{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:25:48Z","timestamp":1787840748137,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Priapism is usually defined as penile erection that lasts more than 4\u2009h beyond sexual stimulation and orgasm or is unrelated to sexual stimulation. The overwhelmingly more common low-flow priapism is typically painful, while high-flow priapism is typically painless. Interventions are varied depending on the aetiology and timing of the presentation. The outcome in most cases depends on the timing of the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to review the presentation and short- and intermediate-term outcomes of treatment of priapism in patients in Southern Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This was a retrospective 10-year study conducted from 2010 to 2019 of all adult patients diagnosed with priapism who were admitted to the adult urology units in two Government University Teaching hospitals in South West Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The records of 61 patients were analysed. The mean age was 27.54 years \u00b1 6.22 with a range of 15\u201356 years. The median duration of symptoms before presentation was 36\u2009h with a range of 2 to 336\u2009h. Eleven patients (18%) presented within 24\u2009h of onset of symptoms. Sickle cell disease (SCD) and idiopathic aetiology were the most common causes of priapism, accounting for 44 (72.1%) and 8 (13.1%) respectively. Corporal aspiration resolved the priapism in 22 (36.1.%), while corpora\u2013glandular shunt was the final treatment in 36 (59.1%). Fifty-seven per cent had erectile dysfunction (ED), while penile gangrene with autoamputation was observed in one patient (1.6%). Sixty-six per cent and 62% of patients who presented within &lt; 36\u2009h and 36\u201372\u2009h, respectively, experienced normal erection at 6 months after surgery. Erectile function got progressively worse after 72\u2009h, with all patients with ischemic priapism lasting more than 1 week developing ED. There was no statistically significant relationship between the variants of SCD and the risk of ED in patients who presented within 72\u2009h.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The incidence of ischemic priapism was high, with sickle cell disease being the most common cause. The risk of ED was significantly worse after 72\u2009h. The aetiology of priapism did not significantly influence the risk of ED.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_48_24","type":"journal-article","created":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T02:00:16Z","timestamp":1727834416000},"page":"269-274","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Priapism in South West Nigeria\u2014Short and Intermediate-Term Outcomes"],"prefix":"10.4103","volume":"15","author":[{"given":"Kehinde Habeeb","family":"Tijani","sequence":"first","affiliation":[{"name":"Department of Surgery of the College of Medicine of the University of Lagos, Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chike John","family":"Okeke","sequence":"additional","affiliation":[{"name":"Department of Urology, Mersey and West Lancashire Teaching Hospitals, NHS Trust, 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A.","family":"Habeeb-Tijani","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Lagos, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwaseun Samuel","family":"Alaba","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Lagos, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"key":"CIT0001-20250613","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1111\/j.1743-6109.2009.01625.x","article-title":"Priapism: Pathogenesis, epidemiology, and management","volume":"7","author":"Broderick","year":"2010","journal-title":"J Sex Med"},{"key":"CIT0002-20250613","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1016\/j.eururo.2013.11.008","article-title":"European Association of Urology Guidelines on Priapism","volume":"65","author":"Salonia","year":"2014","journal-title":"Eur 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AN Usual Complication og Priapism","author":"Khoriaty","year":"1980","journal-title":"How to avoid it?"},{"key":"CIT0023-20250613","doi-asserted-by":"crossref","first-page":"251","DOI":"10.4103\/iju.IJU_41_17","article-title":"Priapism with penile gangrene: An unusual presentation of multiple myeloma","volume":"33","author":"Panwar","year":"2017","journal-title":"Indian J Urol"},{"key":"CIT0024-20250613","first-page":"112","article-title":"Penile gangrene following cavernoglandular shunt for priapism: case report","volume":"4","author":"Olaomi","year":"2002","journal-title":"Nigerian J Surg Res"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_48_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:28:13Z","timestamp":1787837293000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_48_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,1]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_48_24","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,1]]},"assertion":[{"value":"2024-03-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}