. Conclusion: Intracavernosal injection of papaverine and hakeem medicines are common etiological factors. Patient usually present late because of embarrassment. Outcome of management depends upon duration of priapism.