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Problématique des anéjaculations psychogènes au Sénégal : à propos de quatre cas

Problems of psychogenic anejaculation in Senegal: about four cases

Basic and Clinical Andrology volume 22, pages 112–115 (2012)Cite this article

Résumé

Au Sénégal, les troubles sexuels posent un réel problème de diagnostic et surtout de prise en charge, en rapport avec le manque d’informations des patients, les tabous sexuels et la rareté supposée de ces affections.

Des patients présentant une anéjaculation sans étiologie organique ou iatrogène ont été adressés au service de psychiatrie en consultation de soutien psychologique. Les entretiens réalisés ont permis de déceler des facteurs psychosociaux communs par rapport aux circonstances précédant et entretenant l’anéjaculation psychogène.

Le premier facteur commun est la précocité des relations sexuelles avant la puberté chez tous les patients.

Par ailleurs, nous avons noté la crainte d’un inceste éventuel avec un sentiment de culpabilité, et une certaine valorisation de l’anéjaculation par les partenaires qui pourraient être des facteurs intervenant dans le renforcement du trouble.

La mise à disposition d’un espace d’écoute associé à des réaménagements s’inspirant de l’approche cognitivocomportementale a pu apporter un soulagement aux patients.

Abstract

In Senegal, sexual disorders are a real diagnosis and support problem, which is due to the lack of information of patients, sexual taboos and the little number of these affections.

Patients with an anejaculation without organic or iatrogenic etiology were sent to psychiatry in psychological support consultation. The individual sessions have identified common psychosocial factors over the circumstances leading up to and sustaining the psychogenic anejaculation.

The first common factor is early sexual intercourse prior to puberty for all patients.

In addition, we have noted the fear of a potential incest with guilt feelings, and a sort of over-appraisal of the anejaculation by partners, all these factors may contribute to the strengthening of the disorder

Provision of a listening space associated with adjustments based on the behavioral cognitive approach could bring relief to patients.

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Authors and Affiliations

  1. CHNU de Fann, service de psychiatrie, BP 5952, Dakar-Fann, Sénégal

    A. Sylla, N. -D. Ndiaye-Ndongo, L. Fall & M. Guèye

  2. Service d’urologie andrologie de l’hôpital général de Grand Yoff, Dakar, Senegal

    S. M. Guèye

Authors
  1. A. Sylla
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  2. N. -D. Ndiaye-Ndongo
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  3. L. Fall
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  4. S. M. Guèye
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  5. M. Guèye
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Correspondence to A. Sylla.

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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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Sylla, A., Ndiaye-Ndongo, N.D., Fall, L. et al. Problématique des anéjaculations psychogènes au Sénégal : à propos de quatre cas. Basic Clin. Androl. 22, 112–115 (2012). https://doi.org/10.1007/s12610-012-0179-y

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  • DOI: https://doi.org/10.1007/s12610-012-0179-y

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Basic and Clinical Andrology

ISSN: 2051-4190