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Incidence and clinical features of priapism in Japan: 46 cases from the Japanese diagnosis procedure combination database 2006–2008

International Journal of Impotence Research volume 23, pages 76–80 (2011)Cite this article

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Abstract

We investigated the incidence and clinical features of priapism in Japan, using a national administrative claims database, the Diagnosis Procedure Combination database. Priapism patients were identified using the International Classification of Diseases and Related Health Problems, 10th Revision code, N483 (priapism). Verified patient characteristics included age, comorbidities and management of priapism. Among 6.93 million inpatients, 46 patients with priapism were identified. Four had two admissions each for repeated events. The median age was 41.5 years (range, 11–89 years). A total of 21 patients had comorbidities; 3 had haematological malignancies, 4 had haemodialysis, 1 had a renal transplant, 2 had neurological problems, 4 had non-haematological malignancies, 3 had trauma and 6 had psychoses (2 cases had two comorbidities). All patients with non-haematological malignancies were over the age of 70 years, indicating that close attention is required to search for associated malignancies in elderly patients. The medical treatments included 6 vascular embolizations, 11 Winter method surgeries and 18 other operations. The incidence was estimated to be 0.13 (95% confidence interval, 0.097–0.17) per 100 000 person-years. This incidence was lower than that reported in other parts of the world.

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Acknowledgements

The present study was funded by a Grant-in-Aid for Research on Policy Planning and Evaluation from the Ministry of Health, Labour and Welfare, Japan (Grant number: H19-Policy-001).

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Authors and Affiliations

  1. School of Public Health, The University of Tokyo, Tokyo, Japan

    T Sugihara

  2. Department of Urology, The University of Tokyo, Tokyo, Japan

    T Sugihara, H Nishimatsu & Y Homma

  3. Department of Health Management and Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

    H Yasunaga & H Horiguchi

  4. Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Fukuoka, Japan

    S Matsuda

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  1. T Sugihara
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Correspondence to T Sugihara.

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Sugihara, T., Yasunaga, H., Horiguchi, H. et al. Incidence and clinical features of priapism in Japan: 46 cases from the Japanese diagnosis procedure combination database 2006–2008. Int J Impot Res 23, 76–80 (2011). https://doi.org/10.1038/ijir.2011.7

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