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Prise en charge du priapisme à Dakar

Management of priapism in Dakar

Basic and Clinical Andrology volume 22, pages 36–41 (2012)Cite this article

Résumé

Objectif

Évaluer la prise en charge des patients présentant un priapisme.

Patients et méthodes

Il s’agit d’une étude rétrospective sur quatre ans, du 1er août 2002 au 31 juillet 2006, portant sur 35 patients. Les cadres d’étude ont été les trois grands services d’urologie du Sénégal qui sont tous à Dakar. Les paramètres suivants ont été étudiés: l’âge, le temps d’évolution du priapisme, les données anamnestiques, le type hémodynamique du priapisme, les résultats du bilan paraclinique, le traitement chirurgical (la technique chirurgicale, la technique d’anesthésie), la durée d’hospitalisation, le traitement associé, les complications per- et postopératoires, les résultats immédiats et à long terme.

Résultats

L’âge moyen des patients était de 21,2 ans. Le groupe d’âge le plus représenté était celui de 20 à 30 ans. La majorité des patients (43 %) avaient une notion de drépanocytose connue. La plupart des patients (65 %) ont été pris en charge avant 24 heures d’évolution. Chez tous nos patients, le priapisme était de bas débit. Dans 50 % des cas, les patients drépanocytaires avaient une forme SS. Dans près de la moitié des cas (62 %), la technique d’anesthésie choisie a été le bloc pénien. La ponction des corps caverneux a été le moyen thérapeutique le plus utilisé (63 %). Aucune complication postopératoire majeure n’a été déplorée dans la prise en charge des patients dans notre série. Chez presque tous les patients (95 %), la détumescence durable a été notée le jour même du début du traitement ou le lendemain. Conclusion: Le priapisme, bien que rare en Afrique, est caractérisé par la prédominance de la drépanocytose comme étiologie et le délai particulièrement long de la prise en charge.

Abstract

Objective

Evaluate the management of patients with priapism.

Patients and methods

This is a retrospective study over 4 years from August 1, 2002 to July 31, 2006, on 35 patients. The frames of the study were three major services of urology of Senegal which are located in Dakar. The following parameters were studied: age, time evolution of priapism, anamnestic information, the type of hemodynamic priapism, the results of paraclinical data, the surgical treatment (the surgical technique, the anesthetic technique), the duration of hospitalization, the treatment associated, the per- and postoperative complications, immediate and long term results.

Results

The average age of patients was 21.2 years. The age group most represented was that of 20 to 30 years. The majority of patients (43%) had known history of sickle-cell disease. Most patients were (65%) supported within 24 hours of evolution (65%). In all patients, priapism was low bandwidth. In 50% of cases, patients with sickle cell disease had a SS form. In about half the cases (62%), the anesthetic technique chosen was the penile block. The puncture of the corpora cavernosa was the most widely used means of therapy (63%). No major postoperative complication was deplored in the care of patients in our series. In almost all patients (95%), a durable detumescence was noted the day of the beginning of treatment or the next day.

Conclusion

Priapism, although rare in Africa, is characterized by the predominance of sickle cell disease as etiology and the particularly long period before treatment.

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Authors and Affiliations

  1. Service d’urologie, hôpital Principal de Dakar, BP 3600, Dakar, Sénégal

    R. Kane & A. Ndiaye

  2. Service d’urologie, hôpital général de Grand-Yoff, Dakar, Sénégal

    L. Niang, H. Berthe & S. M. Gueye

  3. Service d’urologie, hôpital Aristide-Le-Dantec, Dakar, Sénégal

    B. Diao & A. Ndoye

Authors
  1. R. Kane
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  2. L. Niang
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  3. H. Berthe
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  4. A. Ndiaye
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  5. B. Diao
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  6. A. Ndoye
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  7. S. M. Gueye
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Correspondence to R. Kane.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Kane, R., Niang, L., Berthe, H. et al. Prise en charge du priapisme à Dakar. Basic Clin. Androl. 22, 36–41 (2012). https://doi.org/10.1007/s12610-012-0162-z

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Basic and Clinical Andrology

ISSN: 2051-4190