PD60-08 INVESTIGATING THE ROLE OF NON-UROLOGIC MEDICAL PROFESSIONALS AND SOCIOECONOMIC DISPARITIES IN ISCHEMIC PRIAPISM: A MULTI-INSTITUTIONAL STUDY

Abstract

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making V (PD60)1 Sep 2021PD60-08 INVESTIGATING THE ROLE OF NON-UROLOGIC MEDICAL PROFESSIONALS AND SOCIOECONOMIC DISPARITIES IN ISCHEMIC PRIAPISM: A MULTI-INSTITUTIONAL STUDY Parth Patel, Hannah Slovacek, Gaurav Pahouja, Hiten Patel, David Cao, Jacob Emerson, Jagan Kansal, Zachary Prebay, Robert Medairos, Johnathan Doolittle, Larissa Bresler, Laurence Levine, Amy Guise, and Petar Bajic Parth PatelParth Patel More articles by this author , Hannah SlovacekHannah Slovacek More articles by this author , Gaurav PahoujaGaurav Pahouja More articles by this author , Hiten PatelHiten Patel More articles by this author , David CaoDavid Cao More articles by this author , Jacob EmersonJacob Emerson More articles by this author , Jagan KansalJagan Kansal More articles by this author , Zachary PrebayZachary Prebay More articles by this author , Robert MedairosRobert Medairos More articles by this author , Johnathan DoolittleJohnathan Doolittle More articles by this author , Larissa BreslerLarissa Bresler More articles by this author , Laurence LevineLaurence Levine More articles by this author , Amy GuiseAmy Guise More articles by this author , and Petar BajicPetar Bajic More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002097.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There is a growing prevalence of direct-to-consumer erectile dysfunction (ED) clinics operated by non-urological medical professionals (NUMPs), making it easier for patients to acquire intracavernosal injections (ICI). Priapism, a known complication of these drugs, can cause significant discomfort and long-term sexual dysfunction with a suspected disproportionate impact among certain racial and socioeconomic groups. We aimed to assess the demographics, etiologies, and management of patients presenting with priapism in a multi-institutional cohort. METHODS: We identified all consecutive patients presenting with ischemic priapism to the emergency departments of three major academic health systems (2014-2019). Demographic characteristics, priapism etiologies, and clinical management were evaluated. Univariable and multivariable analyses were used to assess the contribution of socioeconomic characteristics and the role of prescribing providers in priapism episodes. RESULTS: We identified 102 individuals with a total of 181 priapism encounters. Hispanic race, lower income quartile, sickle-cell disease, and illicit drug use were associated with increased risk of recurrent episodes. Of ICI users, 57% received their prescriptions from NUMPs; the proportion with recurrent episodes was higher for NUMPs compared to urologists (24% vs. 0%, p=0.06) with no demographic differences identified between patients treated by either group. CONCLUSIONS: Socioeconomic disparities exist among patients presenting with recurrent episodes of priapism, potentially highlighting systemic issues with access to care and patient education. Given that most patients who developed ischemic priapism from ICI were prescribed these medications by NUMPs, further investigation is required to elucidate the prescribing and counseling patterns of NUMPs. Increased awareness of these disparities and complications may improve patient safety. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1063-e1064 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Parth Patel More articles by this author Hannah Slovacek More articles by this author Gaurav Pahouja More articles by this author Hiten Patel More articles by this author David Cao More articles by this author Jacob Emerson More articles by this author Jagan Kansal More articles by this author Zachary Prebay More articles by this author Robert Medairos More articles by this author Johnathan Doolittle More articles by this author Larissa Bresler More articles by this author Laurence Levine More articles by this author Amy Guise More articles by this author Petar Bajic More articles by this author Expand All Advertisement Loading ...