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Epidemiological, Clinical and Therapeutic Aspects of Bladder Tumors in a Schistosomiasis-Endemic Country

Open Journal of Urology 2024年第3期14卷 151-159页

作者： Amadou Kassogue Idrissa Sissoko Alkadri Diarra moussa salifou diallo Daouda Sangare Boureima Coulibaly Philippe Togo Albacaye Sember Mahamadou Traore Salia Coulibaly Mamadou Lamine Diakite Urology Department Pr Bocar Sidy Sall University Hospital Kati Mali Urology Department Luxembourg University Hospital Bamako Mali Medical Imaging Department Pr Bocar Sidy Sall University Hospital Kati Mali Urology Department Point G University Hospital Bamako Mali

Introduction: Bladder tumors are common in our country;Mali is a bilharzial endemic country. In our context, urinary bilharzia is common, and bladder tumors arouse particular interest in the field of urological oncology, because of their frequency, their diagnosis, their difficulty in management and their histological particularity. The objective of our work was to study the epidemiological, clinical and therapeutic aspects of bladder tumors. Materials and Methods: This is a cross-sectional, descriptive study with a retrospective and prospective collection that took place over 3 years from January 1, 2020 to December 31, 2022. Results: We identified 316 cases of bladder tumors during this period. Bladder tumors are a common pathology representing 35.95% of all hospitalized patients, and occupying the 1st rank of tumors in urology in the Urology Department of the Pr Bocar Sidy Sall University Hospital in Kati. Bladder tumors were more common in men with 56.33%. The average age of our patients was 50 years ± 25.8 years and the extreme ages were 20 and 87 years. Urinary schistosomiasis, considered a predisposing factor, was found in 66.78% of cases in our patients as a history. Transurethral resection of the bladder was performed in 100% of our patients, nephrostomy in 1.90% of cases, ureterostomy in 1.58% of cases, Bricker type urinary diversion in 1.27% of cases, and a neobladder in 0.32% of cases. Squamous cell carcinoma is the dominant histological type (88.29%). The postoperative outcome was 99% favorable after resection. Conclusion: Bladder tumors were mainly tumors infiltrating the bladder muscle. The main risk factor was urinary bilharzia. Squamous cell carcinoma is the most common histological type with a diagnostic delay, thus limiting radical treatment after resection of the bladder tumor.

关键词： TURB Squamous Cell Carcinoma Urinary Schistosomiasis

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Ureteroscopy with Holmium: YAG Laser—A Initial Study in the Urology Department of the Pr Bocar Sidy Sall University Hospital of Kati

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Open Journal of Urology 2024年第4期14卷 207-216页

作者： Amadou Kassogue Idrissa Sissoko Daouda Sangare moussa salifou diallo Hamed Sylla Mahamadou Traore Boureima Coulibaly Salia Coulibaly Modibo Diakite Modibo Togola Fadima Tall Ilias Guindo Ben Naoum Kamel Mamadou Lamine Diakite Urology Department University Hospital of Pr Bocar Sidy Sall Kati Mali Radiology Department University Hospital of Pr Bocar Sidy Sall Kati Mali Anesthesy and Reanimation Department University Hospital of Pr Bocar Sidy Sall Kati Mali Urology Department University Hospital Nimes France Urology Department University Hospital of Point G Bamako Mali

Introduction: Ureteroscopy is a minimally invasive endoscopic surgery which provides access to the ureter, pyelon and calyceal cavities via the urethra and the bladder. Laser ureteroscopy uses the laser as an energy source to treat the stone and eliminate it naturally. Minimally invasive endoscopic methods are struggling to become popular in sub-Saharan African countries, especially for the upper urinary tract. The objective of our work was to report the results of our first laser ureteroscopy experience in the department. Materials and Methods: This was a prospective and descriptive study running from December 1, 2023 to February 19, 2024. Included in our study was any case of upper urinary tract stone operated by Laser ureteroscopy. The characteristics of the lithiasis were determined by CT scan. Sterilization of urine was verified by carrying out a cytobacteriological examination of urine. Ureteral lithiasis was approached by semi-rigid ureteroscopy. Renal lithiasis was immediately addressed by flexible ureteroscopy. Ureteroscopy was coupled with a Holmium YAG laser. A double J ureteral catheter was placed after the operation. A 230 µm laser fiber was used in each case with a generator with a power of 35 watts (Storz Calculase III type). An access sheath was used in all cases of flexible ureteroscopy. The parameters studied were: sociodemographic characteristics, lithiasis (site, size, number, density, topography), type of anesthesia, duration of laser use, duration of intervention, postoperative outcomes. Data entry and analysis were carried out using the software (Word 2016 and SPSS). Result: We collected 30 cases of laser ureteroscopy. The average age was 37 years with extremes of 9 and 79 years. The male gender was more represented. The most common age group was 24-39 years old. Renal colic was the most frequent reason for admission, 12 patients (40%). On physical examination, lumbar tenderness was present in 47% (14 patients). ECBU was positive in 4 patients (13%). CT scan was performed in all our patient

关键词： Ureteroscopy Semi-Rigid Flexible Holmium YAG Laser

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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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Sigmoid Colon Volvulus: Surgical Management at Kati BSS Hospital (Mali)

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Surgical Science 2019年第3期10卷 76-82页

作者： Koniba Keita Abdoulaye Diarra Salia Coulibaly Sidiki Keita Issa Traore moussa Doumbia Fadima Tall Daouda diallo Oulematou Coulibaly Assitan Kone Boubacar Kone Daouda Konate Amadou Kassongue moussa salifou diallo Ismael Konare Drissa Traore Nouhoum Ongoiba General Surgery Department Kati Mali Medical Imaging Department Kati Mali Anesthesia Resuscitation Department Kati Mali Ophthalmology Department of Kati Kati Mali Department of Urology of Kati Kati Mali

The objective of this study was to describe the therapeutic aspects and to evaluate the surgery results of sigmoid Volvulus in the Kati (MALIA) General Surgery Department. Patients and Methods: This was a descriptive study conducted in our General Surgery Department. It took place in two phases for six years: A retrospective phase from January 1st, 2010 to December 31st, 2015 and a prospective phase from January 1st, 2016 to December 31st, 2017. This study has been approved by the Ethics Committee. It’s concerned all the patients operated in the department for colon Volvulus. Results: We collected 70 patients’ files. The Sigmoid Volvulus represented 7.8% of emergency surgery activities and 37.2% of intestinal obstruction. The male sex predominated with 98.57% against 1.43% of the female sex. The average age was 42.11 years old with limits of 18 to 70. The average deadline evolution was 2.53 days with limits of 1 to 3. The sigmoidectomy with immediate anastomosis was performed in 66% of patients, colectomy with 2-times anastomosis: according to Hartman 20% and Bouilly Volkman 11%, detorsion with colopexy 3%. The early morbidity rate was 5.71%. The average duration of hospitalization was 10.8 days with limits of 5 to 40 days. Two deaths were recorded. Conclusion: Sigmoid Volvulus is frequent in young adult sex male in Africa. We did not find any significant difference between the surgical technique and the advent of complications. The Colectomy with immediate anastomosis seems to be ideal to us that anytime the conditions are appropriate.

关键词： Volvulus Sigmoid Colectomy Surgery

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Bladder Cancer: Epidemiological, Clinical and Histopathological Aspects at the University Hospital Point G, Mali

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Open Journal of Urology 2021年第10期11卷 343-350页

作者： Honoré Jean Gabriel Berthé Dramane Cissé moussa salifou diallo Amadou Kassogué Alkadri Diarra Mamadou Tidiani Coulibaly Mamadou Lamine Diakité Modibo Coulibaly Mory Koné Université des Sciences des Techniques et des Technologies de Bamako Bamako Mali CHU du Point G Bamako Bamako Mali Hô pital Sominé DOLO de Mopti Mopti Mali CHU Kati Kati Mali CHU Luxembourg Bamako Mali CHU Gabriel TOURE Bamako Bamako Mali

Introduction: Bladder cancer is a new tissue formation most often of urothelial origin with potential for local, locoregional and distant invasion. Among its risk factors, urinary bilharzia is endemic in our study area. The aim of our study was to present the epidemiological, clinical and histopathological aspects of bladder cancer in our department. Patients and method: This was a descriptive cross-sectional study over a 12-month period from January 1 to December 31, 2019. The study took place in the urology department of the university hospital Point “G”. It included all patients hospitalized for bladder cancer. The epidemiological, clinical and histopathological characteristics have been sought and described. Results: A total of 74 patients were included in the study. Bladder cancer was the leading cause of cancer, accounting for 57.9% of all urological cancers. The mean age of the patients was 52.8 ± 16.25 years. A slight male predominance was observed with a sex-ratio of 1.2. Housewives were the most represented with 43.2% followed by farmers with 24.3%. Hematuria was the reason for consultation in 87.8% cases. The main risk factors found were urinary schistosomiasis (48.6%) and smoking (31.1%). These two factors were associated in 23.0% of cases. At diagnosis, 85.7% of patients were classified as T3 or T4 stage. Squamous cell carcinoma with 58.2% was the most common histological type followed by urothelial carcinoma in 26.0% of cases. Conclusion: Bladder cancer is very common of cancer in hospitalized patients in our department. Diagnosis is more often made at an advanced stage. The most common histological type is squamous cell carcinoma.

关键词： Bladder Cancer Epidemiology Clinic Histopathology

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Prevalence and Etiologies of Obstructive Renal Failure in the Nephrology Department of the University Hospital Center of Point G, Bamako, Mali

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Open Journal of Nephrology 2020年第3期10卷 187-198页

作者： Seydou Sy Magara Samaké Moctar Coulibaly moussa salifou diallo Atabième Kodio Hamadoun Yattara Abdoul Aziz Mahamane Seribah Coulibaly Aboubacar Sidiki Fofana Djénèba diallo Sah Dit Baba Coulibaly Modi Sidibé Moustapha Tangara Alkaya Touré Saharé Fongoro Nephrology and Haemodialysis Department of the University Hospital Center (UHC) of Point G Bamako Mali Faculty of Medicine and Odontostomatology of Bamako Bamako Mali Nephrology Unit of the Fousseyni Daou Hospital in Kayes Kayes Mali Nephrology Unit of the Mali Gavardo Hospital of Sébénikoro Bamako Mali Urology Department of University Hospital Center of Kati Kati Mali

Introduction: Obstructive renal failure (ORF) or obstructive uropathy is defined by the simultaneous presence of impaired renal function and urinary excretory tract dilatation on medical imaging. It accounts for 2% to 10% of the causes of acute renal failure (ARF). Objective: To determine the prevalence and etiologies of ORF in the nephrology department of the University Hospital Center of Point G. Methodology: This was a descriptive study with retrospective data collection conducted from January 1, 2017 to June 30, 2018. All patients hospitalized with renal failure due to urinary tract obstruction were included. The parameters studied were age, gender, etiology, type of renal impairment, procedures performed, surgical outcomes of the procedure, pre-and post-management creatinine levels. Information on these clinical and paraclinical variables was collected from individual hospitalization and patient follow-up records. Results: Among 1133 patients, 83 had obstructive renal failure, a prevalence of 7.32%. The sex ratio was 1.86. The mean age was 48.99 ± 6.81 years with extremes of 7 and 102 years. Signs suggestive of lower urinary tract obstruction were, in order of frequency: dysuria (50.6%), urinary burns (44.6%), urinary frequency (44.6%), pollakiuria (44.6%), macroscopic hematuria (25.3%), low back pain (21.6%), total anuria (18.1%). The etiologies were dominated by lithiasis 36 cases (43.4%), tumours 32 cases (38.55%) followed by sequelae of bilharziasis 12 cases (14.50%). Conclusion: Obstructive renal failure is becoming more and more common. The etiology is essentially of lithiasic and tumor origin. It must be treated early to allow total or partial recovery of renal function.

关键词： Prevalence Etiologies Obstructive Renal Failure Mali

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Complete Cervico-Uretral Transections: A Vesicovaginal Fistula Not Like the Other

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Open Journal of Urology 2021年第3期11卷 73-86页

作者： Dramane Cisse Abdoulaye Traore Honoré Jean Gabriel Berthe Mory Kone Modibo Coulibaly Diamilatou Thiam Djibril Traoré Bréhima Traoré Mamadou Tidiani Coulibaly Alkadri Diarra Amadou Kassogue moussa salifou diallo Oumar Guindo Hô pital Sominé DOLO de Mopti Mopti Mali Université des Sciences des Techniques et des Technologies de Bamako (USTTB) Bamako Mali Direction Régionale de la Santé de Mopti Mopti Mali

Introduction: Complete cervico-urethral transection is a vesicovaginal fistula characterized by total disinsertion of the urethra from the bladder. It is a fistula of the cervico-urethral intersection threatening the mechanism of continence. The aim of this study was to describe the epidemiological and therapeutic aspects of this type of fistula. Patients and Methods: This was a descriptive retrospective study on patients who have had surgery for cervico-urethral transection from June 01, 2012 to June 01, 2015. Results: Cervico-urethral transections (n = 76) accounted for 33.77% of all urogenital fistulas admitted to our department of surgery during the study period. The average age was 25.02 ± 8, 6 years. Married patients accounted for 85.58%, 72.36% had not received any classical education. Fistulas less than one year old made up 56.58% of cases, associated lesions were perineal tears 25.0%, vaginal sclerosis, 21.05%, vaginal straps, 13.15%, rectovaginal fistula, 2.63% and the shortness of the urethra less than 2.5 cm in 42.10% of cases. All surgeries were performed vaginally with a 98.68% fistula closure rate and an average of 1.68 surgeries per patient. After closure of the fistula, 10.67% of patients presented a residual urinary incontinence. Conclusion: Complete cervico-urethral transection is a frequent vesicovaginal fistula. She sometimes exposes to urinary incontinence after closing the fistula. The results of his surgery are often good at the cost of multiple intervention.

关键词： Vesicovaginal Fistula Cervico-Urethral Transection Urinary Incontinence Urethra Bladder

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Penile Skin Flap Urethroplasty for Urethral Stenosis at SominéDOLO Hospital of Mopti (MALI)

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Open Journal of Urology 2021年第7期11卷 240-250页

作者： Dramane Cissé Honoré Jean Gabriel Berthé Abdoulaye Traoré Mamadou Lamine Diakité Modibo Coulibaly Mory Koné Djibril Traoré Bréhima Traoré Diamilatou Thiam Mamadou Tidiani Coulibaly Alkadri Diarra Amadou Kassogué moussa salifou diallo Oumar Guindo Université des Sciences des Techniques et des Technologies de Bamako Bamako Mali Hô pital Sominé DOLO de Mopti Mopti Mali CHU du Point G Bamako Bamako Mali Direction Régionale de la Santé de Mopti Mopti Mali CHU Gabriel TOURE Bamako Bamako Mali CHU Luxembourg Bamako Mali CHU Kati Kati Mali

Introduction: Penile skin flap urethroplasty is a technique for replacing or enlarging an obstructed urethra. We aim to report our experience in the practice of this surgical technique. Patients and method: This was a prospective and descriptive study of penile skin flap urethroplasty indicated for urethral stenosis between January 2014 and December 2019. Results: A total of 21 penile skin flap urethroplasties for urethral stenosis were performed. The average age was 38.6 years old. The stenosis was of sclero-inflammatory origin in 15 cases (71.43%). It was of bulbo-perineal, penile, and penile-bulbar topography in about a third each. A history of urethral surgery was reported in 80.95% of the cases. The average length of the stenosis was 6.8 cm. Mundy circular skin flap urethroplasty about 15 cases (71.43%), and Quartey rectangular skin penile flap urethroplasty about 6 cases (28.57%) were the surgical techniques performed. The postoperative follow-up was favorable in 19 cases (90.48%). Two cases of urethral fistula (9.52%) underwent the 2nd urethroplasty. Urination at 1 year was satisfactory. No relapse has been reported to date. However, 4 patients (19.04%) reported asthenic ejaculation, and 1 patient (4.76%) a marked decrease in sexual pleasure. Conclusion: This surgical technique is effective in terms of voiding when the surgical indications are well chosen. The sexual aspect must be taken into account and the intervention only offered to those who really need it.

关键词： Urethral Stenosis Urethroplasty Pedicled Flap

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Local Criteria Used by Farmers to Evaluate the Agronomic Performance and the Fertilizing Capacity of Cowpea Varieties: Diversity, Variability and Proximal Relation with Agronomic Measurements in Contrasted Sahelian Locations

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Agricultural Sciences 2024年第1期15卷 114-131页

作者： Nouhou salifou Jangorzo Abdoul-Aziz Saïdou Abou-Soufianou Sadda Abdoulaye moussa Mamoudou Hassane Bil-Assanou Issoufou Département des Sciences du Sol et Télédétection Université Dan Dicko Dankoulodo de Maradi Maradi Niger. Unité Mixte de Recherche “Diversité et Adaptation des Plantes” (UMR DAP) Université Dan Dicko Dankoulodo de Maradi Maradi Niger Centre Imaan de Support en Recherche Transdisciplinaire (Imaan Research) Niamey Niger Institut de Recherche pour le Développement Niamey Niger Université Boubacar BA de Tillabéri Tillabéri Niger Département des Sciences et Techniques de Productions Végétales Université Dan Dicko Dankoulodo de Maradi Maradi Niger

When contributing to participatory research, farmers usually appreciate the performance of cowpea varieties using qualitative scores. The score they attribute to each variety are based on local knowledge. The specific criteria they individually use to attribute a score are not well described. The objectives of this work were to: 1) identify and describe exhaustively the local criteria used by farmers to measure the agronomic performance of cowpea;2) assess the variability and statistical structure of these farmer criteria across local contexts;3) and analyze the association between these farmer criteria and the classical agronomic measurement. To achieve these objectives, an augmented block design was implemented across fifteen locations in the regions of Maradi, Dosso and Tillabéri, representing a diversity of local contexts. From a set of 36 cowpea varieties, fifteen varieties were sown per location, including five varieties (controls) common to all locations. In each location, two replicates were sown in randomized Fisher’s blocks. After agronomic measurement and participatory evaluation (scoring of varieties by farmers), a group survey (focus group) was conducted in each location to identify the criteria considered by farmers to found their discretional scoring of varieties during the participatory evaluation. The analysis of the data identified, across locations, thirteen criteria defined by farmers to characterize the agronomic performance of cowpea. Some of these criteria were different according to location. Farmers ranked the three varieties with the best performance for each agronomical trait (Top 3 varieties). A comparison of the farmer ranking with the ranking based on agronomic measurements revealed similarity and complementary between both methods. This study highlighted the importance of considering both local and scientific knowledge in local varietal evaluations.

关键词： Agronomic Performance Participatory Research Cowpea Farmers’ Criteria

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Analysis of the Characteristics of Materials Obtained by Recycling Scrap Metal in Guinea

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材料科学与工程（中英文A版） 2024年第1期14卷 1-10页

作者： Alpha Issa diallo Jean Ahmed Kourouma Adama moussa Sakho Alexandre Lucien Richard Mechanical Laboratory Higher Institute of Technology of MamouMamou 063Republic of Guinea Materials Laboratory of Gamal Abdel Nasser University ConakryMamou1147Republic of Guinea Department of Laboratory Technology Higher Institute of Technology of MamouMamou 063Republic of Guinea

The aim of this study was to determine the quality of rebar produced from recycled scrap metal collected throughout the country,and imported rebar sold in the Republic of Guinea.To do this,the samples were subjected to various mechanical tests involving traction,bending and microscopic analysis.In the Lambanyi and Casse Sonfonia samples,all the tensile strength values for diameters 12,14 and 16 were above 550 MPa.Conversely,the iron samples from Baillobaye and the 10 mm diameters of the samples from Casse Sonfonio and Lambanyi have less appreciable values.The limits of elasticity were determined.The various values found vary more or less from the conventional yield strength of the NF A35-016 reference supplied by CBITEC,which is 500 MPa.Microscopic analysis gives us an insight into the internal structure of the iron samples used.This study may provide the company and the vendors with an alternative for their improvements.

关键词： Steel in construction recycled scrap strength test traction bending.

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