Table 4.

Risk factors associated with the prospective rate of priapism in men with sickle cell anemia

CharacteristicPriapism rate (95% CI)P value 
Retrospective and prospective priapism rates, events per year (n = 73) <.001 
Retrospective from history (n = 73) 23.6 (22.5-24.8)  
Prospective from diary (n = 71) 16.8 (14.9-18.8)  
Monthly priapism rate by experiencing major priapism in prospective period <.001 
No major priapism (n = 53) 1.2 (1.0-1.3)  
At least one major priapism (n = 18) 2.1 (1.8-2.5)  
Monthly priapism rate by gonadal hormone status .340  
Eugonadism (n = 48) 1.5 (1.3-1.7)  
Hypogonadism (n = 5) 0.7 (0.3-1.2)  
Compensated hypogonadism (n = 18) 1.3 (1.0-1.6)  
Monthly priapism rate by use of hydroxyurea <.001 
No hydroxyurea (n = 60) 1.2 (1.0-1.3)  
Hydroxyurea (n = 11) 2.7 (2.2-3.3)  
Monthly rate of priapism in months 2 and 3 by whether priapism occurred in first month .006 
No priapism in first month (n = 26) 0.7 (0.5-1.0)  
Priapism in first month (n = 45) 1.3 (1.1-1.5)  
CharacteristicPriapism rate (95% CI)P value 
Retrospective and prospective priapism rates, events per year (n = 73) <.001 
Retrospective from history (n = 73) 23.6 (22.5-24.8)  
Prospective from diary (n = 71) 16.8 (14.9-18.8)  
Monthly priapism rate by experiencing major priapism in prospective period <.001 
No major priapism (n = 53) 1.2 (1.0-1.3)  
At least one major priapism (n = 18) 2.1 (1.8-2.5)  
Monthly priapism rate by gonadal hormone status .340  
Eugonadism (n = 48) 1.5 (1.3-1.7)  
Hypogonadism (n = 5) 0.7 (0.3-1.2)  
Compensated hypogonadism (n = 18) 1.3 (1.0-1.6)  
Monthly priapism rate by use of hydroxyurea <.001 
No hydroxyurea (n = 60) 1.2 (1.0-1.3)  
Hydroxyurea (n = 11) 2.7 (2.2-3.3)  
Monthly rate of priapism in months 2 and 3 by whether priapism occurred in first month .006 
No priapism in first month (n = 26) 0.7 (0.5-1.0)  
Priapism in first month (n = 45) 1.3 (1.1-1.5)  

Fisher exact test unless otherwise noted.

Negative binomial regression.

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