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Priapism in adult Nigerians
1Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.
BJU International
|February 26, 2000
Summary
Prompt surgical intervention for priapism, even in late presentations, offers the best chance for regaining erectile function. Vigorous treatment like cavernospongiosus shunts is crucial for successful outcomes in adult Nigerian men.
Area of Science:
- Urology
- Andrology
- Surgical Treatment
Background:
- Priapism, a persistent erection, affects adult men and requires timely medical intervention.
- Delayed treatment can lead to irreversible complications, including erectile dysfunction.
Purpose of the Study:
- To review the clinical presentation and treatment outcomes of adult Nigerian men with priapism.
- To evaluate the effectiveness of surgical shunting in restoring erectile function.
Main Methods:
- A retrospective review of 35 adult Nigerian men treated for priapism over 12 years.
- All patients underwent immediate modified or conventional cavernospongiosus shunts.
- Post-treatment assessment included evaluation of erectile function, orgasm, and penile fibrosis at 2, 6, and 12 weeks.
Main Results:
- The average age of patients was 35 years, with a range of 20-54 years.
- Most patients presented late (6-10 days after onset), often due to lack of awareness or financial constraints.
- Surgical shunting achieved detumescence in all patients; at 12 weeks, 14 had normal erections, 13 reduced erections, and 8 had no erections.
- Common predisposing factors included local aphrodisiac use and sickle-cell disease.
Conclusions:
- Vigorous surgical treatment, such as cavernospongiosus shunting, should be performed promptly, even in late-presenting priapism cases.
- Early and adequate surgical intervention is essential for maximizing the chances of regaining potency.
- Understanding predisposing factors like aphrodisiacs and sickle-cell disease is important for prevention and management.