Fall B, Diao B, Fall P A, Diallo Y, Sow Y, Ondongo A A M, Diagana M, Ndoye A K, Ba M, Diagne B A
Service d'urologie-andrologie, CHU Aristide-Le-Dantec, B.P. 35354 Colobane, Dakar, Sénégal.
Prog Urol. 2008 Nov;18(10):650-3. doi: 10.1016/j.purol.2008.04.004. Epub 2008 Jun 2.
To present the epidemiological, clinical and therapeutic features of the urological emergencies in Senegal, West Africa.
The authors conducted a 20 months retrospective study that analyzed the epidemiological, clinical and therapeutic features of all urological emergencies admitted to the urology department of the university teaching hospital Aristide-Le-Dantec (Dakar).
There were 1237 urological emergencies. The mean age of the patients was 58.8 years (range one month-94 years). The sex ratio (M/F) was 20.32. These patients had an age equal to or higher than 60 years in 50.7% of the cases. The most frequent illness was urinary retention (53%) and genitor-urinary system infectious, which represented as a whole 16.4% of the cases. The gangrenes of male external genitalia (Fournier's gangrene) accounted for 4.1% of the cases and the priapism 1.3%. In emergency, 331 surgical operations were performed. The most performed procedures were the installation of a suprapubic catheter (59.8%) and debridement of a gangrene of male external genitalia (15.4%).
The most frequent urological emergency in our country was the acute urinary retention. Some serious illness like gangrene of male external genitalia (Fournier's gangrene) and priapism are not rare there.
介绍西非塞内加尔泌尿外科急诊的流行病学、临床及治疗特点。
作者进行了一项为期20个月的回顾性研究，分析了阿里斯蒂德 - 勒 - 丹泰克大学教学医院（达喀尔）泌尿外科收治的所有泌尿外科急诊的流行病学、临床及治疗特点。
共1237例泌尿外科急诊。患者平均年龄58.8岁（范围1个月至94岁）。男女比例（男/女）为20.32。50.7%的病例年龄在60岁及以上。最常见的疾病是尿潴留（53%）和泌尿生殖系统感染，共占病例的16.4%。男性外生殖器坏疽（福尼尔坏疽）占病例的4.1%，阴茎异常勃起占1.3%。急诊时进行了331例外科手术。最常施行的手术是耻骨上膀胱造瘘术（59.8%）和男性外生殖器坏疽清创术（15.4%）。
我国最常见的泌尿外科急诊是急性尿潴留。一些严重疾病如男性外生殖器坏疽（福尼尔坏疽）和阴茎异常勃起在当地并不罕见。
