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[...]patients with type 1 diabetes (T1DM) who depend on insulin from the onset of the disease were less likely to have been included in the study; this is because insulin, despite its near-exclusive indication for DM, was not considered when identifying diabetic patients. [...]the investigators classified patients into diabetic and non-diabetic groups, and hypertensive and non-hypertensive groups, but did not account for patients who may have had both conditions. [...]it is conceivable that the significant associations found between BMI and HTN and between BMI and DM may be due, at least in part, to patients with both HTN and DM as the “diabetic/non-diabetic” groups did not filter out patients with HTN and DM was not excluded in the “hypertensive/non-hypertensive” groups.

Priapism is considered a rare disorder and even more rare when it occurs as a complication of COVID-19. To the best of our knowledge, only eight studies have reported priapism as a complication of COVID-19. Here, we report the case of a 66-year-old male with COVID-19 who presented with neglected priapism for three days. On local examination, penile erection was apparent in association with blackened areas on the glans penis extending to the midpenile shaft denoting penile gangrene. A clear line of demarcation was noticed at the midpenile shaft. Penile duplex was performed, showing no blood flow in both cavernosal arteries. Penile aspiration was performed, and the cavernosal blood sample showed evidence of ischemic priapism. Given the presence of penile gangrene extending to the midshaft of the penis and the poor general condition of the patient, the decision was made to perform partial penectomy and suprapubic tube placement. We recommend the establishment of a guideline for the diagnosis and prevention of thrombotic diseases in patients with COVID-19 infection as there is increasing evidence of COVID-19-related thrombotic manifestations.