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Results of Trans-Urethral Resection of Bladder (TURB) for the Treatment of non-Infiltrating Bladder Tumors (nMIBT) in Musk in Bouake

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Open Journal of Urology 2024年第2期14卷 39-49页

作者： Kouassi Patrice Avion n’diamoi Akassimadou Venance Alloka Sadia kamara Koffi Dje Urology Department Bouaké University Hospital (CHU) Bouaké Ivory Coast

Background: bladder tumors rank 2nd among urological tumors in sub-Saharan Africa, particularly in Côte d’Ivoire. Objective: to report the results of transurethral resection of the bladder (TURB) for the treatment of non-muscle-infiltrating bladder tumors (nMIBT) in Bouaké. Patients and methods: we conducted a cross-sectional, descriptive study of transurethral resection of the bladder (TURB) for the treatment of non-muscle-infiltrating bladder tumors (nMIBT) between January 2022 and April 2023. All patients and their families were informed in advance and had signed an informed consent form. All patients with a non-muscle-invasive bladder tumor confirmed by an initial TURB were included, and patients with a bladder tumor infiltrating the bladder muscle were excluded. Diagnosis was based on cystoscopy and anatomopathological examination of resection shavings. Parameters studied were: age, sex, risk factors, reason for consultation, clinical signs, cystoscopy findings, stage, grade, evolution. Results: 17 patients with a mean age of 53.7 years (22-73 years) underwent trans-ureteral bladder resection to treat a non-muscle-infiltrating bladder tumor (nMIBT). Male gender predominated with 88.23% (n = 15), the majority of patients came from the Me region with 47.05% (n = 8), farmers were the most numerous (52.94%;n = 9). The most frequent reason for consultation was macroscopic hematuria with 64.1% (n = 11), risk factors were dominated by urinary bilharziasis with 70.58% (n = 12), physical examination was normal in 47.05% (n = 8). Hemoglobin (HB) levels were between 7.5 and 8.5 g/dl in 52.94% (n = 9). On cystoscopy, the tumor was budding in 76.45% (n = 13), the localization was trigonal in 52.9% (n = 9) and the base of implantation was sessile in 70.52% (n = 12). On ultrasound, the tumor was 3 cm or larger in 70.52% (n = 12). Therapeutically, 82.35% (n = 14) of patients received a blood transfusion. TURB was complete in the majority of cases 88.23% (n = 15). Squamous cell

关键词： Bladder Tumor nMIBT TURB Squamous Cell Carcinoma

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Transurethral Resection of the Prostate (TRUP) for the Treatment of Benign Prostatic Hyperplasia (BPH) in Central Cote D’Ivoire: Indications and Results

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Open Journal of Urology 2024年第2期14卷 27-38页

作者： Kouassi Patrice Avion n’diamoi Akassimadou Venance Alloka Sadia kamara Koffi Dje Urology Department Bouaké University Hospital Bouaké C&#244te d’Ivoire

Background: Benign prostatic hyperplasia (BPH) is defined histologically as adenomyofromatous hyperplasia of the transitional zone of the prostate. It remains the most common benign tumour in men over the age of 50, and transurethral resection of the prostate (TURP) remains the surgical treatment of choice. Objectives: To determine the indications and present our results of transurethral resection of the prostate. Patients and Methods: After obtaining approval from the ethics committee of the private hospital and the university hospital of Bouaké (Côte d’Ivoire), we conducted a cross-sectional study of transurethral resection of the prostate (TURP) to treat benign prostatic hyperplasia (BPH) between January 2021 and April 2023. All patients and their families were informed beforehand and had signed an informed consent form. All patients with benign prostatic hyperplasia (BPH) with ultrasound weight of less than 80 grams were included. The following parameters were studied: age, reason for consultation, ultrasound prostate weight of benign prostatic hyperplasia, indication for TURP, duration of operation, blood loss, duration of post-PRT urinary drainage, length of hospital stay, morbidity and mortality, and outcome. Results: 39 patients with a mean age of 58.3 years (57-77 years) underwent transurethral resection of the prostate (TURP). TURP was indicated in 46.15% (n = 18) of cases of refractory acute urinary retention with failure of the urinary catheter removal test, 17.94% (n = 7) of cases of lower urinary tract disorders that were incapacitating despite treatment, 15.38% (n = 6) of cases of refractory or recurrent urinary tract infection, 10.25% (n = 4) of cases of failure of medical treatment and 10.25% (n = 4) of cases of iterative hematuria. The mean duration of TURP was 53.68 min (48-57), the mean weight of the resected prostate was 58.7 g (35 and 83 g), blood loss was minimal in 92.30% (n = 36), the mean duration of irrigation-washing was 2. 5 days (1-3 da

关键词： BPH TURP endo-Urology Prostate

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Genetic and Agronomic Parameter estimates of Growth, Yield and Related Traits of Maize (Zea mays L.) under Different Rates of nitrogen Fertilization

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American Journal of Plant Sciences 2024年第4期15卷 274-291页

作者： prin.e emmanuel n.rman.lan.an. kamara Aloysius Beah Kelvin Sahr Gborie Francess Sia Saquee Sheku Alfred Kanu Fayia Augustine Kassoh Yvonne Sylvia Gloria ethel norman Abdul Salaam Kargbo Sierra Leone Agricultural Research Institute (SLARI) Freetown Sierra Leone School of Agriculture Njala University Njala Campus Njala Sierra Leone School of natural Resources Management Njala University Njala Campus Njala Sierra Leone Department of Agro Biotechnology Institute of Agriculture RUDN University Moscow Russia Faculty of Development Agriculture & natural Resources Management Eastern Technical University of Sierra Leone Kenema Sierra Leone

This study evaluated the genetic and agronomic parameter estimates of maize under different nitrogen rates. The trial was established at the njala Agricultural Research Centre experimental site during 2021 and 2022 in a split block design with three maize varieties (IWCD2, 2009eVDT, and DMR-eSR-Yellow) and seven nitrogen (0, 30, 60, 90, 120, 150 and 180 kg∙n∙ha−1) rates. Findings showed that cob diameter and anthesis silking time (ASI) had intermediate heritability, ASI had high genetic advance, ASI and grain yield had high genotypic coefficient of variation (GCV), while traits with high phenotypic coefficient of variation (PCV) were plant height, ASI, grain yield, number of kernel per cob, number of kernel rows, ear length, and ear height. The PCV values were higher than GCV, indicating the influence of the environment in the studied traits. nitrogen rates and variety significantly (p nfluenced grain yield production. Mean grain yields and economic parameter estimates increased with increasing nitrogen rates, with the 30 and 180 kg∙n∙ha−1 plots exhibiting the lowest and highest grain yields of 1238 kg∙ha−1 and 2098 kg∙ha−1, respectively. Variety and nitrogen effects on partial factor productivity (PFPn), agronomic efficiency (Aen), net returns (nR), value cost ratio (VCR) and marginal return (MR) indicated that these parameters were significantly affected (p ese factors. The highest PFPn (41.3 kg grain kg−1∙n) and Aen (29.4 kg grain kg−1∙n) were obtained in the 30 kg∙n∙ha−1 plots, while the highest VCR (2.8) and MR (SLL 1.8 SLL−1 spent on n) were obtained in the 180 kg∙n∙ha−1. The significant influence of variety and nitrogen on traits suggests that increasing yields and maximizing profits require use of appropriate nitrogen fe

关键词： nitrogen Rates Genetic and Agronomic estimates Introduced Genotypes Grain Yield Zea mays

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Knowledge and Awareness of Antibiotic Use and Resistance:a Cross-sectional Study in Freetown,Sierra Leone

Knowledge and Awareness of Antibiotic Use and Resistance:a C...

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作者： Kadijatu nabie kamara 郑州大学

学位级别：硕士

Introduction The emergence and spread of antibiotic resistance is among the most serious public health concerns threatening the health of the people *** misuse and overuse of antibiotics have been linked to the emergence of bacterial ***,significant gaps remain in the public's knowledge about appropriate antibiotic use and resistance *** have been no studies regarding antibiotic use and resistance among the general public in Sierra Leone to the knowledge of the *** study therefore explores the public's knowledge about antibiotic use and awareness of antibiotic resistance,and also examines the strategies in place for the appropriate use of antibiotics at government hospitals providing secondary and tertiary care in Freetown,Sierra *** and Methods This was a cross-sectional study conducted between May and June 2017 using a structured *** sample comprised 327 individuals from the general public,aged 18 years and above,recruited via convenient sampling,and 95 health personnel working at government hospitals in *** regarding antibiotic use and resistance among the public,and strategies in place for the prudent use of antibiotics in the healthcare setting was obtained from *** statistics and linear regression analysis were used to analyze the *** The response rate for the general public and health personnel were 90.2%(n=295)and 100%(n=95)*** to the knowledge and awareness score,a vast majority of the respondents had average score(74.2%;n=219).69.8% correctly agreed that antibiotics are effective against bacterial infections;however,49.2% incorrectly agreed that antibiotics are also effective against viral *** terms of resistance,more respondents thought that people become resistant to antibiotics(63.4%),rather than that bacterium becomes resistant(58.3%).Age and education were found to be significantly associated with knowledge

关键词： Antibiotics awareness knowledge inappropriate use resistance Freetown Sierra Leone

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endoscopic Management of Secondary Sclerosis of the Bladder neck in Bouaké: Our experience with 23 Cases

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Open Journal of Urology 2023年第7期13卷 251-258页

作者： Kouassi Patrice Avion n’diamoi Akassimadou Brice Aguia Freddy Zouan Venance Alloka Sadia kamara Koffi Dje Urology Department Bouaké University Hospital (CHU) Bouake Ivory Coast

Background: Secondary sclerosis of the bladder neck is a rare but serious late complication that occurs after open or endoscopic prostatic adenomectomy. Objective: The aim of this study was to report the results of endoscopic management of secondary sclerosis of the bladder neck in a series of 23 cases. Patients and Methods: Cross-sectional study of 23 patients presenting with secondary sclerosis of the bladder neck following adenomectomy and treated by endoscopic resection of the bladder neck in a private facility in Bouaké (Ivory Coast) over the period from 1 January 2021 to 1 December 2022, i.e. 2 years. The mean age of the patients was 61, 7 years with extremes from 53 to 76 years. The diagnosis of secondary sclerosis of the cervix was based on clinical and radiological data (retrograde uretrocystography). The parameters studied were the reason for consultation, time to onset of signs after adenomectomy, clinical data, results of retrograde uretrocystography (RUC), results of urine cytobacteriological examination (UCT), complications, endoscopic procedure, duration of operation, duration of postoperative urinary drainage, duration of hospitalization, postoperative follow-up and operative morbidity and mortality. Results: 23 patients with secondary sclerosis of the bladder neck were treated by endoscopic neck resection. The mean age of the patients was 61.7 years (5 - 76 years). Dysuria was the most frequent reason for consultation, accounting for 73.9% (n = 17). Retrograde uretrocystography (RUC) was used to make the diagnosis in all patients. It found a steam jet image in 69.6% (n = 16) and tight stenosis of the bladder neck in 30.4% (n = 7). Secondary stenosis of the bladder neck was complicated by uretrohydronephrosis in 47.8% (n = 11). 73.9% of patients had a post-micturition residual of more than 150 ml. The urine cytobacteriological examination (UCe) found four urinary tract infections (17.4%) treated with antibiotics over 14 days, which sterilised the uri

关键词： Secondary Sclerosis of the Bladder neck Adenomectomy TURP

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Practice of endo-Urology in the Centre of Ivory Coast: Overview and Results

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Open Journal of Urology 2023年第10期13卷 407-417页

作者： Kouassi Patrice Avion n’diamoi Akassimadou Brice Aguia Freddy Zouan Venance Alloka Sadia kamara Koffi Dje Urology Department Bouaké University Hospital (CHU) Bouaké Ivory Coast

Background: endoscopic exploration and treatment of urinary tract disorders, whether by retrograde, percutaneous or endoscopic approach, defines endo urology. Objective: To report the results of endo urology practice in Bouaké during the two practice sessions. Patients and Methods: Cross-sectional and descriptive study of patients followed up and had benefited from exploration and/or endoscopic surgery in Bouaké. Our study was carried out in a facility in Bouaké, for two years, from January 2021 to December 2022. The parameters of interest were clinical, diagnostic, endoscopic procedure and results. Results: During the study period, 157 patients underwent endoscopic exploration and/or intervention. The mean age was 58.9 years (range 28 - 90 years). Males predominated with 95.5% (n = 150). Acute urinary retention was the most frequent reason for consultation (55.41%). Benign prostatic hyperplasia (BPH) was the most frequent pathology at 22.92% (n = 36). Urethrocystoscopy was performed in 52 cases (33.12%), Transurethral resection of the prostate (TURP) in 36 cases (22.92%), endoscopic resection of secondary cervical sclerosis in 23 cases (14.64%), endoscopic internal urethrotomy (eUI) in 15 cases (9.55%) and Transurethral resection of the bladder (TURB) in 10 cases (6.36%). Post-operative management was straightforward in 93.63% of cases (n = 147). Operative times of between 21 and 35 minutes were more frequent in 55.41% of cases (n = 87). Urinary tract infections accounted for 3.8% (n = 6) of surgical morbidity. The germ responsible for the infections was essentially escherichia coli (e. coli). The mean duration of post-operative urinary drainage was 5.5 days (range: 4 - 6 days) for patients who underwent TURP, TURB and endoscopic resection of secondary sclerosis of the bladder neck. The mean duration of drainage after endoscopic internal ureterotomy was 21.6 days (range 14 - 30 days). Of the 157 endoscopies performed, 154 patients (98.08%) had a favourable outcome,

关键词： endo Urology Uretrocystoscopy TURP eIU TURB

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Prostatic Adenomectomy by High Approach versus Millin: Our Results on a Series of 15 Cases

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Open Journal of Urology 2023年第8期13卷 317-325页

作者： Kouassi Patrice Avion nykan Anne Felicite Kramo n’Diamoi Akassimadou Freddy Zouan Venance Alloka Sadia kamara Koffi Dje Urology Department Bouaké University Hospital (CHU) Bouaké Ivory Coast Urology Department Ccody University Hospital (CHU) Abidjan Ivory Coast

Background: In 2023, conventional surgery for benign prostatic hyperplasia (BPH) is still used despite the introduction of minimally invasive techniques in the therapeutic arsenal. Objective: To present our results of Millin prostatic adenomectomy in a preliminary series of 15 cases. Patients and Methods: Cross-sectional study conducted at the Urology Department of the Bouaké University Hospital from January 2022 to January 2023. It involved 15 patients with benign prostatic hyperplasia (BPH) who had undergone high adenomectomy using the Millin technique. Results: During the study period, 15 cases of benign prostatic hyperplasia were treated surgically by high adenomectomy using the Millin technique. The mean age of the patients was 63.6 years, ranging from 53 to 78 years. nine (9) patients were consulted for progressive complications of benign prostatic hyperplasia (BPH), i.e. 60% (n = 9). The mean IPSS score was 28 (20 to 35), and seven (7) patients had a comorbidity (46.44%). The digital rectal examination (DRe) was in favour of benign prostatic hypertrophy in all patients, and the mean weight of the prostate at DRe was 75 g, ranging from 55 g to 100 g. From a paraclinical point of view, prostatic ultrasound revealed a mean BPH weight of 82.7 g with extremes of 55 to 100 g. Post-micturition residue was greater than 150 ml in 60% (n = 9). The mean prostate-specific antigen (PSA) level was 3.8 ng/ml, ranging from 1.4 to 15 ng/ml. There was one case of severe anaemia with a haemoglobin level of 6 g/dl on haemogram, treated by blood transfusion. The cytobacteriological examination of the urine (eCBU) revealed five cases of e. coli infection, i.e. 33.33% (n = 5). Millin prostatic adenomectomy was performed under antibiotic prophylaxis at induction. All patients underwent locoregional anaesthesia. The mean weight of the adenoma was 80 g with extremes of 55 to 155 g. Blood loss was minimal at less than 100 ml, i.e. 86.6% (n = 13). The average operating time was 56.9 min

关键词： Benign Prostatic Hypertrophy Adenomectomy Millin Technique

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Vaginal Cystocele Cure at Bouake University Hospital (Chu): Anatomical and Functional Results

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Open Journal of Urology 2023年第9期13卷 337-344页

作者： Kouassi Patrice Avion nykan Anne Felicite Kramo n’diamoi Akassimadou Freddy Zouan Venance Alloka Sadia kamara Koffi Dje Urology Department Bouaké University Hospital (CHU) Bouaké Ivory Coast Urology Department Ccody University Hospital (CHU) Abidjan Ivory Coast

Background: Cystocele is an anatomical form of pelvic organ prolapse. It involves herniation of the bladder through the anterior wall of the vagina. Objectives: To report the anatomical and functional results of vaginal cure of cystocele in five cases. Patients and methods: A cross-sectional descriptive study of five patients presenting with a cystocele between January 2021 and December 2022 at the Urology Department of the Bouaké University Hospital (Côte d’Ivoire). All patients underwent vaginal cure of cystocele. The results of the operation were assessed on the basis of judgment criteria. The parameters studied were: age, marital status, profession, history, reason for consultation and outcome of the operation. Results: During the study period, five patients underwent vaginal cystocele surgery. The mean age was 46.6 years with extremes of 32 and 63 years. Three patients were married. All patients had a history of obstructed labour due to fetal macrosomia. 4 patients had grade II cystocele and one patient had grade III cystocele. All patients underwent anterior colpo-perineorrhaphy. The average operating time was 56 minutes (45 - 65 minutes). There was no morbidity. The average hospital stay was 3.6 days. The average duration of the urinary catheter was 2.2 days. At three months post-op, 4 patients had a good anatomical and functional result with a very good degree of satisfaction, compared with one patient who was moderately satisfied and had an average anatomical and functional result. At six months, all five patients had a good anatomical and functional result with a very good degree of satisfaction. Conclusion: Cure of cystoceles by the vaginal route is a technique that offers several advantages, especially the significant reduction in patient morbidity. Its anatomical and functional results demonstrate its reliability.

关键词： Cystocele Colpo-Perineorrhaphy Genital Prolapse

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Urogenital Trauma by Pelvic Impalement: A Case Reported at Bouake University Hospital

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Open Journal of Urology 2023年第2期13卷 64-72页

作者： n’Diamoi Akassimadou Kouassi Patrice Avion Koffi Dje Brice Aguia edi edmond Gowe Freddy Junior Zouan Dago Venance Alloka Sadia kamara Roger Lebeau Urology Department Bouaké University Hospital Bouaké Ivory Coast Urology Department Abidjan Cocody University Hospital Abidjan Ivory Coast General and Digestive Surgery Department Bouaké University Hospital Bouaké Ivory Coast

Urogenital impalement trauma is a particular form of penetrating trauma to the pelvis. They are rare, spectacular or dramatic because they can be responsible for serious vascular and/or visceral lesions. This study reports a case of hypogastric impalement in a 19-year-old young man that caused musculoaponeurotic and urogenital lesions. emergency surgical exploration was carried out urgently by a multidisciplinary team.

关键词： Urogenital Trauma Impalement emergency Surgery Cystorrhaphy

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Severe Coital Accident: A Rare Case of Simultaneous Fracture of the Penis and a Complete Urethral Rupture at the University Hospital of Bouake

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Open Journal of Urology 2023年第6期13卷 194-200页

作者： Avion Kouassi Patrice n’diamoi Akassimadou Ouattara Fatoumata Aguia Brice Zouan Freddy Alloka Venance kamara Sadia Samah David Kouadio Malick Soro Kramo nykan Anzoua Kacou Dje Koffi Department of Urology University Hospital Center of Bouake Bouake Ivory Coast Laboratory of Anatomy Department of Urology University Hospital Center of Treichville Abidjan Ivory Coast Department of Urology University Hospital Center of Cocody Abidjan Ivory Coast Department of general surgery University Center of Bouake Bouake Ivory Coast

Cavernous body fracture is a rare urological emergency. Its association with complete rupture of the urethra remains exceptional. This is a report of simultaneous penile fracture and complete rupture of the urethra following a misstep in coitus. It is about a 41-year-old young adult, admitted to the surgical emergency department of the University Hospital of Bouaké on March 2, 2020 for penile pain associated with acute retention of urine. The clinical examination confirmed the diagnosis of a corpus cavernosa fracture associated with a ruptured urethra. The patient underwent cystostomy, right cavernoraphy and urethrorrhaphy. The postoperative follow-up was straightforward and the patient was discharged from the hospital on D3 postoperatively. The urethral catheter was removed on D21 postoperatively. With a follow-up of 1 year, the patient presents a good erection and does not report any voiding disorder.

关键词： Fracture Penis Urethral Rupture Cavernorrhaphy Urethrorraphy

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