[Management of priapism in patients with sickle-cell anaemia].
Sickle-cell anaemia is an autosomal recessive hereditary haemoglobinopathy. Patients with sickle-cell anaemia present a high risk of priapism. At least 40% of sickle-cell patients report episodes of priapism. Priapism in patients with sickle-cell tend to start during childhood and rapidly threaten the erectile prognosis. Apart from specific treatment of sickle-cell anaemia, the urologist must be able to recognize forms of intermittent priapism and promote medical prevention. The urologist must also be able to distinguish low-flow priapism from the rarer high-flow priapism, as the treatments differ. Treatment strategies are increasingly well defined, with an increasingly limited place for surgery.
Roupret
Morgan
M
Service d'Urologie, Hôpital Tenon, Paris, France. mroupret@club-internet.fr
Beley
Sébastien
S
Traxer
Olivier
O
Kirsch-Noir
Frédérique
F
Jouannet
Pierre
P
Jardin
Alain
A
Thiounn
Nicolas
N
D000755:Anemia, Sickle Cell / Q000150:complications*; D003663:Decision Trees; D006801:Humans; D008297:Male; D010410:Penile Erection / Q000502:physiology; D011317:Priapism / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D011379:Prognosis