Pattern and Management of Priapism in a Tertiary Hospital of North- Western Nigeria

Background: Priapism is a persistent penile erection that continues for more than four hours beyond sexual stimulation and orgasm or unrelated to sexual stimulation1. 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.

Keywords
priapism, sickle cell disease, aphrodisiacs, erectile dysfunction, treatments of ischaemic priapism