TITLE:
Therapeutic Aspects of Priapism at Soubré General Hospital: Six Clinical Cases
AUTHORS:
Mah Sarah Diaby, Kikalulu Hamidou, Tibé Borgia, Dadié Gnankou, Karamoko Kanaté Goly
KEYWORDS:
Priapism, Sickle Cell Disease, Etiology, Surgery, Conservative Approach
JOURNAL NAME:
Open Journal of Urology,
Vol.16 No.3,
March
17,
2026
ABSTRACT: Priapism is a common urological emergency in adults and rare in children in sub-Saharan Africa, where the main cause is sickle cell disease. We report six clinical cases, including two cases of low-flow, intermittent ischemic priapism in two children with sickle cell disease aged 10 and 12 years. Among the four other cases, a 46-year-old patient presented with a painful erection after taking herbal medicines to correct erectile dysfunction. Treatment was based on conservative methods, intracavernosal puncture and intracavernosal injection of sympathomimetic agents, and by pass surgery if necessary. The main lesson is that early conservative management can be valuable, as a complement to surgical options, in a context of limited resources.