title: Management of priapism in adult men.
abstract: This study aims to present the management of priapism in adult men in Port Harcourt, Nigeria. All patients who presented with priapism in 2 hospitals in Port Harcourt from July 2007 to April 2014 were prospectively studied. Treatment was assigned based on clinical presentation. Data analyzed included: age on clinical presentation, risk factor, mode, and outcome of management. There were 18 patients aged 17 to 60 years (median age: 30 years). Three patients (16.7%) presented with stuttering priapism. Most of the patients presented after 24 hours of onset. Sixteen patients (89.9%) had hematological disorders. Five patients (27.8%) took suspected aphrodisiac medications. Seven patients (38.9%) were managed conservatively. The rest achieved detumescence following glandulo-cavernous shunting. Erectile function after treatment was satisfactory in 5 patients (27.8%). The commonest cause of priapism in Port Harcourt was hematological disorder. Most of the patients presented late. Prevalence of erectile dysfunction after treatment was high.
authors.affiliation: Division of Urology and Department of Hematology & Blood Transfusion, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
authors.forename: Onyeanunam N
authors.initials: ON
authors.lastname: Ekeke
authors.forename: Hannah E
authors.initials: HE
authors.lastname: Omunakwe
authors.forename: Ndu
authors.initials: N
authors.lastname: Eke
mesh_terms: D000293:Adolescent; D000328:Adult; D003131:Combined Modality Therapy; D057210:Delayed Diagnosis / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D011317:Priapism / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D011446:Prospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Priapism; Sickle cell anemia; Tumescence