Abstract
Objective: To study the diagnostic, etiological, therapeutic and evolutionary aspects of patients received at the Sylvanus Olympio Hospital in Lome for venous priapism. Patients and Methods: A cross sectional study, over 5 years (2012-2016), of 27 cases of low flow priapism treated at the Chu Sylvanus Olympio in Lome. Results: The mean age of the patients was 28.14 years ± 8.6. The average time of consultation was 106 hours (04 days 10 hours) ± 208.02. In our study, 4 (14.81%) patients consulted before the 6th hour and 20 (74%) patients consulted after the 24th hour. The blood count required in all patients revealed a case of chronic myeloid leukemia. Hemoglobin electrophoresis resulted in 23 (85.1%) cases of sickle cell disease. The management was medico-surgical. After an average follow-up of 11 months, erectile function was evaluated in 18 patients, and erectile dysfunction was noted in 10 (55.5%) patients.
Highlights
Priapism is an abnormally prolonged erection, lasting more than 4 hours, painful and irreducible, occurring outside of any sexual stimulation, and not leading to ejaculation
To study the diagnostic, etiological, therapeutic and evolutionary aspects of patients received at the Sylvanus Olympio Hospital in Lomé for venous priapism
The lack of research on priapism in our country which does not have an adequate technical platform, the difficulties of its management, and the high frequency of erectile dysfunction that it causes in often young subjects, prompted us to describe the diagnostic, etiological, especially therapeutic and evolutionary peculiarities of the patients received at Sylvanus Olympio CHU of Lomé, for venous priapism
Summary
Priapism is an abnormally prolonged erection, lasting more than 4 hours, painful and irreducible, occurring outside of any sexual stimulation, and not leading to ejaculation. The sickle cell disease is the most common cause surrounding 50%, especially in black Africa, followed by drug etiology [1] [2] [3]. Whatever the cause, this is a real urological emergency, which suffers from. The lack of research on priapism in our country which does not have an adequate technical platform, the difficulties of its management, and the high frequency of erectile dysfunction that it causes in often young subjects, prompted us to describe the diagnostic, etiological, especially therapeutic and evolutionary peculiarities of the patients received at Sylvanus Olympio CHU of Lomé, for venous priapism
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