Outcome of Priapism after early and late management

ABSTRACT

To assess the outcome of patients presenting with priapism during the last six years. Record of the patients presenting with priapism was evaluated retrospectively. Following parameters were assessed; etiology, duration, management, complications and final outcome. 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. 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