title: [Penile emergencies].
abstract: 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.
authors.affiliation: Service d'urologie-andrologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors.forename: C
authors.initials: C
authors.lastname: Sylla
authors.forename: M
authors.initials: M
authors.lastname: Ba
authors.forename: A
authors.initials: A
authors.lastname: Ndoye
authors.forename: P A
authors.initials: PA
authors.lastname: Fall
authors.forename: O
authors.initials: O
authors.lastname: Thiam
authors.forename: A
authors.initials: A
authors.lastname: Bobo Diallo
authors.forename: S M
authors.initials: SM
authors.lastname: Gueye
authors.forename: B A
authors.initials: BA
authors.lastname: Diagne
mesh_terms: D000328:Adult; D004630:Emergencies; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D011317:Priapism / Q000601:surgery*; D012189:Retrospective Studies