Table 3 Etiologies of priapism with associated median durations and priapism subtype classification.

From: Risk factors, diagnosis, and long-term erectile dysfunction outcomes in priapism: a retrospective analysis of 186 cases from a single institution

Etiology

Median Duration of Priapism, Hours (IQR)

Acute Ischemic, n (%)

Recurrent Ischemic, n (%)

Nonischemic, n (%)

Idiopathic (n = 28)

24 (10–70.5)

12 (42.9)

16 (57.1)

0 (0)

Intracavernosal injection (ICI) therapy (n = 102)

6 (4–12)

77 (75.4)

25 (24.5)

0 (0)

Provider-administered (n = 40)

3 (2–4)

39 (97.5)

1 (2.5)

0 (0)

Self-administered, prescribed (n = 40)

7 (6–12)

23 (57.5)

17 (42.5)

0 (0)

Self-administered, recreational (n = 22)

30 (12–63)

15 (68.2)

7 (31.8)

0 (0)

Medications (n = 42)

11 (7–48)

24 (57.1)

15 (35.7)

3 (7.1)

Trazodone (n = 27)

24 (7.5–48)

15 (55.6)

10 (37.0)

2 (7.4)

Quetiapine (n = 5)

8 (6–10)

2 (40.0)

2 (40.0)

1 (20.0)

Escitalopram (n = 1)

7 (7–7)

0 (0)

1 (100.0)

0 (0)

Sildenafil (n = 2)

29.5 (20.2–38.8)

1 (50.0)

1 (50.0)

0 (0)

Tadalafil (n = 2)

13.5 (10.2–16.8)

1 (50.0)

1 (50.0)

0 (0)

Tamsulosin (n = 2)

5.5 (5.3–5.8)

2 (100.0)

0 (0)

0 (0)

Other (n = 3)

N/Aa

3 (100.0)

0 (0)

0 (0)

Sickle Cell Disease/Trait (n = 7)

24 (17–480)

3 (42.9)

4 (57.1)

0 (0)

Illicit Drug Use (n = 3)

144 (90–156)

2 (66.7)

1 (33.3)

0 (0)

Trauma (n = 4)

N/Aa

0 (0)

0 (0)

4 (100.0)

Total

9.5 (4–36)

118 (63.4)

61 (32.8)

7 (3.8)

  1. aN/A not available.