(417) Erectile Function after Treatment for Non-ischemic Priapism

Abstract Introduction Non-ischemic priapism (NIP) is a rare subtype of that typically arises from straddle injury leading to the formation an arterial-sinusoidal fistula, which results in partial penile tumescence. NIP can be managed conservatively, with selective arterial embolization, or, rarely, surgical ligation. These treatments have varying rates success and post-treatment erectile dysfunction (ED), but there paucity studies include long-term outcomes. We present long term follow up 23 three patients large centre offering all interventions. Objective Follow 23-patients presenting non-ischemic priapism, evaluating function both those who did didn’t require intervention form embolization. Methods conducted single-centre retrospective cross-sectional study looking at (EF) cohort over median follow-up 61 months. Patients’ EF was assessed using domain (IIEF-EF) British Association Urological Surgeons (BAUS) International Index Erectile Function (IIEF) questionnaire, ED defined as score ≤ 25 and/or use pharmacological adjuncts assist EF. This largest longest this field its type. Results o Our had IIEF-EF 28, 4 (17.4%) reported adjuncts. 21 were treated 2 conservatively. 91.3% required treatment 17.4% needed adjunctive agents 4.3% suffering further episode (single iatrogenic episode) 0% conservative management group, 47.6% embolization group. Conclusions higher rate compared literature (47.6% vs 15-22%). Although no conservatively follow-up, only study’s validity negatively affected by many factors: nature, small sample size, confounding heterogeneous group patients. Ultimately, condition good outcomes are constantly improving evolving. Disclosure No