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Knowledge, Attitude and Practice of General Practitioners on Circumcision and Its Complications in the District Hospitals of the Center Region

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Open Journal of Urology 2021年第12期11卷 509-517页

作者： Binyom Pierre René Achille Mbassi Cyprien Zaré Gueswendé Larba. Hermann Belemlilga nassirou yabré Namory Keita Higher Institute of Medical Technology (ISTM) Yaoundé Cameroon Department of General and Visceral Surgery Sour&#244 Sanou University Teaching Hospital Bobo-Dioulasso Burkina Faso

Background: The complication rate of circumcision in medical settings is between 0.4% and 2.0%. Circumcision accidents constituted 2.0% of urological emergencies at the Yaoundé Central Hospital. Aim: To assess the level of knowledge, attitudes and practices of general practitioners on circumcision and its complications in Central Region District Hospitals. Population and Methods: We conducted a multicenter descriptive cross-sectional study the CAP (Knowledge, Attitudes and Practices) type. Which took place from March 9 to June 30, 2021 (16 weeks). We included 138 physicians. The variables collected were: socio-demographic characteristics, knowledge about circumcision and its complications, attitudes towards circumcision and its complications, practices towards circumcision and its complications. Results: In our study, the median age of the study population was 29 years, the sex ratio (M/F) was 0.8. The median ideal age to perform circumcision was 12 months. In our study, 94.9% of general practitioners clearly identified bleeding disorders as a contraindication for circumcision. The material needed to be used to perform a circumcision was ignored by 81.2% of general practitioners. The global knowledge assessment showed that 68.9% of participants had unsatisfactory knowledge about circumcision and its complications. Before circumcision, 91.3% general practitioners first recommended effective disinfection of the operating field, and 83.3% used sterile equipment. Faced with a hemorrhage, 61.6% of general practitioners proposed surgical exploration in the face of rebellious bleeding. 60.2% of general practitioners had bad attitudes towards circumcision and its complications. In our study, 49.2% of the general practitioners questioned did not know the normal procedure for performing a circumcision. Forty-one (29.7%) general practitioners had never performed a circumcision. The median occurrence of a compl

关键词： Knowledge Attitude Practice Circumcision Posthectomy

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Acute Urinary Retention among Adult Men at Bobo-Dioulasso University Teaching Hospital: Epidemiology, Aetiologies and Initial Management

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Open Journal of Urology 2015年第6期5卷 91-96页

作者： Zaré Cyprien Kambou Timothée Ouattara Adama Paré Abdoul Karim Yé O. Delphine Bénao B. Lazard Belemlilga G. L. Herman yabré nassirou Traore I. Alain Barro Drissa Division of General Surgery CHU Souro Sanou Bobo-Dioulasso Burkina Faso Division of Urology CHU Souro Sanou Bobo-Dioulasso Burkina Faso Division of Anesthesiology CHU Souro Sanou Bobo-Dioulasso Burkina Faso

We conducted a cross-sectional study between February 1st, 2012 and September 30, 2012 at Bobo-Dioulasso University Teaching hospital. The target population was all patients seen at the emergency services for acute urinary retention. Among the 155 patients admitted for urological emergencies, 104 (67.1%) had acute urinary retention. The average age of patients was 65 years, ranging from 23 to 89 years and the majority was more than 60 years old (77.8%) and lived in rural areas (64.4%). Prostate tumor pathology and urethral stricture were the most frequent diagnosis, and the renal function was impaired in 33.7% of cases. Urethrovesical drainage, cystocatheterism, and suprapubic cystostomy were the treatment approach in 56.0%, 28.0% and 15.2% of the cases. Acute urinary retention is the most common urological emergency and many complications are associated with urethrovesical sounding. These complications should therefore be prevented by improving acute urinary care.

关键词： Acute Urinary Retention Epidemiology Management Prostate

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