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Open Journal of Urology 2017年第12期7卷 235-242页

作者： timothée kambou Adama Ouattara Abdoulkarim Paré Brahima Kirakoya Fasnéwindé Aristide Kaboré Hassan Dogo Hamidou Bako Department of Urology Sanon Souro Teaching Hospital Bobo Dioulasso Burkina Faso Department of Urology Yalgado Ouedraogo Teaching Hospital Ouagadougou Burkina Faso Department of Surgery Division of Urology University of Maiduguri Teaching Hospital Maiduguri Nigeria

Objective: To describe the clinical aspects and the management of external genitalia gangrene in the Urology department of the Bobo Dioulasso CHUSS. Patients and methods: This was a retrospective and descriptive study over a period of 6 years from January 2011 to December 2016, which covered 54 patients hospitalized in the urology department of the University Hospital Souro Sanou for external genitalia gangrene. Results: The mean age of our patients was 53.8 years. The large ulcero-necrosis of scrotum was the main reason for reference. Our patients consulted on average 8.23 days after the onset of symptomatology. A risk factor was found in 44.2% of cases and a cause was identified in 65.3% of patients. A urogenital cause was present in 32.7%. Probabilistic antibiotic therapy and medical reanimation were systematic at admission. Debridement was performed on average 18 hours after admission and 10 patients had more than one debridement. We noted a mortality rate of 5.5%. Conclusion: Fournier’s gangrene is a serious infectious disease whose diagnosis is often delayed in our context. Early surgical debridement remains the essential therapeutic gesture to reduce mortality.

关键词： Gangrene External Genitalia Debridement

Direct Visual Internal Urethrotomy (DVIU) in the Management of Male Urethral Strictures. A Single Center Experience about 44 Patients

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Open Journal of Urology 2023年第8期13卷 293-301页

作者： Adama Ouattara Abdoul-Karim Paré Tioulé Mamadou Traoré Delphine Yé Moahmed Simporé Mickael Rouamba Fasnéwindé Aristide Kaboré timothée kambou Division of Urology Souro Sanou University Hospital Bobo-Dioulasso Burkina Faso Department of Surgery Regional University Hospital Ouahigouya Burkina Faso Division of Urology Yalgado Ouedraogo University Hospital Ouagadougou Burkina Faso

Introduction: Male urethral stricture is one of the oldest urological disorders. Many techniques have been proposed to treat them, including endoscopic internal urethrotomy (DVIU). Material and Methods: To evaluate the contribution of this technique in the treatment of urethra narrowing, a retrospective study on the records of patients with urethral stricture treated with endoscopic internal urethrotomy between January 2014 and December 2021 in the urology division of the Souro Sanou University Teaching Hospital. Results: A total of 44 male patients with urethral stricture were treated with this technique and 48 procedures were performed. The average age of the patients was 53.2 ± 18.2 years. The etiology of the stricture was dominated by iatrogenic, infectious, traumatic and idiopathic causes in 43.2% (n = 19), 27.3% (n = 12), 20.4 % (n = 9), and 9.1% (n = 4) respectively. The location of the stricture was bulbar in 72.7%, and the anterior penile urethra in 15.9%. The overall success rate was 72.7% with satisfactory urination without dysuria, evaluated after removal of the urinary catheter, at three months this rate fell to 69.1%, and at 6 months this rate was 67.5%. Five cases (5) of extravasation of blood or irrigation fluid into the scrotum were reported and managed conservatively as well as two (2) cases of false routes with postoperative oedema of the penis were observed. Conclusion: DVIU is a simple technique, free of major morbidity and requiring only short-term hospitalization. It can be proposed as a first-line treatment for urethral stricture.

关键词： Internal Urethrotomy Urethral Stricture Outcomes Complications

Management of Non-Traumatic Urological Emergencies at Souro Sanou University Teaching Hospital of Bobo-Dioulasso (Burkina Faso)

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Open Journal of Urology 2023年第9期13卷 353-362页

作者： Ouattara Adama Paré Abdoul-Karim Yé Delphine Simporé Moahmed Babagana Mustapha Abubakar Rouamba Mickael Kaboré Aristide Fasnewindé kambou timothée Division of Urology Souro Sanou University Teaching Hospital Bobo-Dioulasso Burkina Faso Department of Surgery Federal Medical Center Nguru Yobe State Nigeria Division of Urology Yalgado Ouedraogo University Teaching Hospital Ouagadougou Burkina Faso

Background: Generally, urological emergencies are assumed not to be very common, however, recent reports showed that they constitute an important aspect of the day-to-day urological practice. If not well and promptly managed, they may lead to serious morbidity or mortality. Objectives: To study the pattern of presentation, diagnosis and outcome of management of non-traumatic urological emergencies seen at the Emergency Department of Souro Sanou University Hospital in Bobo-Dioulasso. Patients and Methods: This was a retrospective and descriptive study over four years. It included patients of all ages and both sexes, admitted for non-traumatic urological emergencies in the surgical emergency department of Souro Sanou University Hospital. It took place from January 1, 2017 to December 31, 2020. Results: A total of 584 patients were reviewed in our study. Non-traumatic urological emergencies account for 6.3% of all surgical emergencies seen during the study period. The male-to-female ratio was 9.2 to 1. The mean age of the patients was 51.9 ± 23.9 years. Forty-five per cent of the patients presented within 48 hours of symptoms. The vast majority of the patients presented with difficulties with passing urine (41.6%), followed by cases of hematuria (18.4%). On admission, 154 patients (26.4%) presented with severe conditions such as anemia as seen in 40.9% of the cases and deterioration in the general health condition as seen in 34.4% of the patients. Leukocytosis was noted in 18.7% of the patients and anemia in 17.9%. Urine culture was positive in 15.4% of the patients and Escherichia coli was the most common pathogen found (40.6%). Ultrasound was the most requested examination (81.2%), followed by a computerized tomography (CT) scan (22%). The most frequent diagnoses were urine retention (42.9%), hematuria (16.9%) and renal colic (10.1%). Emergency interventions were carried out in 525 patients (89.9%) who include bladder catheterization (46.1%), bladder lavage and/or bl

关键词： Non-Traumatic Urological Emergency Acute Urine Retention Renal Colic Hematuria

Erectile Dysfunction among Diabetic Men in Two Medical Centers in Burkina Faso: Epidemiological, Diagnosis and Therapeutic Aspects

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Advances in Sexual Medicine 2014年第1期4卷 1-5页

作者： timothée kambou Cyprien Zaré Abdoul Karim Paré Adama Ouattara Youombèviel Ludovic Somé Bakary Gustave Sanon Department of General Surgery Sanon Souro Teaching Hospital Bobo Dioulasso Burkina Faso Department of Urology Hubert K MAGA National TeachingHospital Cotonou Bénin Department of Urology Sanon Souro Teaching Hospital Bobo Dioulasso Burkina Faso

Objective: To study erectile dysfunction in diabetic patients seen in two clinics in the city of Bobo-Dioulasso, Burkina Faso. Materials and Methods: A prospective cross-sectional descriptive study was conducted at the Souro Sanou Teaching Hospital (CHUSS) and the Saint Leopold clinic in Bobo-Dioulasso, from March 1 to September 1, 2012. A total of 107 patients data were collated and analysed, which was then grouped into two: the ED group, designating patients with erectile dysfunction and the NED group consisting of those patients without. The sample comprised of 61 patients with types 1 and 2 diabetesand were aged between 25-70 years. The IIEF-5 was used to evaluate erectile dysfunction. Results: The prevalence of erectile dysfunction was 57%. The average age of patients was 54.4 ± 8.3 years. All patients with ED had type 2 diabetes. The mean disease duration of diabetes was 7.2 ± 6 years. Erectile dysfunction was severe in 32.8% of cases, moderate in 31.1% of cases and mild in 36.1%. Its severity was significantly associated with glycated hemoglobin, triglycerides and BMI. Phosphodiesterase types 5 (PDE5) inhibitors were found to be effective in the treatment of erectile dysfunction with a satisfactory therapeutic response in 77.4% of users. Conclusion: Erectile dysfunction is a common complication in diabetic patients. Its occurrence and severity are influenced by several factors. The potential presence of this disorder should be assessed due to its negative impact on quality of life. Phosphodiesterase type 5 inhibitors are an effective treatment modality in diabetic patients.

关键词： Erectile Dysfunction Diabetes Phosphodiesterase Type 5 Inhibitors Bobo-Dioulasso

Male Anterior Urethral Stricture: Epidemiological Profile and Management at Ouagadougou University Teaching Hospital (Burkina-Faso)

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Open Journal of Urology 2017年第11期7卷 196-206页

作者： Clotaire AMKD Yameogo Adama Ouattara Fasnéwindé A. Kaboré Bienvenue D. Ky Alexandre Bougayiri Oumarou Traoré timothée kambou Division of Urology Yalgado Ouedraogo University Hospital Ouagadougou Burkina Faso Division of Urology Souro Sanou University Hospital Bobo-Dioulasso Burkina Faso

It was a retrospective and descriptive study conducted in the urology division of Yalgado Ouedraogo University Teaching Hospital from October 2009 to September 2014. Sixty three (63) male patients with anterior urethral stricture disease were included. All the patients have their diagnosis confirmed by voiding retrograde cystourethrogram (VCUG) or during surgical intervention. Anterior urethral stricture constitutes 41.1% of all urethral stricture. Hospital prevalence was 4.2%. Patient average age was 50.5 years. Dysuria and urinary retention were the major complaints representing respectively 66.7% and 33.3%. The infectious cause of urethral stricture was 71.1% of cases, followed by iatrogenic and traumatic causes with respectively 17.4% and 11.1% of cases. Voiding retrograde urethrocystogram (VCUG) was the only diagnostic procedure. Single urethral stenosis of the anterior urethra was about 88.8% while multiple stenosis constituted about 11.2%. Bulbar urethral stricture was the major location for the stenosis. Urine analysis was performed on 82.5% patients and ruled out urinary infections in 69.2% of cases with identification and isolation of Escherichia Coli in 77.7%. Majority of patients (61.9%) had open surgery of which 39.7% had end to end resection and anastomosis. Dilatation constituted 33.3% of treatment of the stricture of the anterior urethra. No endoscopic treatment was registered. At the removal of the catheter, all were successful but with time, the success rate was 87% at 6 months, 89.7% at 12 months, 85.2% at 18 months 63.1% at 24 months.

关键词： Male Urethral Stricture Management Epidemiology

Giant Hydronephrosis in Sourou Sanou University Teaching Hospital of Bobo-Dioulasso (Burkina-Faso). Two Cases Reports and Literature Review

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Open Journal of Urology 2018年第1期8卷 17-24页

作者： timothée kambou Adama Ouattara Abdoul Karim Paré Drissa S. Barro Clotaire Yaméogo Abdoulaye Kodo Aristide F. Kabore Urology Division Souro Sanou University Teaching Hospital Bobo-Dioulasso Burkina Faso Anesthesiology and Resuscitation Division Souro Sanou University Teaching Hospital Bobo-Dioulasso Burkina Faso Urology Division Yalgado Ouedraogo University Teaching Hospital Ouagadougou Burkina Faso

Giant Hydronephrosis (GH) is a rare condition in urology literature and defined as a pelvicalyceal system of kidney containing more of 1000 ml of urine. This condition is not so rare in our setting. We herein, reported two cases of giant hydronephrosis, seen in two young patients respectively with 5 and 9 years old and their collecting system containing 4000 ml and 5000 ml of urines respectively. Only simple nephrectomy was performed for the two cases with renal function impairment and the post operative course was uneventful. Our purpose through these cases reports is to discuss diagnosis features and management of such condition in our setting, a context of low income countries as Burkina-Faso where diagnosis tool and further investigation are not always available.

关键词： Giant Hydronephrosis Child Simple Nephrectomy

Prostate Cancer Disease Characteristics at the Time of Diagnosis and Initial Treatment Offered in a Tertiary Hospital at Ouagadougou (Burkina Faso)

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Open Journal of Urology 2014年第1期4卷 7-12页

作者： Fasnéwindé Aristide Kaboré Barnabé Zango timothé kambou Aimé Sosthène Ouédraogo Aboubacar Bambara Clotaire Yaméogo Brahima Kirakoya Olga Lompo Department of Pathology Yalgado Ouédraogo University Teaching Hospital of Ouagadougou Ouagadougou Burkina Faso Division of Clinical Oncology Yalgado Ouédraogo University Teaching Hospital of Ouagadougou Ouagadougou Burkina Faso Division of Urology Yalgado Ouédraogo University Teaching Hospital of Ouagadougou Ouagadougou Burkina Faso Division of Urology Yalgado Ouédraogo University Teaching Hospital of Ouagadougou Ouagadougou Burkina Faso University of Ouagadougou Ouagadougou Burkina Faso University of Ouagadougou Ouagadougou Burkina Faso University of Ouagadougou Ouagadougou Burkina Faso Department of Pathology Yalgado Ouédraogo University Teaching Hospital of Ouagadougou Ouagadougou Burkina Faso

Objectives: to describe the characteristics of newly diagnosed prostate cancer (PCa) and the initial treatments offered to patients in the most important urological center of Burkina Faso. Methods: We analyzed the data of a cohort of 168 consecutive patients with no prior history of PCa between January 2009 and December 2012. Diagnosis of PCa was based on histological analysis of transrectal prostate biopsies. Patient and disease characteristics and the initial treatment offered were taken in account. Results: The mean age at presentation was 68.59 ± 9.41 years (range 30 to 95 years). There was a 3.6-fold increase in the incidence of PCa through the four years of the study. The mean duration of symptoms prior to presentation was 11.6 ± 10.9 months. The majority of cases (86.9%) were presented as locally advanced or metastatic disease. Androgen deprivation therapy (ADT) was the first therapeutic option for 121 patients (72%) and 73 patients (43.4%) underwent ADT through bilateral orchiectomy. Only 3 patients (1.78%) underwent radical prostatectomy. Conclusion: An increase in the diagnosis of PCa in our country was observed in this study. The diagnosis of prostate cancer was usually tardive in Burkina Faso. Treatment often involves surgical ADT for socioeconomic reasons.

关键词： Prostrate Cancer PSA Presenting Symptoms Treatment Androgen Deprivation Therapy Burkina Faso

An Unusual Intravesical Foreign Body for Abortion Attempt. About a Case Report at Bobo Dioulasso University Teaching Hospital (Burkina Faso) and Literature Review

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Open Journal of Urology 2014年第4期4卷 33-36页

作者： Zaré Cyprien kambou timothée Sanon B. Gustave Ouattara Adama Traoré I. Alain Paré Abdoul Karim Somé D. Adolphe Division of Anesthesiology CHU Souro Sanou Bobo-Dioulasso Burkina Faso Division of General Surgery CHU Souro Sanou Bobo-Dioulasso Burkina Faso Division of Gynecology and Obstetrics CHU Souro Sanou Bobo-Dioulasso Burkina Faso Division of Urology CHU Souro Sanou Bobo-Dioulasso Burkina Faso

We reported a case of an intravesical foreign body in a 16 years old teenager for abortion attempt. During laparotomy for suspected pelvic appendicitis, we incidentally discovered an intravesical foreign body. From this first observation in our urology division, we reviewed the literature on the nature and circumstance of self introduction in bladder of foreign body and their surgical ablation. We emphasized the importance of endoscopy as a support of diagnosis and therapeutic of intravesical foreign body. This observation also highlighted the lack of information in our teenagers about reproductive and sexual health.

关键词： Teenager Abortion Foreign Body Intravesical Burkina-Faso

Management of a Severe Form of Verneuil’s Disease in Its Genitoperineal Localisation in Bobo-Dioulasso

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Open Journal of Urology 2015年第2期5卷 13-18页

作者： Zare Cyprien Ouattara Adama kambou timothée Ouangre Edgar Diallo Boukary Traore A. Ibrahim Barro Drissa Sanon G. Bakary Ye O. Delphine Traore S. Simon Department of Surgery University Teaching Hospital Souro Sanou Bobo-Dioulasso Burkina Faso Visceral Surgery University Teaching Hospital Yalgado Ouedraogo Ouagadougou Burkina Faso Department of Medicine and Medical Specialties University Teaching Hospital Bobo-Dioulasso Burkina Faso

The authors report a severe form of genitoperineal localisation of Verneuil’s disease managed in a surgical environment, having evolved favorably with improvement of the patient’s quality of life, but persistence of unsightly skin scars. They insist on the unexceptional nature of this disease whose prognosis is reserved, sometimes leaving severe functional sequelae. The long evolution of the disease with prolonged hospitalization in a professionally active young patient and the extension of suppurations to the perineal, scrotal and inguinal regions was the features of this observation. After wide excision of the lesions with antibiotic associated with local care, evolution had taken to complete wound healing with improved quality of life and a recovery of his professional activity.

关键词： Verneuil’s Disease Hydradenitis Suppurativa Genitoperineal Surgery

Isolated Rupture of Corpus Spongiosum Associated a Partial Rupture of the Urethra during a False Step of the Coitus: A Case Reported at the University Hospital Sanou Souro

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Open Journal of Radiology 2017年第2期7卷 143-149页

作者： Zakari Nikièma Abdoul Karim Paré Clotaire A. M. K. D. Yaméogo Adama Ouattara Ida Aida Tankoano Dominique Bicaba Brahima Kirakoya timothé kambou Rabiou Cissé Medical Imaging Unit Souro Sanou University Teaching Hospital Bobo-Dioulasso Burkina Faso Urology Unit Sourosanou United University Hospital Bobo-Dioulasso Burkina Faso Urology Unit Yalgado Ouédraogo United University Hospital Ouagadougou Burkina Faso Medical Imaging Unit Yalgado Ouedraogo University Teaching Hospital Ouagadougou Burkina Faso

Penile fracture is a rare urological emergency. It occurs mainly in young adults during sexual intercourse. In many instances, one of the corpora carvanosus is involved though bilateral injuries with or without corpus spongiosus involvement is not uncommon. However, isolated injury to corpus spongiosus is extremely rare. We report a case of isolated rupture of corpus spongiosum secondary to penile injury during coitus in a 43-year-old man that presented to University Hospital Souro Sanou of Bobo Dioulasso. He presented with history of persistence bleeding per urethra following penile injury during sexual intercourse. The Retrograde urethrography (RUG) showed a partial rupture of urethra, Moore type 3. Complementary penile ultrasound revealed extensive contusion of the urethra with circumferential hematoma and rupture of the distal 1/3 of the corpus spongiosus. He had gentle per urethral catheterization which was left for one month. Penile ultrasound sound done after removal of catheter showed residual injury and narrowing of the urethra.

关键词： Penile Fracture False Steps of Coitus Rupture of Corpus Spongiosum Urethra Injury Ultrasound