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Prevalência de priapismo em indivíduos com doença falciforme e suas implicações na função sexual masculina

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العنوان:	Prevalência de priapismo em indivíduos com doença falciforme e suas implicações na função sexual masculina
المؤلفون:	Mateus Andrade Alvaia, Heros Aureliano Antunes da Silva Maia, Alana de Medeiros Nelli, Carina Oliveira Silva Guimarães, Evanilda Souza de Santana Carvalho, José Murillo Bastos Netto, Eduardo de Paula Miranda, Cristiano Mendes Gomes, José de Bessa Júnior
المصدر:	einstein (São Paulo) v.18 2020 Einstein (São Paulo) Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE Einstein (São Paulo), Vol 18 (2020) Einstein (São Paulo), Volume: 18, Article number: eAO5070, Published: 22 APR 2020 Einstein
بيانات النشر:	Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein, 2020.
سنة النشر:	2020
مصطلحات موضوعية:	Male, Pediatrics, Cross-sectional study, Priapism, urologic and male genital diseases, 0302 clinical medicine, Quality of life, Surveys and Questionnaires, Prevalence, Erectile dysfunction, 030212 general & internal medicine, Young adult, Child, Penile Erection, Artigo Original, Age Factors, General Medicine, 030220 oncology & carcinogenesis, Sex life, Medicine, Original Article, Sexuality, Brazil, Adult, medicine.medical_specialty, Adolescent, Anemia, Sickle Cell, Disfunção erétil, Anemia falciforme, Disease-Free Survival, Statistics, Nonparametric, Young Adult, 03 medical and health sciences, Anemmia, sickle cell, medicine, Humans, Priapism/epidemiology, Retrospective Studies, business.industry, Retrospective cohort study, medicine.disease, Cross-Sectional Studies, Sexualidade, Quality of Life, Sexual function, business, Priapismo/epidemiologia
الوصف:	Objective To evaluate epidemiological aspects of priapism in patients with sickle cell disease, and these aspects impact on adult sexual function. Methods 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. Results 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. Conclusion 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. RESUMO Objetivo Avaliar aspectos epidemiológicos do priapismo em pacientes com doença falciforme e o impacto desses aspectos na função sexual de adultos. Métodos Trata-se de estudo transversal, que incluiu indivíduos com doença falciforme acompanhados em um centro de referência. Os participantes responderam a um questionário estruturado acerca das características sociodemográficas e eventos de priapismo. A função sexual foi avaliada por meio de dois instrumentos validados, a Escala de Rigidez de Ereção e um sobre satisfação com a vida sexual. Resultados Foram entrevistados 64 indivíduos com média de idade de 12 (7-28) anos. A prevalência de priapismo foi de 35,9% (23/64). O episódio mais precoce ocorreu aos 2 anos de idade e o mais tardio, aos 42 anos. A projeção estatística foi de que 71,1% desses sujeitos teriam pelo menos um episódio de priapismo ao longo da vida. Pacientes adultos com episódios de priapismo (10/23) apresentaram função erétil significativamente pior Escala de Rigidez de Ereção de 2 [1-3]; p=0,01 e estavam menos satisfeitos com a vida sexual 3 [3-5]; p=0,02. Conclusão O priapismo manifesta-se desde a infância, e episódios graves estão associados a dano cavernoso, prejuízo na qualidade da ereção e menor satisfação sexual.
وصف الملف:	text/html
تدمد:	2317-6385 1679-4508
الوصول الحر:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::43e3ee20a5baa5b72a0e917332533bc9Test https://doi.org/10.31744/einstein_journal/2020ao5070Test
حقوق:	OPEN
رقم الانضمام:	edsair.doi.dedup.....43e3ee20a5baa5b72a0e917332533bc9
قاعدة البيانات:	OpenAIRE

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Methods 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. Results 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. Conclusion 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. RESUMO Objetivo Avaliar aspectos epidemiológicos do priapismo em pacientes com doença falciforme e o impacto desses aspectos na função sexual de adultos. Métodos Trata-se de estudo transversal, que incluiu indivíduos com doença falciforme acompanhados em um centro de referência. Os participantes responderam a um questionário estruturado acerca das características sociodemográficas e eventos de priapismo. A função sexual foi avaliada por meio de dois instrumentos validados, a Escala de Rigidez de Ereção e um sobre satisfação com a vida sexual. Resultados Foram entrevistados 64 indivíduos com média de idade de 12 (7-28) anos. A prevalência de priapismo foi de 35,9% (23/64). O episódio mais precoce ocorreu aos 2 anos de idade e o mais tardio, aos 42 anos. A projeção estatística foi de que 71,1% desses sujeitos teriam pelo menos um episódio de priapismo ao longo da vida. Pacientes adultos com episódios de priapismo (10/23) apresentaram função erétil significativamente pior Escala de Rigidez de Ereção de 2 [1-3]; p=0,01 e estavam menos satisfeitos com a vida sexual 3 [3-5]; p=0,02. 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