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Management of Venous Priapism: Experience of Sylvanus Olympio University Hospital in Lomé(TOGO)

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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Epidemiological Profile of Diagnosed Disorders in Urological Consultation at Sylvanus Olympio Teaching Hospital in Lome

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Open Journal of Urology 2017年第10期7卷 167-172页

作者： tchilabalo matchonna kpatcha Essomindedou Adolphe Léloua Essodina Padja Kodjo Tengué Komi Hola Sikpa Akomola Kossi Sabi Edoe Viyome Séwa Gnimdou Botcho Obube Amégayibor Tsipa Anoukoum Ekoue David Dosseh Department of Urology The University Teaching Hospital of Lomé Lomé Togo Department of Surgery The University Teaching Hospital of Kara Kara Togo Department of Nephrology The University Teaching Hospital of Lomé Lomé Togo Department of Surgery Regional Hospital of Dapaong Dapaong Togo Department of Surgery The University Teaching Hospital of Lomé Lomé Togo

Context: Thanks to the increase in the number of urologists in Togo, urological activity is improving rapidly. Objective: This study aims at presenting the epidemiological aspects of the diseases diagnosed in urology consultation at the Sylvanus Olympio Teaching Hospital in Lome. Materials and Methods: This research was a two-year retrospective and descriptive study. The data for the analysis were collected from the records of patients received in consultation for urological pathology. The parameters taken into account are: frequency, age, sex, occupation, patient history and diagnosis. Results: 602 patients were admitted at the department of urology within two years, with an annual frequency of 301. The average age of the patients was 48.63 ± 19.69 years;the sex ratio (M/F) was equal to 12.08. Patients over 60 years of age accounted for 33.3% of the patients seen. The medical history of 88 cases showed that the bladder catheterization was most frequent (22 cases) followed by hypertension (15 cases). Benign prostatic hyperplasia was the most frequently diagnosed pathology accounting for 24.9% of the consultations. Conclusion: Benign prostatic hyperplasia is the most frequent pathology in urology consultation at the Sylvanus Olympio Teaching Hospital in Lome.

关键词： Epidemiology Consultation Urology Sylvanus Olympio Teaching Hospital Lome

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Spondylodiscitis, an Exceptional Complication of Prostate Biopsy: Case Report

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Open Journal of Modern Neurosurgery 2021年第2期11卷 97-101页

作者： Abd el Kader Moumouni tchilabalo matchonna kpatcha Massaga Dagbe Katanga Anthony Beketi Mawouto Akpalou Gnimdou Botcho Komi Hola Sikpa Detema Wenkouda Maba Fabie Opeku Komi Awume Bidamin Ntimon Tchin Darre Neurosurgery Department University Teaching Hospital of Kara Kara Togo Urology Department University Teaching Hospital of Kara Kara Togo Radiology Department University Teaching Hospital of Kara Kara Togo Neurosurgery Department Sylvanus Olympio Teaching Hospital Lomé Togo Surgery Department CHR Atakpamé Atakpamé Togo Bacteriology Laboratory University Teaching Hospital of Kara Kara Togo Pathologyanatomy Laboratory Sylvanus Olympio Teaching Hospital Lomé Togo

Background: Transrectal prostate biopsy is a major prostate cancer diagnosis procedure that can cause infectious complications. Osteoarticular localization is uncommon. Aim: To report a case of spondylodiscitis due to a transrectal prostate biopsy and highlight therapeutical principles. Case Presentation: A 60-year-old male underwent transrectal prostate biopsy performed because of high PSA level, and presented 48 hours later with back pain, fever at 40°C associated with an obnubilation. He was treated for malaria without favorable evolution. Persistance of pain and occurrence of neurologic manifestations motivated dorso-lumbar Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) which permitted diagnosis of spondylodiscitis. The treatment was made by triple antibiotic therapy combining Imipenem 500 mg/8h (IV);Ofloxacin 200 mg/12h (IV) and Metronidazole 500 mg/8h (IV) over four weeks. Evolution under treatment was favorable. Conclusion: Spondylodiscitis is an exceptional complication of transrectal prostate biopsy. It may be evocated in case of bones pain after prostate biopsy.

关键词： Spondylodiscitis Prostate Biopsy Complication

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