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Management for Priapism at the National Reference University Hospital Centers (NGRH) and at the Mother and Child Hospital (MCH) in Ndjamena

Received: 5 March 2020     Accepted: 31 March 2020     Published: 17 April 2020
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Abstract

The authors studied therapeutic and evolutionary epidemiological, etiological and evolutionary traits. This is a review of patient records admitted to the surgical emergency departments of National Reference University Hospital Centers (NGRH) and at the Mother and Child University Hospital Centers (MCH) in Ndjamena with priapism that was taken care of from 2006 to 2016. Age, consultation time, etiology, established treatment and outcomes of management were the variables studied. The series involved 31 patients, the average age was 21. The main etiology was sickle cell priapism with 77% of cases. Six (6) patients or 19.3% had a history of prolonged erection. More than half of our patients (52%) had consulted after 72 hours of evolution. The puncture of cavernous bodies was the most widely used therapeutic method (45%). No major postoperative complications were recorded in the management of patients in our series. Sustained detumescence was achieved the same day or the next day in all our patients. Conclusion: Although priapism is rare in Africa, it is characterized by the predominance of sickle cell disease as etiology and the longtime of management in particular.

Published in International Journal of Clinical Urology (Volume 4, Issue 1)
DOI 10.11648/j.ijcu.20200401.17
Page(s) 30-33
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Priapism, Drepanocytosis, Drainage Puncture, Cavernous Body, Chad

References
[1] Broderick GA and al. Priapism: pathogenesis, epidemiology, and management. J Sex Med 2010; 7 (1pt2): 476-500.
[2] Amadou. K and al. Clinical and therapeutic aspects of priapism at the Gabriel Touré University Hospital: study of 36 cases. Pan African Medical Journal. April 2014, 17: 286.
[3] Bouya PA, Lomina D. Support for priapism in 32 cases at the Brazzaville University Hospital. Afr Noire's med. 2005August/Sept; 52 (5209): 453-55. PubMed (c) Google Scholar.
[4] Oumarou H and al. Management of acute ischemic priapism at Niamey African Journal of Urology Lamordé National Hospital (2017) 23, 338-41.
[5] Kamel K and al.: support of late-sighted low-flow priapism: about 28 cases. African Journal of Urology 2016, 22: 297-304.
[6] Fall PA, Diao B, Ndoye AK, and al (2005) Priapism: clinical and etiological peculiarities. Afr J Urol 11: 186-90.
[7] Falandry L: Priapism: treatment and results on a personal series of 56 cases. Prog. Urol, 1999, 9: 496-500.
[8] Benchekroun A. Study of priapism on 16 cases. Annal urology. 1998; 2: 103- 106. PubMed (c) Google Scholar.
[9] Virag R and al. Priapism about 172 cases. Annal of urology. 1997; 121: 642-52. PubMed (c) Google Scholar.
[10] Adeyoju AB, Olujohungbe AB, Morris J, Yardumian A, BarefordD, Akenova A, and al. Priapism in sickle-cell disease; risk factors and complications — an international multicentrestudy. BJU Int 2002; 90 (9): 898—902.
[11] C. Guillot-Tantay, Mr. Galiano. Priapism. EMC - AKOS (Medical Treaty) 2017; 12 (2): 1-4 [Article 1-0930].
[12] Latoundji S, Ahlonsou G M, Anani L, Zohoun I. Priapism sickle cell disease in Benin. Afr Noire's med. 1992; 39 (2): 122-126. PubMed (c) Google Scholar.
[13] LW Diggs. Pathology of Sickle Cell Disease. JAMA 1971; 218 (4): 600.
[14] Musicki B, Karakus S, Akakpo W, Silva FH, Liu J, Chen H, et al. Testosterone replacement in transgenic sickle cell micecontrols priapic activity and upregulates PDE5 expression andeNOS activity in the penis. Andrology 2018; 6 (1): 184-91.
[15] Fall B, Fall PA, Diao B, and al. Acute priapism associated with sickle cell disease in Senegal: clinical, therapeutic features and risk factors for erectile dysfunction. Med Too much. March 2010, 70: 475-8.
[16] Kane R and al.: Support for priapism in Dakar in 35 cases. Andrology 2012, 22: 36-41.
[17] Montague D. K and al. American Urological Association guideline on the management of priapism. J. Urol, 2003, 170: 1318-1324.
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    Mahamat Ali Mahamat, Kimassoum Rimtebaye, Clotaire Amkd Yameogo, Moussa Kalli, Olivier Ngueringeum, et al. (2020). Management for Priapism at the National Reference University Hospital Centers (NGRH) and at the Mother and Child Hospital (MCH) in Ndjamena. International Journal of Clinical Urology, 4(1), 30-33. https://doi.org/10.11648/j.ijcu.20200401.17

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    ACS Style

    Mahamat Ali Mahamat; Kimassoum Rimtebaye; Clotaire Amkd Yameogo; Moussa Kalli; Olivier Ngueringeum, et al. Management for Priapism at the National Reference University Hospital Centers (NGRH) and at the Mother and Child Hospital (MCH) in Ndjamena. Int. J. Clin. Urol. 2020, 4(1), 30-33. doi: 10.11648/j.ijcu.20200401.17

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    AMA Style

    Mahamat Ali Mahamat, Kimassoum Rimtebaye, Clotaire Amkd Yameogo, Moussa Kalli, Olivier Ngueringeum, et al. Management for Priapism at the National Reference University Hospital Centers (NGRH) and at the Mother and Child Hospital (MCH) in Ndjamena. Int J Clin Urol. 2020;4(1):30-33. doi: 10.11648/j.ijcu.20200401.17

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  • @article{10.11648/j.ijcu.20200401.17,
      author = {Mahamat Ali Mahamat and Kimassoum Rimtebaye and Clotaire Amkd Yameogo and Moussa Kalli and Olivier Ngueringeum and Mahamat Nour Abakar and Medjine Tchiroue Arnaud and Oumar Atti},
      title = {Management for Priapism at the National Reference University Hospital Centers (NGRH) and at the Mother and Child Hospital (MCH) in Ndjamena},
      journal = {International Journal of Clinical Urology},
      volume = {4},
      number = {1},
      pages = {30-33},
      doi = {10.11648/j.ijcu.20200401.17},
      url = {https://doi.org/10.11648/j.ijcu.20200401.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20200401.17},
      abstract = {The authors studied therapeutic and evolutionary epidemiological, etiological and evolutionary traits. This is a review of patient records admitted to the surgical emergency departments of National Reference University Hospital Centers (NGRH) and at the Mother and Child University Hospital Centers (MCH) in Ndjamena with priapism that was taken care of from 2006 to 2016. Age, consultation time, etiology, established treatment and outcomes of management were the variables studied. The series involved 31 patients, the average age was 21. The main etiology was sickle cell priapism with 77% of cases. Six (6) patients or 19.3% had a history of prolonged erection. More than half of our patients (52%) had consulted after 72 hours of evolution. The puncture of cavernous bodies was the most widely used therapeutic method (45%). No major postoperative complications were recorded in the management of patients in our series. Sustained detumescence was achieved the same day or the next day in all our patients. Conclusion: Although priapism is rare in Africa, it is characterized by the predominance of sickle cell disease as etiology and the longtime of management in particular.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Management for Priapism at the National Reference University Hospital Centers (NGRH) and at the Mother and Child Hospital (MCH) in Ndjamena
    AU  - Mahamat Ali Mahamat
    AU  - Kimassoum Rimtebaye
    AU  - Clotaire Amkd Yameogo
    AU  - Moussa Kalli
    AU  - Olivier Ngueringeum
    AU  - Mahamat Nour Abakar
    AU  - Medjine Tchiroue Arnaud
    AU  - Oumar Atti
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    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijcu.20200401.17
    DO  - 10.11648/j.ijcu.20200401.17
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 30
    EP  - 33
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20200401.17
    AB  - The authors studied therapeutic and evolutionary epidemiological, etiological and evolutionary traits. This is a review of patient records admitted to the surgical emergency departments of National Reference University Hospital Centers (NGRH) and at the Mother and Child University Hospital Centers (MCH) in Ndjamena with priapism that was taken care of from 2006 to 2016. Age, consultation time, etiology, established treatment and outcomes of management were the variables studied. The series involved 31 patients, the average age was 21. The main etiology was sickle cell priapism with 77% of cases. Six (6) patients or 19.3% had a history of prolonged erection. More than half of our patients (52%) had consulted after 72 hours of evolution. The puncture of cavernous bodies was the most widely used therapeutic method (45%). No major postoperative complications were recorded in the management of patients in our series. Sustained detumescence was achieved the same day or the next day in all our patients. Conclusion: Although priapism is rare in Africa, it is characterized by the predominance of sickle cell disease as etiology and the longtime of management in particular.
    VL  - 4
    IS  - 1
    ER  - 

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Author Information
  • Department of Urology, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad

  • Department of Urology, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad

  • Department of Urology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso

  • Department of Urology, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad

  • Department of Pediatric Surgery, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad

  • Department of Pediatric Surgery, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad

  • Department of Urology, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad

  • Department of Urology, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad

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