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

Mahamat Ali Mahamat; Kimassoum Rimtebaye; Clotaire Amkd Yameogo; Moussa Kalli; Olivier Ngueringeum; Mahamat Nour Abakar; Medjine Tchiroue Arnaud; Oumar Atti

doi:doi:10.11648/j.ijcu.20200401.17

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

Mahamat Ali Mahamat, Kimassoum Rimtebaye, Clotaire Amkd Yameogo, Moussa Kalli, Olivier Ngueringeum, Mahamat Nour Abakar, Medjine Tchiroue Arnaud, Oumar Atti

Published in International Journal of Clinical Urology (Volume 4, Issue 1)

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

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[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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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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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
Y1 - 2020/04/17
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

Mahamat Ali Mahamat

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

Department of Urology, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad
Clotaire Amkd Yameogo

Department of Urology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
Moussa Kalli

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

Department of Pediatric Surgery, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad
Mahamat Nour Abakar

Department of Pediatric Surgery, Faculty of Health Sciences, University of N'Djamena, N'Djamena, Chad
Medjine Tchiroue Arnaud

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

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

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APA Style

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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