[Penile emergencies].
The three main penile emergency situations have been examined so as to better define the clinical and therapeutic aspects. In the present study, a fracture of the penis (n = 12) occurred following a coital accident in 8 cases. In general, a clinical diagnosis was made and emergency surgical treatment appeared to be the most efficient means of preventing possible erectile malfunction. Mutilation of the penis was observed (n = 12) following traditional circumcision or circumcision performed by paramedical staff; or was due to self-inflicted mutilation and pyschiatric disorder (n = 6), and in one case to sexual deviation (n = 1) This category of accidents could be more adequately managed by the psychiatric treatment of certain patients and by better training of the personnel carrying out the circumcision. Priapism (n = 42) was due to sickle cell disease in 50% of cases, and relapse was noted in 10% of patients.
Sylla
C
C
Service d'urologie-andrologie, CHU Aristide Le Dantec, Dakar, Sénégal.
Ba
M
M
Ndoye
A
A
Fall
P A
PA
Thiam
O
O
Bobo Diallo
A
A
Gueye
S M
SM
Diagne
B A
BA
D000328:Adult; D004630:Emergencies; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D011317:Priapism / Q000601:surgery*; D012189:Retrospective Studies