Urological complications of sickle cell disease in a pediatric population

W. F. Tarry, J. W. Duckett, H. Snyder McC. III

    Research output: Contribution to journalArticle

    55 Citations (Scopus)

    Abstract

    We surveyed 321 patients 1 to 18 years old who were followed at the sickle cell clinic at the Children's Hospital of Philadelphia between 1970 and 1984 for urological complications of the disease. Mean followup was 5 years and all patients exhibited a typical spectrum of hemoglobin types. The urological problems encountered were those cited in the literature, namely hematuria, urinary tract infection and priapism. Surprisingly few of our patients experienced significant renal bleeding. Although the number of patients with infection evaluated radiographically was small, the frequency of renal parenchymal scarring was disturbingly high despite the reported rarity of reflux in black subjects. Our survey and a review of the literature indicate that most sicklemic children with urinary infection are not subjected to urological evaluation. We question the wisdom of that policy. Finally, we found that priapism responds most often to nonsurgical therapy and that it rarely results in impotence in young sickle cell patients.

    Original languageEnglish (US)
    Pages (from-to)592-594
    Number of pages3
    JournalJournal of Urology
    Volume138
    Issue number3
    StatePublished - 1987

    Fingerprint

    Sickle Cell Anemia
    Pediatrics
    Priapism
    Population
    Kidney
    Urologic Diseases
    Hematuria
    Erectile Dysfunction
    Infection
    Urinary Tract Infections
    Cicatrix
    Hemoglobins
    Hemorrhage

    ASJC Scopus subject areas

    • Urology

    Cite this

    Tarry, W. F., Duckett, J. W., & Snyder McC. III, H. (1987). Urological complications of sickle cell disease in a pediatric population. Journal of Urology, 138(3), 592-594.

    Urological complications of sickle cell disease in a pediatric population. / Tarry, W. F.; Duckett, J. W.; Snyder McC. III, H.

    In: Journal of Urology, Vol. 138, No. 3, 1987, p. 592-594.

    Research output: Contribution to journalArticle

    Tarry, WF, Duckett, JW & Snyder McC. III, H 1987, 'Urological complications of sickle cell disease in a pediatric population', Journal of Urology, vol. 138, no. 3, pp. 592-594.
    Tarry WF, Duckett JW, Snyder McC. III H. Urological complications of sickle cell disease in a pediatric population. Journal of Urology. 1987;138(3):592-594.
    Tarry, W. F. ; Duckett, J. W. ; Snyder McC. III, H. / Urological complications of sickle cell disease in a pediatric population. In: Journal of Urology. 1987 ; Vol. 138, No. 3. pp. 592-594.
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