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Urological Endoscopy: Results of the First 15 Months, in Kara (Togo)

Open Journal of Urology 2022年第9期12卷 492-498页

作者： Komi Hola Sikpa Gnimdou Botcho Messan Semefa Agbedey Essodina Padja essomindelou leloua Kossi Edem Gueouguede Pwerew Rodolphe Plante Edoe Viyome Sewa Kodjo Kevin Tengue Matchonna Tchilabalo Kpatcha Centre Hospitalier Universitaire Kara Kara Togo Centre Hospitalier Regional Sokodé Sokodé Togo Centre Hospitalier Universitaire Sylvanus Olympia Lomé Togo

Background: The urology department of the Teaching Hospital of Kara is the 2nd urology department in Togo, Kara being a semi-urban town located 400 km from Lomé the capital. While for a long time only open surgery was used, the acquisition of urological endoscopic equipment in February 2021, has revolutionized the urological management of patients. Objective: Report the results of the first 15 months of urological endoscopy practice at the Kara Teaching Hospital, identify the particularities, announce the prospects. Patients and Methods. This was a retrospective and descriptive study, which took place in the urology department of the Kara Teaching Hospital, from February 2021 to April 2022, i.e. a period of 15 months. The register of operative reports and patient records were used for data collection. The following parameters were studied: age, sex, diagnosis, indication, diagnostic or therapeutic nature of the procedure, and results. EPI INFO 7.***.4.0 software was used for data analysis. Results: A total of 102 urological procedures (endoscopic and non-endoscopic) were performed during the study period;of the 102 interventions, 62 were endoscopic urological interventions, i.e., 60.7% of the interventions. The average age of patients treated was 55.5 years (±16.4) with extremes ranging from 28 to 87 years. Men accounted for 84% of patients treated. Prostatic hypertrophy was the most common urological pathology in our study, requiring endoscopic intervention in 40% of cases. Transurethral resection of the prostate was the most performed endoscopic procedure in our study with 43.5% of cases. The various endoscopic interventions resulted in success in 96.7% of cases. Conclusion: Urology nowadays cannot be done without endoscopy. At the Kara Teaching Hospital, the results are already promising after less than 24 months of endoscopic practice in urology. Advocacy must be made to political decision-makers, so that the situation is even better, for the good of both urologis

关键词： Urological Endoscopy Results Kara Togo

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Management of Venous Priapism: Experience of Sylvanus Olympio University Hospital in Lomé(TOGO)

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Open Journal of Urology 2018年第10期8卷 289-296页

作者： Komi Hola Sikpa Edoe Viyome Sewa Efoe-Ga Amouzou Gnimdou Botcho Ananivi Sogan Tamegnon Dossouvi Essodina Padja Boureima Ouedraogo essomindelou leloua Messan Semefa Agbedey Tchilabalo Matchonna Kpatcha Kevin Kodjo Tengue Université de Kara Kara Togo

Objective: To study the diagnostic, etiological, therapeutic and evolutionary aspects of patients received at the Sylvanus Olympio Hospital in Lomé for venous priapism. Patients and Methods: A cross sectional study, over 5 years (2012-2016), of 27 cases of low flow priapism treated at the Chu Sylvanus Olympio in Lomé. Results: The mean age of the patients was 28.14 years ± 8.6. The average time of consultation was 106 hours (04 days 10 hours) ± 208.02. In our study, 4 (14.81%) patients consulted before the 6th hour and 20 (74%) patients consulted after the 24th hour. The blood count required in all patients revealed a case of chronic myeloid leukemia. Hemoglobin electrophoresis resulted in 23 (85.1%) cases of sickle cell disease. The management was medico-surgical. After an average follow-up of 11 months, erectile function was evaluated in 18 patients, and erectile dysfunction was noted in 10 (55.5%) patients.

关键词： Venous Priapism Urgency Drepanocytosis Neuroleptics Erectile Dysfunction

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Radical Prostatectomy: Indication, Technique and Results at Sylvanus Olympio University Hospital Center of Lomé

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Open Journal of Urology 2023年第12期13卷 565-571页

作者： Messan Semefa Agbedey Kanowa Gracia Makala Komi Hola Sikpa Edoe Viyome Sewa Gnimdou Botcho Ngalamulume David Tshimbundu Kambala Stephane Kangudia Kanowa Christian Katanga Moussa Salifou Diallo Ibrahima Diallo Tchongwang Pierre Ndengang Essodina Padja essomindelou leloua Kodjo Kevin Tengue Urology Departement Kpalime Prefectural Hospital Kpalime Togo General Surgery Departement Sino-Congolese Friendship Hospital N’Djili Democratic Republic of the Congo General Surgery Departement Kinshasa University Clinics Kinshasa Democratic Republic of the Congo Urology Departement Kara Teaching Hospital Kara Togo Department of Urology University Teaching Hospital of Lomé Lomé Togo Department of Urology University of Lomé Lomé Togo Urology Departement Sokode Regional Hospital Sokode Togo General Surgery Department Otto-Girard Polyclinic of Kananga Katanga Democratic Republic of the Congo General Surgery Departement Kabinda General Referal Hospital Kinshasa Democratic Republic of the Congo General Surgery Departement Bocar Sidi Sall University Hospital Center Kati Mali Urology Departement Regional Hospital Ziguinchor Senegal General Surgery Departement Bonamoussadi Ad Lucem Hospital Douala Cameroon Urology Department Sylvanus Olympio Teaching Hospital Center Lomé Togo

Aim: Radical prostatectomy started in TOGO for nearly a decade. We purposed to evaluate the indications, technique and result obtained by this practical in our context. Methods: Descriptive retrospective study over 6 years, involves patients who underwent radical prostatectomy in the urology andrology department of the Sylvanus Olympio University Hospital in Lomé. Results: In 6 years, 24 radical prostatectomies were performed on 209 patients with prostate cancer (prevalence 12.92%). The average age of the patients was 63.8 ± 4.2 years. The average PSA rate was 27.9 ± 21.2 ng/ml. 58.3% were at high risk for d’Amico. The retropubic route with ilio-obturator lymph node dissection was the technique used for all patients. 80.9% of patients were continent and 33.3% had a satisfactory erection 12 months after the surgery. Recurrence-free survival at 1 year was 62.5% and 3 deaths or 12.5% were recorded in the first year in high-risk patients. Conclusion: Radical prostatectomy maintains its place of choice in the treatment of localized or locally advanced prostate cancer. It improves recurrence-free survival.

关键词： Radical Prostatectomy Sylvanus Olympio

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Urological Endoscopy: Results of the First 15 Months, in Kara (Togo)

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Open Journal of Urology 2022年第9期

作者： komi hola sikpa gnimdou botcho messan semefa agbedey essodina padja essomindelou leloua kossi edem gueouguede pwerew rodolphe plante edoe viyome sewa kodjo kevin tengue matchonna tchilabalo kpatcha

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Radical Prostatectomy: Indication, Technique and Results at Sylvanus Olympio University Hospital Center of Lomé

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Open Journal of Urology（泌尿学期刊） 2023年第12期

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