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Aspects of Urolithiasis in Chadian Children: About of 191 Cases Collected at the Mother and Child University Hospital of N’Djamena (Chad)

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Open Journal of Urology 2022年第10期12卷 519-526页

作者： Moussa Adam Adami Amine Mahamat Mahamat Ali ngaringuem olivier Djibrine Abakar Mahamat Nour Faculty of Human Health Sciences/University of N’djamena N’djamena Chad Department of Pediatric Surgery Mother and Child University Hospital N’djamena Chad Général Surgery Mother and Child University Hospital N’djamena Chad Urological Surgery National Reference University Hospital Center N’djamena Chad

Introduction: Urolithiasis in children is not sufficiently documented in Chad. Objectives: The aim of this work was to report the epidemiological, clinical and therapeutic aspects of urolithiasis in children in our environment. Patients and methods: This was a descriptive retrospective study of patients aged 0 - 15 years treated for urolithiasis between January 2015 and July 2020. The variables studied were age, gender, clinical, paraclinical and therapeutic aspects. Results: Among the 191 children, there were 164 boys (85.9%) and 19 girls (9.9%). The sex ratio was 8.63. The average age was 5.86 years with extremes (1 and 15 years). The symptomatology was dominated by dysuria. The ASP-ultrasound pair allowed the diagnosis in 183 cases (95.8%). The site of the calculus was bladder in 128 cases (67%). The average calculation size was 2.81mm. A supporting cause was found in only 1 case (posterior urethral valve). Treatment was surgical and dominated by cystolithotomy. The postoperative course was marked by 5 cases of parietal infections (2.6%) and 3 cases of vesico-cutaneous fistulas (1.6%). No case of death has been reported. Conclusion: Lithiasis is more common in boys in the lower urinary tract. Open surgery remains the only one practiced. Etiological research must be carried out to develop prevention strategies.

关键词： Urolithiasis Child Kidney Bladder Chad

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Severe External Genitalia Lesion by Firearm: A Case Report

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Open Journal of Urology 2015年第10期5卷 188-191页

作者： Mahamat Ali Mahamat Sidi Sougui Choua Ouchemi olivier ngaringuem Mohamed Jalloh Lamine Niang Serigne M. Gueye University of N’Djaména and National General Reference Hospital (HGRN) N’Djaména Tchad Grand Yoff General Hospital (HOGGY) of Dakar Dakar Senegal

Gunshot wounds to external genitalia are rare either in war field and civilian setting accounting for 2% - 4% of all injuries with often a lesion to the urinary tract. We report a case of external genital injury in a 27 years old man, accidentally injured by his own arm when he pressed the trigger of his gun placed in his pants. He had no past medical or surgical history, he presented to the emergency room (ER) with hemorrhagic scrotal and penile injuries with adjacent urethral tissue damage. He underwent a scrotal flap urethroplasty, and realignment of the corpus cavernosa and the tunica albugina. The patient lost his Foley catheter at post-operative day 3 and subsequently developed a urethral stenosis. Gunshot wounds to external genitalia are rare. A good reconstruction is necessary to avoid an impact on sexual and voiding function.

关键词： Trauma External Genitalia Gunshot

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