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Endoscopic Internal Urethrotomy (EIU): Results of a Dynamic Study at the Urology-Andrology Department of the University Hospital Center (UHC) of Conakry

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Open Journal of Urology 2021年第11期11卷 427-435页

作者： mamadou II Barry Demba Cissé Moussa Gnalen Diakité Lahoumbo Ricardo Gnammi Thierno mamadou Oury Diallo mamadou Diawo bah mamadou Bissiriou bah Alimou Diallo Daouda Kanté Ibrahima bah Ibrahima bah Abdoulaye Bobo Diallo Oumar Raphiou bah University Hospital Center of Conakry Urology Andrology Department of Ignace-Deen Hospital Gamal Abdel Nasser University Conakry Guinea

Introduction: Endoscopic internal urethrotomy (EIU) is a technique that consists of an incision of the stenosed urethra under visual control. Its indication is widespread since the first description in 1971 by Sachse. The objective was to analyze the results of EIU in the treatment of urethral stenosis (US) at the Andro-Urology Department of the UHC of Conakry. Methodology: It is a prospective descriptive study, lasting 18 months (January 2016-30 June 2017). It involved 102 patients. The variables were: age, etiology of US, type of catheter, duration of catheter wear and recurrences. After a 12-month follow-up, our results were considered good in the absence of recurrences. Results: The average age was 54.25 years with the extremes comprising between 16 and 96 years. The main reasons for medical checkup were chronic urine retention at 58.82%. Etiology infection was the most frequent with a ratio of 81.37%, while Escherichia coli was found at 51.29%. US was bulbar (71.57%), unique (67.64%) and less than 1 cm (60.78%). Surgical complication occurred with 9 patients (8.82%) with urethrorrhagia and the external genital organs infiltration in 4 cases. Results were good for 77 patients (75.49%). Stenosis post infection, long and multiple stenoses, urethral catheterization with latex catheter and urethral catheterization of more than 4 days were strongly associated with the recurrence occurrence. Conclusion: The EIU is a minimally invasive surgical technique that offers good results.

关键词： Urethral Stenoses Endoscopic Urethrotomy Conakry

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Management of the Torsion of Spermatic Cord in the Urology-Andrology Department of the Ignace Deen National Hospital in Conakry

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Open Journal of Urology 2023年第10期13卷 399-406页

作者： Thierno mamadou Oury Diallo mamadou Bissiriou bah mamadou Diawo bah Boris Amougou Daouda Kanté Alimou Diallo Demba Cissé Abdoul Haqq bah L’Imam mamadou Dian Oury Diallo Abdoulaye Bobo Diallo Oumar Raphiou bah Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon

Introduction: Torsion of the spermatic cord is an emergency whose delay in treatment conditions the functional prognosis of the testicle. The aim of this study was to analyze the management of spermatic cord torsion in the Urology Andrology Department of the Ignace Deen National Hospital in Conakry. Material and methods: This was a ten-year retrospective descriptive study from January 1, 2012 to December 31, 2021. It involved all patients admitted for torsion of the spermatic cord, confirmed at surgical exploration. Results: We identified 21 cases of torsion of the spermatic cord. The mean age of the patients was 17.9 ± 4.4 years. The average consultation time was 19.2 ± 21.4 hours with extremes of [2 h and 98 h]. Only 6 patients (28.6%) consulted before the sixth hour. All patients presented with scrotal swelling. At scrototomy, all torsions were intravaginal with two turns of spiral in 13 cases and three turns in 8 cases. Orchiectomy followed by contralateral orchidopexy was performed in 6 cases. In the other cases, bilateral orchidopexy was performed after detorsion. The average hospital stay was 4.5 days. We recorded 4 cases of testicular atrophy after orchidopexy. Conclusion: Spermatic cord torsion is an infrequent emergency in our department. The delay in consultation remains the main predictive factor of testicular necrosis. Emergency exploratory scrotomy should be the rule.

关键词： Spermatic Cord Torsion Delay in Consultation Orchidopexy Orchiectomy Testicular Atrophy

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Epidemiological Aspect and Evaluation of the Management of Urologic Emergencies at the Urology Unit of Labe Regional Hospital

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Open Journal of Urology 2023年第10期13卷 441-452页

作者： Kindy Diallo mamadou Madiou Barry Aldoul Aziz bah Thierno Oumar Diallo mamadou Bissiriou bah Thierno mamadou Oury Diallo Abdoulaye Bobo Diallo Oumar Raphiou bah Urology Department Unit d’Urology Hospitol Régional Labé Guinea

Aim: To contribute to improving the management of urological emergencies at Labé Regional Hospital. Patients and Method: This was a dynamic, descriptive study lasting six months from July 1 to December 31, 2017. Results: Urological emergencies represented 45.14% (n = 218) of all admissions to the urology unit. The mean age of our patients was 56.60 years with extremes of fifteen days and 93 years. The 71 - 80 age group was the most represented with 28.03% (n = 61) followed by 61 - 70 years with 24.31% (n = 53). Our patients’ activities were dominated by agriculture, with 35.77% (n = 88), and the city center was most affected by urological emergencies, with 39.44% of cases (n = 86). 70.18% (n = 153) of our patients had bladder retention on admission, and 53.21% (n = 116) underwent urethral catheterization, including 3 women. The etiology of bladder retention in these 3 women was dominated by two cases of bladder lithiasis and one case of neurological bladder. Conclusion: The management of urological emergencies requires specific material and human resources. Their knowledge will enable us to better understand this problem and could serve as a basis for a broad reflection on the organization of the management of urological emergencies in our region.

关键词： Urological Emergencies Epidemiology Labé Regional Hospital

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Soldiers’ Hypertension Prevalence in Military Garrisons in the City of Conakry

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Open Journal of Nephrology 2016年第4期6卷 132-137页

作者： Alpha Oumar bah mamadou Foinké bah Fatoumata Binta Fofana Mariama Beavogui Departement of Nephrology Donka National Hospital Conakry Guinea Departement of Armies’ Health Conakry Guinea Departement of Cardiology Ignace Deen National Hospital Conakry Guinea

High blood pressure (HBP) is a public health problem worldwide. The objective of this study is to determine the prevalence of hypertension in military garrisons in Conakry, the capital. Material and Methods: The study was done in military garrisons. The data concern 1025 soldiers. This prospective and cross-sectional study took place from 13 November 2014 to 13 February 2015. Only the military who had agreed to participate in the study were included. Sociodemographic, clinical data and urine dipsticks were collected. Results: Among 1025 soldiers, 222 cases of HPB were observed, that was 21.66%. They were 193 men (86.94%) and 29 women (13.06%). The mean age was 46.05 years (range: 18 - 77 years). HPB cases were discovered in 155 soldiers (69.82%) in random observations. Following the grade of hypertension: 124 were of grade I, 62 of grade II, 35 of grade III and 1 case of isolated systolic hypertension was identified. Urinary dipstick tests showed that, 3 patients had proteinuria, 26 patients suffered from leucocyturia, 11 patients suffered from glycosuria and 1 case of hematuria was also identified. More than half of the soldiers (41%) were in the army. Officers were strongly affected (80.18%), followed by non-commissioned officers (17.12%) and finally enlisted men (2.70%). Risk factors were multiple: 78.82% ate very salty food;emotional stress;physical inactivity was observed in over half of the cases. Conclusion: This study gives an overall picture of the prevalence of hypertension in the military in Guinea. The discovery of the symptom lies on the systematic measurement of blood pressure.

关键词： High Blood Pressure Military Prevalence Conakry

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Iatrogenic Urethral Stenoses: Epidemiological Aspects Clinics and Therapeutic in the Urology Department of the National Hospital of Conakry

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Open Journal of Urology 2023年第1期13卷 36-47页

作者： Demba Cisse Youssouf Keita Fode Oumar Keita mamadou II Barry Alimou Diallo Thierno mamadou Oury Diallo mamadou Diawo bah mamadou Bissiriou bah Alpha Oumar Barry Daouda Kante Ibrahima bah Oumar Raphiou bah The Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea

The aim is to highlight the epidemiological, clinical and therapeutic aspects of iatrogenic urethral strictures. Methodology: This was a retrospective study, descriptive type, 6 years from January 1st 2012, to December 31st 2017 carried out in the Urology-Andrology department of the National Hospital Ignace Deen of Conakry. All records of patients carrying the Diagnosis of iatrogenic urethral stricture were included in this study. Results: We collected 30 cases of iatrogenic urethral stricture, with a frequency of 2.5%. The average age of the patients was 62.33 years. The most affected age group is from 71 to 80 years (33.33%). Dysuria was the main reason for consultation. Retrograde urethrocystography plus voiding cystourethrography (RUC-VCU) allowed us to make the diagnosis. The treatment was essentially surgical and several techniques were used. Endoscopic internal urethrotomy alone was the most performed surgical technique, followed by segmental uretrectomy associated with end-to-end urethrography. Conclusion: Iatrogenic urethral stricture is easy to diagnose but difficult to manage due to the frequency of recurrences. Improving the quality of care, in particular urethral catheterizations and transurethral endoscopic maneuvers, makes it possible to prevent it.

关键词： Stenosis Urethra Iatrogenic Conakry

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Management of Bladder Exstrophy: A Case Report in the Urological Ward at Saint Elizabeth General Catholic Hospital SHISONG

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Open Journal of Urology 2019年第10期9卷 162-166页

作者： Cisse Demba Barry mamadou II Kante Daouda bah Ibrahima bah mamadou Diawo Diallo Thierno mamadou Oury bah mamadou Bissiriou Fofana Houssein Fomonyuy Edwin Cherif Mahamoud Sama Diallo Ab bah Oumar Raphiou Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Shisong Hospital Kumbo Cameroon.

Bladder Extrophy is a rare urogenital malformation of the penis and bladder. This is an impressive fact at birth, due to the absence of the anterior bladder wall and the dorsal side of the penis. We report the clinical observation of a 21-month-old child who consults for urine incontinence from birth, when physical examination showed complete bladder extrophy. The reconstructive surgery allowed forming a bladder reservoir associated with a repair of the penis at the same time. Bladder extrophy is a benign condition whose operative consequences can be simple but urinary incontinence is not uncommon after reconstitution.

关键词： Extrophy Penis Bladder Malformation

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Surgical Treatment of Urological Complications of Gynecological and Obstetric Surgeries at the University Hospital of Conakry Guinea

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Open Journal of Urology 2015年第12期5卷 231-237页

作者： Abdoulaye Bobo Diallo Telly Sy Thierno mamadou Oury Diallo Alpha Boubacar bah Aboubacar Touré mamadou Diawo bah mamadou Bobo Diallo Service d’Urologie-Andrologie CHU de Conakry Conakry Guinée Service de Gynécologie-Obstétrique CHU de Conakry Conakry Guinée Service de Chirurgie Générale CHU de Conakry Conakry Guinée

Objective: To analyze the management of urological complications of gynecologic and obstetric surgeries. Material and Methods: We retrospectively studied 39 patients hospitalized in the Department of Urology of the Conakry Teaching Hospital for urological complications of gynecological surgery, during 9 years. The epidemiological, diagnostic, surgical and outcome parameters have been analyzed. Results: The urological complications of gynecologic surgery represent 0.29% of admissions in the Department of Urology. The mean age was 31 years with extremes of 18 and 47 years. Etiological factors were dominated by caesarean section with 74.36% of cases. The main lesions observed were vesico-vaginal and uretero-vaginal fistulas respectively 43.6% and 41.2% of cases. The mean delay of diagnosis was 5 months (extreme: 7 days to 3 years). Urine leakage from the vagina was the main symptom. The surgical treatment consisted in 17 surgeries for vesico-vaginal fistulas, 16 surgeries for uretero-vesical reimplantation, 2 surgeries for termino terminal ureterorraphia, 2 surgeries for vesico-uterine fistulas and 1 surgery for hysterectomy. Healing was obtained in all ureteral injuries and we noted two cases of failure in vesico-vaginal fistula. Conclusion: urological complications of gynecologic surgery remain frequent. They are dominated by the vesico-vaginal and uretero-vaginal fistulas and the main etiology is caesarean section. The treatment is surgical in our context.

关键词： Lesions Bladder Ureter Treatment Surgery

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Profile of the Infertile Man at the University Hospital of Conakry (Guinea)

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Open Journal of Urology 2023年第7期13卷 223-237页

作者： bah mamadou Bissiriou Kanté Daouda Sow Thierno Amadou Oury Thierno mamadou Oury Diallo Koulalerou Aimon Axel Cédric Cissé Demba mamadou Diawo bah Barry mamadou Dian Thierno Oumar Diallo Diallo Alimou Ibrahima bah Abdoulaye Bobo Diallo Oumar Raphiou bah Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Urology Department CHU of Conakry Guinea

Introduction: Male infertility is defined as the inability of a man to impregnate a woman after 12 months of regular sexual intercourse without contraception. Objective: To improve the state of knowledge on the profile of the infertile man in Guinea. Methodology: We conducted a prospective, descriptive study over a period of 6 months from October 1st, 2020 to March 31st, 2021. Results: We collected an overall number of 71 patients seen onroutine consultation for infertility. They had a mean age of 36.4 years. More than half of our patients were monogamous (79% of cases). Civil servants were the most affected with 38.02% of cases. Primary infertility was dominant in 65% (n = 46) of cases. On clinical examination, varicocele was the most remarkable abnormality with 88.73% (n = 63) followed by testicular hypotrophy with 59.15% (n = 42). Azoospermia was the most frequent sperm abnormality with 22.54% (n = 16) followed by oligospermia with 15.49% (n = 11). Hormonal assessment based on FSH and LH was performed in 16 patients with azoospermia (22.53%). FSH elevation was associated with azoospermia in 6 patients, i.e. 8.45%, azoospermia associated with a normal FSH level accounting for 14.08% in our series. Conclusion: In our practice, male infertility is becoming more and more of a concern due to the increasing number of patients seeking treatment. The scarcity of a medical assistance for procreation unit alongside with more efficient diagnostic means constitutes a handicap for its management.

关键词： Male Infertility Varicocele Azoospermia Spermogram

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Work Condition and Health at a Body Paint Workshop in Conakry

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Occupational Diseases and Environmental Medicine 2024年第4期12卷 298-304页

作者： Yansane Alhousseine Koffi Cyrille bah mamadou Condé Namoudou bah Hassane Mara Ansoumane Faculty of Technical Sciences and Health Gamal Abdel Nasser of Conakry University Conakry Guinea National Occupational Health Service (Guinea) Conakry Guinea Departement of Legal Medicine Teaching Hospital of Conakry Conakry Guinea

Context: Working conditions in the car repair sector are difficult in general. This leads to health risk factors for inexperienced staff. In the bodywork painting workshop, the staff seemed less interested in the risks probably due to negligence or by lack of knowledge. This work aimed to describe the working conditions and their impact on the workers’ health in a workshop of bodywork painting in Conakry. Material and Methods: This was a cross-sectional study over 06 months (from July 01, 2021, to December 31, 2021). Were included the bodybuilders-painters, the painters and the bodybuilders. The data was collected during an interview. We analysed the personal data of the workers, the physical environment factors (lighting, noise, etc.) and, the clinical manifestations felt by the workers. Results: The average age was 37 years extenting from 18 to 54 years and, they were all men. Over 80% of workers were exposed to more than 1000 lux and, 78.2% of workers were exposed to the vibratory intensity level of the cordless drill > 2.5 m/s2. The most frequent symptoms were back pain, headache, itchy eyes, and numbness of fingers and hands. The analysis of working conditions and clinical manifestations showed a significant relationship between the level of illumination and the tingling eyes (p = 0.0007), the vibratory intensity of the drill and the numbness of fingers and hands (p = 0.01). This study revealed that some of the complaints cited are related to the working conditions. Conclusion: Working conditions in a bodywork paint workshop are occupational risk factors that become dangerous if they are unknown. A longitudinal study on the assessment of working conditions could better enlighten us on this phenomenon.

关键词： Working Conditions Bodywork-Painting Conakry Health

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Diagnostic Itinerary of Patients Monitored for Thyroid Disease at the Conakry University Hospital in 2022

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Open Journal of Endocrine and Metabolic Diseases 2024年第9期14卷 165-177页

作者： Elhadj Zainoul bah Alpha mamadou Diallo Kadidiatou bah mamadou Dian Mamoudou Diallo Abdoul Mazid Diallo mamadou Alpha Diallo mamadou Chérif Diallo mamadou Mansour Diallo Mody Abdoulaye Barry Oumar Telly Sow Kadija Dieng Amadou Kaké Amadou bah Faculty of Health Sciences and Technology Gamal Abdel Nasser University of Conakry Conakry Republic of Guinea Department of Endocrinology Metabolic Diseases and Nutrition Donka University Hospital Conakry Republic of Guinea Ministry of Health and Public Hygiene Conakry Republic of Guinea Regional Health Inspection of Lab Conakry Republic of Guinea

Introduction: Thyroid pathologies are either the cause or a consequence of certain pathologies with which they interact, manifesting themselves through a polymorphic and non-specific clinic. They affect different devices and/or systems, making the clinical picture more complex or even a delay in diagnosis and treatment. These latter aspects, being then multidimensional, could be preceded by a very specific patient itinerary for the diagnosis and management of cases of thyroid gland pathologies. Methods: This was a descriptive cross-sectional study whose data were collected from May 1 to October 30, 2022. It focused on patients followed for thyroid diseases at the Conakry University Hospital. The objectives were to describe the patient’s journey before their diagnosis of thyroid disease. Results: The subjects were 86.1% women with a mean age of 43.7 ± 28 years. Of the total, 67.85% had a comorbidity including diabetes and/or hypertension/heart disease. They are followed for goiters/simple nodules (22.78%), hypothyroidism (16.46%) and hyperthyroidism (60.76%). They spend at least 9 months before resorting to a healthcare facility. The general medicine services of the Conakry University Hospital are the first recourse (51.9%) of these subjects. They consult 2 to 4 times before the diagnosis is suggested. Hyperthyroidism, hypothyroidism and goiters/simple nodules spend 5.4;6.4 and 13.7 months respectively before the diagnosis is made. 31.6% were hospitalized and treated mainly for malaria (19.0%), hypertension (13.1%), salmonellosis (13.1%) and diabetes (8.3%). A third of patients used traditional therapy before being in contact with the endocrinology department by referral (73.4%). Conclusion: This study made it possible to show a pre-diagnostic pathway which has a particular character concerning patients followed for thyroid pathologies in Guinea.

关键词： Itinerary Diagnosis Thyroid Conakry

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