title: [Priapism in adults. 16 cases].
abstract: Priapism is a rare disease, characterized by prolonged, painful and irreducible erection, not resulting in ejaculation. It is an andrological emergency with a poor prognosis, as the risk of impotence is 50% despite appropriate management. Treatment is essentially surgical. The authors report their experience of 16 cases of priapism observed over a 15-year period. The mean age of the patients was 36 years (range: 21 to 56 years). The diagnosis was clinical. The mean time to consultation was 8 days (range: 1-28 days). Priapism was secondary to neuroleptics in 6 cases (37%), chronic myeloid leukaemia in 2 cases, sickle-cell anaemia in one case, radiotherapy in 1 case and the cause remained unknown in 6 cases (37%). Treatment was surgical in every case and consisted of spongiocavernous anastomosis in 11 patients (Winter's procedure in 1 case, Al-Ghorab's procedure in 6 cases and transperineal in 4 cases, with saphenocavernous anastomosis in 5 cases). The overall failure rate of surgical treatment was 37%. The success rate of spongiocavernous fistula was 70% and the authors preferred the Al-Ghorab type of spongiocavernous fistula.
authors.affiliation: Clinique Urologique A, CHU Ibn Sina, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Benchekroun
authors.forename: A
authors.initials: A
authors.lastname: Lachkar
authors.forename: A
authors.initials: A
authors.lastname: Soumana
authors.forename: M H
authors.initials: MH
authors.lastname: Farih
authors.forename: Z
authors.initials: Z
authors.lastname: Belahnech
authors.forename: M
authors.initials: M
authors.lastname: Marzouk
authors.forename: M
authors.initials: M
authors.lastname: Faik
mesh_terms: D000328:Adult; D001163:Arteriovenous Anastomosis; D004630:Emergencies; D007172:Erectile Dysfunction / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011317:Priapism / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011379:Prognosis; D012307:Risk Factors; D016896:Treatment Outcome
vernacular_title: Le priapisme de l'adulte. A propos de 16 cas.