Finasteride for Recurrent Priapism in Children and Adolescents with Sickle Cell Disease: Report of 5 Cases

    April 2011 in “ The Journal of Urology
    Ubirajara Barroso, Thamy Cristine Santana Marques, Hugo Novaes
    TLDR Finasteride effectively reduced priapism episodes in children with sickle cell disease without side effects.
    This study reported on the use of finasteride for treating recurrent priapism in 5 children and adolescents with sickle cell disease. The patients, with an average age of 12.2 years, experienced a significant reduction in the frequency of priapism episodes during the treatment period, which lasted an average of 7.5 months. Before treatment, patients had frequent episodes, with one experiencing them nearly daily. After treatment, 4 patients had no further crises, and one had only sporadic, shorter episodes. No side effects were observed, and all patients maintained normal erectile function. The study concluded that finasteride appeared to be an effective short-term treatment, but emphasized the need for long-term studies with more participants to fully assess its safety and efficacy.
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