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Anxiety disorders in patients with idiopathic priapism: risk factor and pathophysiologic link?
1Johns Hopkins Medical Institutions, The James Buchanan Brady Urological Institute, Department of Urology, Baltimore, MD, USA.
Introduction:
A scientific explanation remains elusive for many presentations of recurrent ischemic priapism.
Aim:
The aim of this article was to evaluate the possible clinical association between idiopathic priapism and anxiety disorders.
Methods:
Twenty-one patients without identifiable, presumed etiologies for their priapism disorders presented consecutively to a single practitioner's clinical practice and underwent clinical history evaluation and management over a 2(1/2)-year interval.
Main Outcome Measures:
The main outcome is the documentation of patient demographics and clinical profiles relating to medical history and priapism presentations.
Results:
Anxiety disorders including generalized anxiety, attention-deficit hyperactivity disorder, and obsessive-compulsive disorder were self-reported in 10 patients.
Conclusions:
The possible association between idiopathic priapism and anxiety disorders lends support for a central neurobiologic pathophysiology for the erectile disorder. Further neuropsychiatric studies of this clinical population is required to confirm the hypothesis.
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