Learn about the flu shot, COVID-19 vaccine, and our masking policy »
New to MyHealth?
Manage Your Care From Anywhere.
Access your health information from any device with MyHealth. You can message your clinic, view lab results, schedule an appointment, and pay your bill.
ALREADY HAVE AN ACCESS CODE?
DON'T HAVE AN ACCESS CODE?
NEED MORE DETAILS?
MyHealth for Mobile
Get the iPhone MyHealth app »
Get the Android MyHealth app »
Abstract
PURPOSE: Priapism is a debilitating condition that affects sexual function. As a majority of cases are idiopathic, investigators have hypothesized underlying vascular dysfunction which may predispose men to priapism. We sought to determine if men are at risk for other sequelae of vascular dysfunction such as cardiovascular and thromboembolic disease after a priapism event.MATERIALS AND METHODS: Using a large commercial insurance claims data warehouse, we evaluated all men (age=20) with a diagnosis of priapism from 2003-2020 and matched them to a cohort of men with other urologic disorders of sexual dysfunction (erectile dysfunction (ED), Peyronie's disease (PD), and premature ejaculation (PE)). We identified incident disease (cardiovascular disease, heart disease, embolism, thrombosis, cerebrovascular disease) for all cohorts.RESULTS: 10,459 men with priapism were identified and were matched to men with ED, PD, or PE. The mean age was 51.1 years old. Men with priapism showed increased incidence of heart disease (both ischemic HR 1.24 (95% CI 1.09-1.42) and other heart disease HR 1.24 (1.12-1.38) in the years following the priapism diagnosis. Incident cerebrovascular disease was also more likely in men with a history of priapism (HR 1.33 (1.15-1.55). Men requiring treatment for ischemic priapism had a higher hazard of cardiovascular and cerebrovascular disease. In addition, men with more priapism episodes had a higher rate of cardiovascular disease and thromboembolic events.CONCLUSIONS: Men with priapism are at increased risk for cardiovascular and cerebrovascular events in the years following a priapism.
View details for DOI 10.1097/JU.0000000000002962
View details for PubMedID 36083148