Priapism is a rare consideration with an overall relative incidence of 1.5 instance per 100,000 person - years . In men older than 40 years , the incidence increase to 2.9 case per 100,000 soul - year .
What Is The Prognosis For Priapism?
forecast of priapism reckon on several factors and the following forecast factors and figures have been reported from clinical research survey .
Duration of Symptoms
The prognosis is very good if the affected role present with symptom within 4 - 6 minute . Most of these patient role remain powerful .
When treatment was initiated within 24 hour of symptoms , 92 % of affected role remain potent .
Prognosis tends to get worst when the patient present tardily .
One study showed only 22 % of male person were potent with a priapism attack that last more than 7 daylight .
Underlying Pathology
The prognosis of ischemic priapism primarily look on the time take to restore normal lineage flow to the member .
Early Interventions
Previous Priapism Episodes
Those who had old priapism were noticed to have a higher relative incidence of complications ( 60 % ) compared to 40 % in those who were presenting for the first metre .
Previous Stuttering Episodes
In one cogitation 78.9 % of patients had stuttering priapism and these patients develop more complications even more than patients who had former priapism . This might have been because these affected role with stuttering priapism must have leave out the symptom whereas when the patient role had a previous major priapism episode they tend to look for medical advice earlier with the second sequence .
Presence of Sickle Cell Disease
Sickle cell disease is key out as one of the primary campaign for priapism in some populations like African , American - African . It ’s also the master cause of priapism in children . The rate of priapism in adults with sickle cell disease is as high as 89 % . The rate of priapism among children with SCD is about 27 % . bearing of sickle cell disease increased the risk of getting stuttering priapism as well .
Infections
If an contagion grow after an attack priapism the prognosis can get bad . The beginning of the infection can be from the harm that cause non - ischemic priapism or during the surgical procedure the infection might have broadcast .
Priapism is a rarefied condition with an overall relative incidence of 1.5 cases per 100,000 somebody - years . In men old than 40 year , the incidence increases to 2.9 cases per 100,000 person - geezerhood . The prospect of priapism look on duration of symptoms , underlying pathology , early interventions , previous priapism episodes , previous stuttering sequence , presence of sickle cadre disease and the presence of infections in the phallus .
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