Prise en charge du priapisme ischémique aigu à l’Hôpital National de Lamordé de Niamey

ConclusionLa drépanocytose est la principale cause du priapisme ischémique aigu dans notre contexte. La ponction caverneuse selon Winter est une option thérapeutique simple, fiable et efficace pour la prise en charge de cette affection.AbstractObjectivesTo describe the clinical features of acute ischemic priapism and to assess the results of the management.Patients and methodsThis is a prospective study over a period of 19 months from June 2011 to December 2012, involving 29 patients treated for acute ischemic priapism in the service of surgical and urological emergencies of National hospital of Lamordé. The age, the consultation period, the etiology and results of the treatment were the variables studied.ResultsThe mean age was 19 years (range 5-43 years). The average time of consultation was 26 hours (range: 5 hours and 5 days). Sickle cell disease (18 cases) and self-medication (7 cases) were the main causes. De tumescence was complete (15 cases) after cavernous puncture and etilefrine administration. The erection was satisfactory (7 cases) with a mean of 3 months and 5 patients had erectile dysfunction.ConclusionSickle cell disease is the leading cause of acute ischemic priapism in our context. Winter's procedure is a simple treatment option, reliable and effective for the treatment of this condition.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research