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Open Journal of Urology 2024年第5期14卷 333-345页

作者： Roland Bertile Banga-Mouss Yannick Dimi Nyanga Irène Ondima Armel Melvin Atipo Ondongo Steve Aristide Ondziel-Opara Joseph Junior Damba Nick Arnaud Monabeka Christ Ondzé Daniella Gloire Ngassiele Gidmard Onguele Henock Songa Jetsvy Mayala anani wensels severin odzebe Prosper Alain Bouya Departement of Urology and Andrology University Hospital of Brazzaville Brazzaville Republic of the Congo

Introduction: Urological emergencies play a significant role in the medical and surgical activity of a urology department. The objective of this study was to determine the hospital prevalence of urological emergencies at the University Hospital of Brazzaville (CHUB), identify the different pathologies requiring urgent care, and list the various therapeutic methods. Patients and methods: A retrospective study of patients admitted to the medical and surgical emergencies department of CHUB over a 5-year period. Patient records admitted and treated for a urological emergency were included. The variables studied were the frequency of urological emergencies, patient age at admission, gender, nature of the emergency, and various therapeutic options. Results: Urological emergencies accounted for 4.3% of all medical and surgical emergencies. The mean age was 57 ± 28 years with a range of 3 to 93 years. The male-to-female ratio was 7.1. The most common conditions were urinary retention (54.67%), hematuria (17.20%), and renal colic (8.13%). Therapeutically, surgical urinary drainage was dominated by cystostomy. Conclusion: Urological emergencies are infrequent at the University Hospital of Brazzaville. Their management is often delayed.

关键词： Urological Emergencies Urinary Retention Hematuria Renal Colic

Air Pollution and Sex Hormone Levels among Mechanics in Brazzaville (Republic of Congo)

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Journal of Environmental Protection 2023年第12期14卷 1025-1037页

作者： Rancia Colombe Diakouka Diambalou Presley Jeanel Ibrahim M’sengui Dzamba Moïse Doria Kaya-Ongoto severin Wencesl odzebe anani Ange Antoine Abena Laboratoire National de Santé Publique Laboratoire de Bact&eacuteriologie (LNSP/LBM) Brazzaville Congo Faculté des Sciences de la Sant&eacute Laboratoire de Biochimie et de Pharmacologie Universit&eacute Marien Ngouabi (FSSA/LBP UMNG) Brazzaville Congo Centre National de Transfusion Sanguine Brazzaville Congo Faculté des Sciences et Techniques Universit&eacute Marien Ngouabi (FST UMNG) Brazzaville Congo Centre Hospitalier Universitaire de Brazzaville Brazzaville Congo Université D&eacutenis Sassou Nguesso Brazzaville Congo

Air pollution is today a real concern across the world, responsible for around 7 million deaths per year around the world. It is currently involved in the appearance and worsening of several non-transmissible pathologies, making it an environmental, health, and societal problem. The objective of this work was to evaluate the effects of short-term exposure to air pollution on the level of sex hormones in mechanics. We conducted a cross-sectional, analytical, prospective case-control study in Brazzaville on 228 patients (76 cases and 152 controls) from June 2020 to December 2022, a period of 30 months. This study made it possible to evaluate, on the one hand, the level of sexual hormones in men exposed to automobile pollution according to the automated method (ELFA) on mini vidas and, on the other hand, the quality of the air by a colorimetric, punctual method on a Dräger tube coupled with a Dräger accuro pump. The results obtained made it possible to establish a statistically significant link between automobile pollutants (CO, CO2, NO2, SO2) and the increase in LH and FSH on the one hand and the decrease in testosterone on the other hand. We also noted that the concentrations of automotive pollutants during this study were all above the standards required by the WHO. Exposure to automobile pollutants affects the hypothalamic-pituitary axis and therefore disrupts the level of sex hormones.

关键词： Exposure Automobile Pollutants Level Sex Hormone

Epidemiological Profile of Patients Suffering from Urolithiasis in African Urological Environments from 2016 to 2020

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Open Journal of Urology 2022年第2期12卷 157-167页

作者： Steve Aristide Ondziel-Opara Armel Melvin Ondongo Atipo Ghidmar Onguele Okemba Rolland Bertille Banga Mouss Yannick Isjody Dimi Nyanga anani Wencesl severin odzebe Alain Prosper Bouya Department of Urology Andrology Brazzaville/Congo University Hospital Brazzaville Republic of Congo Faculty of Health Sciences Marien Ngouabi University Brazzaville Republic of Congo

Introduction: Urolithiasis is a very common pathology in the world. Its epidemiological profile varies from one region to another. In Africa in general and in the Congo in particular, it seems to be unknown. Objective: To determine the sociodemographic, diagnostic, therapeutic and evolutionary paraclinical parameters of 167 adult patients with urolithiasis. Patients and Methods: Cross-sectional, descriptive, retrospective study conducted in the urology department of Brazzaville University Hospital over a period of five years. We studied sociodemographic, therapeutic and evolutive. Results: During the study period 167 patients were treated for urolithiasis out of 2236 patients, a hospital frequency of 7.46%. The sex ratio M/F was 1.49. The average age of the patients was 42.05 years. They were overweight and/or obese in 53% of cases. Workers accounted for 46.53% of cases, with a low socio-economic level (42.5%) and a lower level of education (68.31%). There was a high percentage of complications, dominated by hydronephrosis (66.33%) and urinary tract infection (59.4%). The treatment was surgical in the majority of cases or 74.8%. Thirty-three patients had a lithiasis recurrence, a frequency of 19.7%. Conclusion: Urolithiasis is common. Being overweight is the most found risk factor. Lithiasis recurrence affects nearly one in five patients.

关键词： Urolithiasis Epidemiology Brazzaville

Anderson-Hines Open Pyeloplasty in the Treatment of Pyelo-Ureteral Junction Syndrome: Results from 36 Cases

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Open Journal of Urology 2019年第9期9卷 131-139页

作者： anani Wencesl severin Odzébé Caryne Mboutol-Mandavo Aristide Steve Ondziel Opara Lucie Irene Patricia Ondima Armel Melvin Ondongo Atipo Rolland Bertile Banga Mouss Prosper Alain Bouya Department of Urology and Andrology University Hospital Brazzaville Congo Department of Padiatric Surgery Faculty of Health Science University Marien Ngouabi Brazzaville Congo

Goal: To evaluate the results and complications of open pyeloplasty according to Anderson-Hynestechnic. Patients and Methods: We conducted a retrospective study from 2000 to 2014. The study included 36 cases of opening the ureteropyelic junction operated pit syndrome according to Anderson-Hynes technique. Results: Lumbotomy was used in all patients. A pelvic pyelolithotomy for lithiasis was performed in two patients (5.5%) and unwinding of a lower polar pedicle in 3 cases (8.3%). The average duration of response was 119 ± 15 min. The average length of hospital stay was 11.2 ± 3 days. Patients were followed for a mean of 10 months. Thirty-five patients were asymptomatic and in one case lower back pain persisted. IVU to 6 months showed a permeable junction in 97.2% of cases. Seven patients (19.4%) had short-term complications. Ureteropelvic stenosis was the only complication in the medium and long term in one case (2.8%). The success rate of the Pyeloplasty was 97.2%. Conclusion: The open pyeloplasty as Anderson-Hynes remains the treatment of choice in our context SJPU with great results. The indications tend to decrease in favor of laparoscopic pyeloplasty.

关键词： Hydronephrosis Pyeloplasty Anderson Hynes Open Surgery