(338) DISPARITIES IN PRIAPISM CARE: INSIGHTS FROM NSQIP DATABASE

Abstract Introduction Priapism, marked by prolonged penile erection unrelated to sexual arousal, carries risks of tissue damage and permanent erectile dysfunction, mainly in its ischemic subtype. Despite guidelines stressing prompt intervention, disparities in management remain largely unexplored, urging further investigation to enhance patient outcomes and quality of life, driving our objective to analyze Priapism data from the National Surgical Quality Improvement Program (NSQIP) database. Objective To examine potential disparities in priapism care using the NSQIP database. Methods We conducted a retrospective analysis of priapism cases from 2007-2021 using the NSQIP database, focusing on ischemic and non-ischemic cases identified through ICD-9 and -10 and CPT codes. We assessed how reported race/ethnicity (Black, Hispanic, White) correlated with 30-day complication rates, surgical interventions (shunting), immediate penile prosthesis (PP) placement, and procedural management (penile injection and irrigation), analyzing p-values with Chi-squared tests. Results Our cohort of 474 priapism patients, were predominately Whites (43%) and the median age was 44 years. Emergent cases accounted for 51.3%, with corporospongiosal shunt being the most common intervention (57.4%). Patient race did not significantly influence the choice of shunting procedure. For those who underwent procedural intervention, 10.6% underwent irrigation of corpora cavernosa and 3.8% underwent injection of corpora cavernosa. Interestingly, Hispanic males trended lower rates in both categories: irrigation (Hispanic 5.6%, Black 10.8%, White 12.9%, p = 0.235) and injection (Hispanic 0%, Black 4.2%, White 5.0%, p = 0.045).Post-operative complications were observed in 6.7% of cases, with blood transfusion being the most common (4.01%). Reoperation rate was 13.7%, primarily for repeat priapism, leading to a 30-day readmission rate of 7.0%. Conclusions Priapism demands swift evaluation and treatment to mitigate discomfort and preserve erectile tissue integrity. Our research suggests a potential link between race and the procedural and surgical approaches to managing priapism, with varying initial management and transfusion rates among racial groups. Future investigations should delve deeper into these racial disparities and investigate potential variations in initial treatment upon presentation to the Emergency Department. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: StreamDx, Inherent Bioscience, Turtle Health, Maimus, Carrot Fertility.