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Klingsor Syndrome: An Observation in a Patient with Schizophrenia

Open Journal of Urology 2024年第5期14卷 346-351页

作者： Mbuya Musapudi Eric Ouake Hadidjatou Michel Agounkpe Yevi Dodji Magloire Inès Hodonou Fred Martin avakoudjo josué georges dejinnin Department of Urology and Andrology Hubert Koutoukou Maga National Teaching Hospital Cotonou Benin Department of Surgery University Clinics of Lubumbashi Lubumbashi Democratic Republic of the Congo

Background: Klingsor syndrome refers to genital self-mutilation in man following delusional religious beliefs. Later, Schweitzer proposed expanding the term to include all psychotic disorders, drug and alcohol abuse. Apart from the noted hemorrhagic emergency and difficult surgical operation, there is a psychosocial impact, sexual and urinary complications (stenosis, urethral fistula) which make this pathology complex. Aim: The Aim of this study is to describe the clinical case of Klingsor syndrome and evaluate its management in light of the literature. Case Presentation: We report a rare case of genital self-mutilation in a 35-year-old man, non-compliant schizophrenic, received 04 days after the trauma and whose treatment consisted of remodeling of the penis stump and follow-up by psychiatrists. Conclusion: Klingsor syndrome is a rare but serious phenomenon. Its management remains complex, but it must be early and multidisciplinary.

关键词： Klingsor Syndrome Génital Self-Mutilation Schizophrenia

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Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou

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Open Journal of Urology 2015年第2期5卷 7-12页

作者： Prince Pascal Hounnasso josué dejinnin georges avakoudjo Abdoul Karim Paré Kirakoya Brahima Adama Ouattara Michel Michael Agounkpé Gilles Natchagandé Sanni Rafiou Toré Abubakar Babagana Mustapha Alexandre Vodounou Department of Urology Hubert Koutoucou Maga Teaching Hospital of Cotonou Cotonou Bénin Department of Urology Souro Sanou Teaching Hospital of Bobo-Dioulasso Bobo-Dioulasso Burkina Faso Department of Surgery Federal Medical Center Nguru Nigeria

Purpose: To study the epidemiology and treatment modalities of urolithiasis at Urology Department of University Hospital of Cotonou. Materials and Methods: It was a retrospective and descriptive study over a 10 years period ranging from January 1st, 2004 to December 31st, 2013. One hundred and two patients who were hospitalized for symptomatic urolithiasis at the Urology Department of University Hospital of Cotonou were enrolled. Results: Hospital incidence of urolithiasis was 3.7%. Patients mean age was 39.6 years (extremes: 10 years to 73 years). Male to female ratio was 2.2. The main reason for consultation was renal colic for 81 patients (79.4%). Average duration of symptoms at presentation was 5 months (range: 1 day to 10 years). A total of 173 stones were identified with an average size of 12 mm (range: 1 mm to 95 mm). Calyceal stones were seen in 32.9% of cases, renal pelvis stones in 21.4% of cases, ureteral stones in 34.1% and bladder stones in 11.5% of cases. Open surgery was the main treatment for stones that could not be managed medically. 50.8% of patients underwent surgery with extraction of 116 stones. This represented 67.1% of all stones. 9 patients (8.8%) had expelled their stone during urination. The postoperative course was uneventful in 77.5% of cases. Conclusion: Modern treatment options for urolithiasis remain rudimentary in our health facilities. Open surgery is still the main stay of treatment in our countries with limited resources.

关键词： Urolithiasis Renal Calculi Bladder Calculi Epidemiology Open Surgery

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Clinical Stage Evaluation at Diagnosis of Prostate Cancer at Urology-Andrology Clinic Cnhu-Hkm Cotonou

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Open Journal of Urology 2015年第3期5卷 19-23页

作者： Hounnasso Prince Pascal avakoudjo josue dejinnin georges Soumanou Fouad Kolawale Yde Koussouhon Manoel Dossavi Yevi Dodji Magloire Vodonou Alexandre Urology-Andrology Faculty of MedecineCNHU-HKMCotonouBenin Urology-Andrology Faculty of MedicineCHD-OPPorto-NovoBenin

Aims: To evaluate the clinical stage at diagnosis of prostate cancer. Materials and Methods: This study was retrospective and?descriptive from January 2008 to June 2013. Patients who were diagnosed with prostate cancer wereinvolved and confirmed by clinical examination anatomopathological screening. They also realized a total serum PSA, a bladder-prostatic and abdominal ultrasound. Results: Average age was seventy years, ranging from fifty years to seventy years. The general status of our patients was satisfactory in 78% of cases. Main symptoms were dysuria and frequencyin 96% and 86%, respectively. Family past history of prostate cancer were found in 24% of cases. Twenty-three patients (43%) had a total serum PSA ≥ 100 ng/ml. Adenocarcinoma was the main histological type. Grades 1 and 4 were the most frequent. Thirty-three patients (66%) had a Gleasonscore betwen [2]-[6]. Forty-four patients (88%) had locally advanced and metastatic desease. The D’Amico score was identified in six patients but 3 and 2 patients were low risk and intermediate riskrespectively. Finally, 1 patient was high risk. Conclusion: Prostate cancer remains elderly man cancer. It was discovered in locally advanced and metastatic desease in this series. This diagnosis was late in the majority of cases.

关键词： Prostate Cancer Anatomical Pathology Total Serum PSA

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Evaluation of the Management Results of Uretero-Pelvic Junction Abnormalities

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Open Journal of Urology 2015年第9期5卷 167-171页

作者： Prince Pascal Hounnasso josue dejinnin georges avakoudjo Fouad Kolawale Yde Soumanou Ghislain Honvozo Djidjoho Michael Michel Agounkpe Gilles Natchagande Olivier Dandjlessa Magloire Dodji Yevi Mamadou Teoule Traore Djamal Jacquet Viyome Edoe Sewa Sosthène Ouedraogo Teaching University Hospital(CNHU-HKM)of Cotonou CotonouBenin Teaching University Hospital(CHD-OP)of Porto-Novo Porto-NovoBenin

Objectives: To evaluate therapeutic and prognosis of Uretero-pelvic junction abnomalities. Methods: This article was retrospective and descriptive, covering a period of six months, running from January 1st to December 31st, 2013 and conducted?to evaluate therapeutic and prognosis of Uretero-pelvic junction abnormalities. Included criteria were all patients whose diagnosis was abnormalities of the uretero-pelvic junction and had been confirmed after para clinical explorations. The stricture of the junction after a first kidney surgery did not include. The Creatinine level has considered high from 15 mg/l. Results: The median age was 35 years old. Age groups (30 - 40) years old have predominated in 36.2%. A male predominance had been noted in 62.3% versus 37.7% women. The most affected occupation was the officials in 37.7% of cases. The main reason for consultation was lumbar pain in 97.1%. The high creatinine level has observed in 19 patients (27.5%). Sixty-one patients (88.41%) have been operated. An abstention has been observed in 7 patients (10.14%) and one patient died before the surgical issue in renal failure. The early post-operative course has been uneventful in 78.7% (48 cases) and complicated in 21.3% (21 cases). Conclusions: Open surgery tends to disappear at the expense of the endopyelotomy and laparoscopy which gives best results. However, it is still relevant.

关键词： UJPO Management Open Surgery Early Postoperative

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