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Atypical Renal Cysts: Is MRI a Compulsory Examination in 2020 before Therapeutic Management?

Open Journal of Urology 2020年第10期10卷 253-262页

作者： Idriss Ziani Ahmed Ibrahimi Hamza Dergamoun Omar Belouki Hachem El Sayegh lounis benslimane Yassine Nouini Urological Surgery Department “A” IBN Sina University Hospital CHU RABAT Rabat Morocco RABAT Faculty of Medicine Mohammed V University Rabat Morocco

Introduction: Kidney cancer represents 2% to 3% of malignant tumors, with an incidence of 5.8/100,000 in Western countries, a very specific subgroup of renal tumors that are cystic tumors. In fact, almost 50% of the population over 50 has a renal cyst. Materials and Methods: The objective of this study is to establish a correlation between the preoperative Bosniak score and the postoperative anatomopathological analysis in order to answer this question, the use of contrast ultrasound or MRI should be systematically performed before an atypical renal cyst? This is a retrospective study of 50 patients treated for renal cysts between January 2010 and March 2016. All patients have an abdominopelvic ultrasound and an abdominal scanner. Cysts have been classified according to the Bosniak classification. We treated our patients based on the radiological examination urocsanner and we classified our patients according to the classification of Bosniak, and uro MRI was performed in cases of atypical cysts or diagnostic doubt before considering a therapeutic attituderding to the classification of Bosniak. Results: In our work, the Uro MRI was sharper for atypical cysts (type IIF and Type III cyst) with sensitivity greater than that of the scanner but with a specificity similar to that of the scanner. And therefore be a key examination in the atypical kidney cysts. Conclusions: URO MRI is currently in 2020 a key examination of atypical bonsiak IIf and III cysts before management of the therapeutic load.

关键词： Atypical Cyst BosniaK Cystic Tumors URO MRI

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Urethral Stone: A Rare Cause of Acute Retention of Urine in Men

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Open Journal of Urology 2020年第5期10卷 145-151页

作者： Ahmed Ibrahimi Idriss Ziani Jihad Lakssir Hachem El Sayegh lounis benslimane Yassine Nouini Department of Urology A Ibn Sina University Hospital Faculty of Medicine and Pharmacy Mohammed V University Rabat Morocco

Urethral stones are a very rare form of urolithiasis, they most often originate from the upper urinary tract or bladder, and are rarely formed primarily in the urethra, it is formed on a urethral anatomical pathology in the majority of cases. The clinical symptomatology is very variable ranging from simple dysuria with penile pain to acute retention of urine. Smaller stones can be expelled spontaneously without intervention, but larger stones or complicated stones or those developed on an underlying urethral anatomical pathology require surgical treatment. The minimally invasive treatment should be the preferred route for the surgical treatment of this disease when feasible. We report the case of a young man with no particular pathological history who presented to the emergency department for acute retention of urine secondary to a primary fossa navicularis calculus, through this case, we discuss the different clinical aspects, etiology, pathogenesis, diagnosis and therapy of urethral stone in men.

关键词： Urethral Stone Meatotomy Acute Urinary Retention Penis

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Fournier’s Gangrene: Analysis of 14 Cases

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Open Journal of Urology 2014年第8期4卷 109-113页

作者： Mohammed Asseban Adil Kallat Adil Mazdar Hachem El Sayegh Ali Iken lounis benslimane Yassine Nouini Urology A Department Ibn Sina University Hospital Rabat Morocco

Introduction: Perineo-scrotal gangrene is a necrotizing fasciitis concerning soft parts of the genital area which necessitates a rapid, complete and multidisciplinary medical management. The aim of our study was to describe the epidemiologic, diagnostic and therapeutic aspects of Fournier’s gangrene. Patients and methods: We have carried out a retrospective study with 14 patients with Fournier’s gangrene, who were treated from January 2011 to November 2013 at the Urology A Department of Ibn Sina University Hospital, Rabat, Morocco. Results: The average age was 58 years (47 to 76 years). All patients were male. Average time (delay) between onset of infection and consultation was one week. Clinical symptomatology was dominated by edema and erythema signs, fever and pain. In most cases, skin necrosis initially affected perineo-scrotal region. 43% of patients were diabetic. 5 patients (35%) had a urethral stricture. The most common germs found were: Escherichia coli (50%), Streptococcus (22%) and Klebsiella (14%). The treatment consisted in a large debridement, associated with fluid and electrolyte replacement and parenteral broadspectrum antibiotics with drainage of urine. Orchiectomy was required in 2 patients. The average length of hospital stay was 3 weeks. 4 patients (28%) had a scrotal collection. 2 patients (14%) died from a toxic septic shock. Conclusion: Fournier’s gangrene remains, despite the multidisciplinary medical management, a serious affection associated with high mortality. Early consultation and correction of general disorders and immune deficiencies can improve its prognosis.

关键词： Necrotizing Fasciitis Perineo-Scrotal Gangrene Diabetes Necrosectomy Septic Shock

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