Prise en charge du priapisme à bas débit vue tardivement : à propos de 28 cas

Management of Priapism in Sickle Cell Patients: Experience of the Urology Department of the University Hospital Centre of Libreville

“…Among them, 15 patients (78.9%) were homozygous SS. This result is in line with the data in the literature, which shows a predominance of homozygous SS sickle cell disease in 70% to 100% of cases [8] [9] [10]. Sickle-cell anaemia is a frequent cause of priapism with more than a third of patients (homozygous SS) presenting at least one episode of priapism [11].…”

“…In our series, the treatment time for sickle cell priapism was greater than or equal to 5 hours with an average of 22.4 hours. These data can be compared with those of Bouya et al [8] in Congo, who report a consultation time of 6 to 48 hours. This is better than the 4-day delay reported by Falandry et al [1] in their cross-border study as well as those of Fall et al [10] in Senegal and Okoko et al [6] in Congo who note that more than 80% of patients had consulted more than 24 hours.…”

“…They are more distant from those of the team in Tunisia [7] where the population is older (average age 43 years) and the aetiology of sickle cell disease is less frequent. Over a longer period (11 years), Bouya et al [8] reported 32 cases of sickle cell priapism representing 62.5% of the priapisms treated in the urology department, with the age of the patients varying from 7 to 32 years, with an average of 15.5 years.…”

Priapismo isquémico en la enfermedad falciforme como causa de disfunción sexual. Serie de casos y revisión de la literatura

“…20,21 El tiempo de evolución antes de consultar, de 48 horas es superior al de la serie de Mougougou de 22 horas, 18 y cercano al de Kamel et al en Congo de 12 a 30 horas. 22 Los pacientes con EF que han presentado vasculopatías como accidentes cerebrovasculares, úlceras en miembros inferiores, HTP o ERC tienen un mayor riesgo de priapismo. 23 El subfenotipo hiperhemolítico con bajos niveles de hemoglobina y altos marcadores de hemólisis también se asocia con mayor prevalencia de eventos vasculares 24 acorde con lo expuesto por Taylor et al quienes mostraron asociación entre una LDH aumentada con una velocidad de regurgitación tricuspídea elevada (OR=4.13), úlceras en miembros inferiores (OR=3.2) y priapismo (OR=2.6) en 350 adultos afroamericanos.…”

Sexual Functional Prognosis of Penile Emergencies at the University Hospital of Libreville

“…Bouya et al [8] report that all ten patients with absent or insufficient erection were treated after the 30 th hour and that among the five patients treated with intracavernous injection of etilefrine, all three successes were observed in patients seen before the 24 th hour. Kamel et al [13] consider that the risk of secondary erectile dysfunction depends on several factors: the delay in treatment. In their series, only two had a favorable outcome among the ten patients treated beyond the third day (28% of cases).…”