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Traumatic Penile Amputation Post Circumcision: A Series of 3 Cases

Open Journal of Urology 2023年第11期13卷 517-524页

作者： orock agbor tanyi Mbassi Achille Aurele Mekeme Mekeme Junior Fouda Jean Cedrick Owon Abessolo Nwatchap Jean Jacques Awoundja Christain Pierre Joseph Fouda Department of Surgery and Subspecialties Faculty of Medicine and Biomedical Sciences University of Yaoundé 1 Yaoundé Cameroon Surgery Service Regional Hospital Ngoundere Ngoundere Cameroon Urology and Andrology Service Yaoundé Central Hospital Yaoundé Cameroon Department of Surgery and Subspecialties Higher Institute of Medical Technology Yaoundé Cameroon

Circumcision remains a frequently performed surgical procedure and could be associated with various complications, ranging from mild to catastrophic. Penile amputation is a rare and severe complication usually complex and challenging to manage. We describe three cases of penile amputation injuries following circumcision referred within a week at the urological service of the Yaoundé Central Hospital. The first case was a 5-year-old who had complete penile amputation during circumcision by a nurse assistant at a rural health center. The second was a 7-year-old boy who sustained total penile glans amputation while undergoing circumcision by a nurse under local anesthesia at a rural health facility. The third involved a 6-year-old who had total penile amputation with loss of the amputated stump during circumcision by a traditional practitioner at home. Non-microsurgical penile re-implantations were done with diverse outcomes. The preservation of the amputated stump, the ischemic time and the severity of injury are factors affecting surgical outcome. The aim of this study is to evaluate our management experience and outcome of penile amputation injuries in resource-limited settings. Microsurgical replantation remains the gold standard in the management of penile amputation injuries. However, in resource-limited settings macroscopic replantation could be used as an alternative remedy to salvage the amputated penis.

关键词： Circumcision Penile Amputation Surgical Management Complications

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Surgical Management of Adrenal Tumors: Experience of Three Tertiary Hospitals in Yaounde, Cameroon

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Open Journal of Urology 2023年第11期13卷 495-516页

作者： Junior Barthelemy Mekeme Mekeme Etoa Ndzie agbor orock tanyi Jean Cedrick Fouda Achille Aurele Mbassi Philip Owon Abessolo Bright Che Awondo Marcel Junior Yon Mekeme Pierre Ongolo Zogo Pierre Joseph Fouda Eugene Sobngwi Zachary Sando Angwafo III Fru Department of Surgery and Subspecialties Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaounde Cameroon Urology and Andrology Department Yaounde Central Hospital Yaounde Cameroon Endocrinology Department Yaounde Central Hospital Yaounde Cameroon Radiology Department Yaounde Central Hospital Yaounde Cameroun Anatomy Cytopathology Department Yaounde Gynecology Obstetrics and Pediatrics Hospital Yaounde Cameroon

Introduction: Surgical management of adrenal tumors has greatly improved over the past years, with laparoscopic adrenalectomy being the gold standard. However, Open adrenalectomy is indicated in large adrenal tumors, malignant tumors and large phaeochromocytomas. We report surgical outcomes of 18 cases of functional adrenal tumors from 2007 to 2022. Methods: We conducted a retrospective cross-sectional and descriptive study in three tertiary hospitals in Yaounde, Cameroon. We reviewed files of patients who underwent adrenalectomy over a period of 15 years from July 2007 to July 2022. Clinical and diagnostic components of adrenal tumors, indications and surgical outcomes were analyzed. Results: A total of 18 patients were included in our study. The average age of patients was 38.33 years, with a female-to-male sex ratio of 2:1. Weight gain (72.2%) was the most represented clinical sign. The secretory nature of tumor and malignancy represented 55.5% and 33.3% of the operative indications and all 18 (100%) of the patients had open adrenalectomy. Vascular injury was the most common intraoperative complication with 5.63%, while acute adrenal insufficiency (16.7%) was the most common post-operative complication. The average tumor size was 6.22 cm and the mean duration of hospitalization was 11.61 days. Adenoma 7 (38.9%) and adrenocortical carcinoma 5 (27.8%) were the frequent histological types. One patient died two months post-surgery from anemia-related complications. Conclusion: The success of adrenal surgery is linked to multidisciplinary patient care and the experience of the surgeon. Conventional surgery still has indications with satisfactory short- and medium-term results in our context.

关键词： Adrenal Tumors Surgical Management Outcome Yaounde

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The Prevalence of Auto-Medication among Pregnant Women in a Conflict Affected, North West Region, Cameroon

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Journal of Biosciences and Medicines 2021年第4期9卷 122-137页

作者： tanyi Pride Bobga Sangwe Bertrand Ngwa Ngwa Fabrice Ambe Ateh Stanislas Ketum agbornkwai Nyenty agbor Wirnkar Jude Kanla Mentoh Ajem Abungwi Model Preparatory Initiative of Academics Research and Health MOPIARH Buea Cameroon Modern United Faculties of Medicine Entrance Preparatory Center (MUFEPREC) Buea Cameroon Centre Pasteur Yaoundé Cameroon Department of Medical Laboratory Sciences INSAM Higher institute of Medical Sciences Douala Cameroon Family Health International Yaoundé Cameroon Department of Medical Laboratory Sciences Faculty of Health Sciences University of Buea Buea Cameroon Department of Pharmacy Faculty of Medicine and Pharmaceutical Sciences Douala Cameroon

Background: The excessive use of medicines and generally self-medication is considered as one of the major health and socio-economic problems in different countries. There is increasing evidence that self-medications among pregnant women are common in many developing countries. Despite the adverse impact on pregnancy, there are few programs available for their control. The Northwest region of Cameroon has been affected by socio-political crisis since 2016, which has slowed down economic activities and have grievous effects on the economy. It was therefore necessary to evaluate the prevalence of auto-medication amongst pregnant women. Aim: The aim of this study is to ascertain the knowledge, prevalence and practice of auto medication among pregnant women in Cameroon especially in the North West Region. Method: A community based cross-sectional study was conducted among 500 pregnant women, aged between 15 - 45 years in the Bamenda Health District between January to October 2019. A structured questionnaire based interview was used to collect data from each study subject. Then, data were categorized and analyzed using SPSS version 20 software. Results: The prevalence of auto-medication (allopathic and herbal medicines) in this study was 337 (67.4%) and was predominant during the first trimester 246 (72.86%) of pregnancy. 98 (29.09%) previous experience, 70 (20.77%) that they did not have money for consultation, 70 (20.77%) non-severity of ailments and 75 (22.25%) high cost of medication in hospital/pharmacy were the most common reason pregnant women auto medicate. 96 (28.48%) antiemetic, 72 (21.36%) analgesics and 58 (17.21%) antacids were the most frequent drugs used for auto-medication and the main symptoms for which pregnant women practice auto-medication were: 72 (21.36%) fever/headache, 63 (18.69%) constipation and 58 (17.21%) nausea/vomiting. 116 (34.42%) friends/family/neighbors were the main sou

关键词： Pregnant Women Bamenda Health District Auto Medication Allopathic Medicine Herbal Medicine

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