Alvaia Mateus Andrade, Maia Heros Aureliano Antunes da Silva, Nelli Alana de Medeiros, Guimarães Carina Oliveira Silva, Carvalho Evanilda Souza de Santana, Netto José Murillo Bastos, Miranda Eduardo de Paula, Gomes Cristiano Mendes, Bessa Júnior José de
Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brazil.
Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.
Einstein (Sao Paulo). 2020 Apr 22;18:eAO5070. doi: 10.31744/einstein_journal/2020AO5070. eCollection 2020.
To evaluate epidemiological aspects of priapism in patients with sickle cell disease, and these aspects impact on adult sexual function.
This was a cross-sectional study including individuals with sickle cell disease who were evaluated at a reference center for sickle cell. Participants completed a structured questionnaire about their sociodemographic characteristics and priapism events. Sexual function was assessed using validated two instruments, the Erection Hardness Score and one about the sex life satisfaction.
Sixty-four individuals with median aged of 12 (7 to 28) years were interviewed. The prevalence of priapism was 35.9% (23/64). The earliest priapism episode occurred at 2 years of age and the latest at 42 years. The statistical projection was that 71.1% of individuals of the study would have at least one episode of priapism throughout life. Patients with episodes of priapism (10/23) had significantly worse erectile function Erection Hardness Score of 2 [1-3]; p=0.01 and were less satisfied with sexual life 3 [3-5]; p=0.02.
Priapism is usually present in childhood, and severe episodes are associated with cavernous damage, impairment in the quality of the erection, and lower sexual satisfaction.
评估镰状细胞病患者阴茎异常勃起的流行病学特征，以及这些特征对成人性功能的影响。
这是一项横断面研究，纳入了在镰状细胞病参考中心接受评估的镰状细胞病患者。参与者完成了一份关于其社会人口学特征和阴茎异常勃起事件的结构化问卷。使用两种经过验证的工具评估性功能，即勃起硬度评分和一项关于性生活满意度的调查。
共访谈了64名年龄中位数为12岁（7至28岁）的个体。阴茎异常勃起的患病率为35.9%（23/64）。最早的阴茎异常勃起发作发生在2岁，最晚发生在42岁。统计预测显示，该研究中71.1%的个体一生中至少会有一次阴茎异常勃起发作。有阴茎异常勃起发作的患者（10/23）勃起功能明显较差，勃起硬度评分为2[1 - 3]；p = 0.01，对性生活的满意度较低，评分为3[3 - 5]；p = 0.02。
阴茎异常勃起通常在儿童期出现，严重发作与海绵体损伤、勃起质量受损和较低的性满意度相关。
