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Endoscopic Internal Urethrotomy in the Treatment of Male Urethral Stenosis in the Urology-Andrology Department of KARA Teaching Hospital (Togo)

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Open Journal of Urology 2024年第1期14卷 20-26页

作者： Musapudi Éric Mbuya Komi Hola Sikpa Edoe Viyome Sewa messan semefa agbedey Gnimdou Botcho Kodjo Tengue Tchilabalo Matchonna Kpatcha Urology and Andrology Department Kara Teaching Hospital Kara Togo Urology and Andrology Department Hubert Koutoukou Maga National Teaching Hospital Cotonou Benin Surgery Department University Clinics of Lubumbashi Lubumbashi DRC Aneho Prefectural Hospital Center Aneho Togo Urology and Andrology Department Kpalime Prefectural Hospital Center Kpalime Togo Urology and Andrology Department Sokodé Regional Hospital Center Sokodé Togo Urology and Andrology Department Sylvanus Olympio Teaching Hospital Lomé Togo

Introduction: Endoscopic internal urethrotomy (EIU) is a method for stricture opening using transurethral incision by direct visualisation of the urethral channel, resulting in a widening of the urinary canal with the aim of improving the quality of bladder emptying. The aim of the study was to evaluate the indication and results of EIU in the treatment of stenosis of the male urethra in the Urology-Andrology Department of Kara Teaching Hospital. Methodology: This was a cross-sectional descriptive study with retrospective data collection in the Urology-Andrology department of Kara Teaching Hospital. It involved 21 records of patients with urethral stenosis treated by endoscopic internal urethrotomy (EIU) in the said department during the period from January 2021 to September 2023. The following variables were evaluated: age, circumstance of discovery, site, length, number, etiology of the urethral stenosis and evolution of the patients. Results: The mean age of the patients was 59.2 ± 11.7 years. Infectious etiology of stenosis was predominant with 10 patients (47.6%) followed by trauma with 5 cases (23.8%). The bulbar urethra was the most frequently observed site, with 11 cases (52.4%). The length was mostly less than 2 cm in 12 patients (57.1%). Stenosis was unique in 14 patients (66.7%). The mean postoperative follow-up time was 3.2 months. The result was immediately better in 11 patients (52.4%) and it was poor in 8 patients (38.1%) who required maintenance dilation sessions.

关键词： Internal Urethrotomy Urethral Stenosis Kara Togo

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Urological Emergencies at Kara Teaching Hospital (Togo): Epidemiological, Clinical and Therapeutic Profile

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Open Journal of Urology 2023年第1期13卷 1-8页

作者： Komi Hola Sikpa Tchilabalo Matchonna Kpatcha Kodjo Tengue Gnimdou Botcho Edoe Viyome Sewa Sabi Rachid Sade messan semefa agbedey Pwerew Rodolphe Plante Kossi Edem Gueouguede Kara Teaching Hospital Kara Togo

Background: The urology department of the teaching hospital of Kara is the second urology department in Togo, after that of the teaching hospital Sylvanus Olympio, in Lomé the capital. It is a very young service, created less than 5 years ago. Urological emergencies were previously managed by general surgeons, for lack of urologists. The influx of patients with urological pathologies has increased with the arrival of urologists. The update on urological emergencies having been made in Lomé, we therefore wanted to take stock of urological emergencies at the teaching hospital of Kara. Objective: To describe the epidemiological, clinical, and therapeutic aspects of urological emergencies received at the teaching hospital of Kara. Patients and Methods: This was a descriptive study with retrospective data collection. The study took place in the urology department, and in the surgical emergency department of the teaching hospital of Kara, over a period of 18 months, from January 2021 to June 2022. The on-call medical team consisted of the intern in on-call medicine, and an on-call urologist, whom the intern called upon when he received a urological emergency. Pediatric urological emergencies were managed by the pediatric surgeon and were not considered in our study. The operating room register, the surgical emergency consultation register, the urology department consultation register, and the records of patients hospitalized in the urology department were used for data collection. The following parameters were studied: age, sex, type of urological emergency, and therapeutic management;epi info 7 software was used for data processing. Results: The average age of the patients was 52.5 ± 19.6 years with extremes ranging from 16 years to 102 years. Note that 57.7% of the patients were over 50 years old. The sex ratio was 8.9. Urinary retention was the most common urological emergency in 47.7% (52) of cases;follow-up of infectious pathologies in 30.2% (33) of cases. Among the

关键词： Urological Emergencies Profile Kara Togo

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Male Urethral Stricture: Epidemiological, Clinical, and Therapeutic Aspects in Kara

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Open Journal of Urology 2023年第4期13卷 101-107页

作者： Komi Hola Sikpa Gnimdou Botcho Edoe Viyome Sewa Sabi Rachid Sade Essomindedou Leloua messan semefa agbedey Essodina Padja Kossiwa Rose Assou Kodjo Tengue Tchilabalo Matchonna Kpatcha Kara Teaching Hospital Kara Togo Sokode Regional Hospital Center Sokode Togo Sylvanus Olympio Teaching Hospital Lomé Togo

Background: Urethral stricture is a pathology frequently encountered in urological practice. Management is often surgical, with possible recurrences. What about this pathology in Kara, a semi-urban city? Objective: Assess the management of male urethral stricture in Kara. Patients and Methods: This was a descriptive study with retrospective data collection. The study took place in the urology department of the teaching hospital of Kara, from December 2020 to December 2022. All cases of male urethral stricture, surgically treated at the teaching hospital of Kara, were listed. The inclusion criteria were as follows: any patient who had been treated surgically for male urethral stricture in the urology department of the teaching Hospital of Kara. The operating theater register and hospital records were used to collect the data. The diagnosis of urethral stricture had been made with retrograde urethrogram. A total of 24 patients were treated for male urethral stricture during the study period. The following variables were studied: age, reason for consultation, location, length, and etiology of the stricture;the type of treatment received: optical internal urethrotomy, or anastomotic urethroplasty, and the results. The result was considered good if, after removal of the urethral catheter, the patient regained his micturition without the need for dilatation;the result was considered average if, after removal of the urethral catheter, the patient needed one or more dilatation sessions to regain urination;the result was considered poor if, after removal of the catheter, the patient did not regain good micturition despite the urethral dilatation sessions. Microsoft excel and epi info 7 software were used for data processing. Results: The average age of our patients was 43.7 years ± 10.18 with extremes ranging from 27 to 70 years. The most represented age groups were that of 40 to 50 years, with 37.5% of cases;and that of 30 to 40 years with 33.3% of cases. The patients had c

关键词： Male Urethral Stricture Optical Internal Urethrotomy Anastomotic Urethroplasty Kara Togo

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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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Endoscopic Internal Urethrotomy in the Treatment of Male Urethral Stenosis in the Urology-Andrology Department of KARA Teaching Hospital (Togo)

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Open Journal of Urology（泌尿学期刊） 2024年第1期

作者： Musapudi Éric Mbuya Komi Hola Sikpa Edoe Viyome Sewa messan semefa agbedey Gnimdou Botcho Kodjo Tengue Tchilabalo Matchonna Kpatcha

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Urological Emergencies at Kara Teaching Hospital (Togo): Epidemiological, Clinical and Therapeutic Profile

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Open Journal of Urology 2023年第1期

作者： Komi Hola Sikpa Tchilabalo Matchonna Kpatcha Kodjo Tengue Gnimdou Botcho Edoe Viyome Sewa Sabi Rachid Sade messan semefa agbedey Pwerew Rodolphe Plante Kossi Edem Gueouguede

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Male Urethral Stricture: Epidemiological,Clinical, and Therapeutic Aspects in Kara

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Open Journal of Urology 2023年第4期

作者： Komi Hola Sikpa Gnimdou Botcho Edoe Viyome Sewa Sabi Rachid Sade Essomindedou Leloua messan semefa agbedey Essodina Padja Kossiwa Rose Assou Kodjo Tengue Tchilabalo Matchonna Kpatcha

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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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