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Urological Endoscopy: Results of the First 15 Months, in Kara (Togo)

Open Journal of Urology 2022年第9期12卷 492-498页

作者： Komi Hola Sikpa Gnimdou Botcho Messan Semefa Agbedey Essodina Padja Essomindelou Leloua Kossi Edem Gueouguede Pwerew Rodolphe Plante Edoe Viyome Sewa kodjo kevin tengue Matchonna Tchilabalo Kpatcha Centre Hospitalier Universitaire Kara Kara Togo Centre Hospitalier Regional Sokodé Sokodé Togo Centre Hospitalier Universitaire Sylvanus Olympia Lomé Togo

Background: The urology department of the Teaching Hospital of Kara is the 2nd urology department in Togo, Kara being a semi-urban town located 400 km from Lomé the capital. While for a long time only open surgery was used, the acquisition of urological endoscopic equipment in February 2021, has revolutionized the urological management of patients. Objective: Report the results of the first 15 months of urological endoscopy practice at the Kara Teaching Hospital, identify the particularities, announce the prospects. Patients and Methods. This was a retrospective and descriptive study, which took place in the urology department of the Kara Teaching Hospital, from February 2021 to April 2022, i.e. a period of 15 months. The register of operative reports and patient records were used for data collection. The following parameters were studied: age, sex, diagnosis, indication, diagnostic or therapeutic nature of the procedure, and results. EPI INFO 7.***.4.0 software was used for data analysis. Results: A total of 102 urological procedures (endoscopic and non-endoscopic) were performed during the study period;of the 102 interventions, 62 were endoscopic urological interventions, i.e., 60.7% of the interventions. The average age of patients treated was 55.5 years (±16.4) with extremes ranging from 28 to 87 years. Men accounted for 84% of patients treated. Prostatic hypertrophy was the most common urological pathology in our study, requiring endoscopic intervention in 40% of cases. Transurethral resection of the prostate was the most performed endoscopic procedure in our study with 43.5% of cases. The various endoscopic interventions resulted in success in 96.7% of cases. Conclusion: Urology nowadays cannot be done without endoscopy. At the Kara Teaching Hospital, the results are already promising after less than 24 months of endoscopic practice in urology. Advocacy must be made to political decision-makers, so that the situation is even better, for the good of both urologis

关键词： Urological Endoscopy Results Kara Togo

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

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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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Radical Prostatectomy: Indication, Technique and Results at Sylvanus Olympio University Hospital Center of Lomé

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Open Journal of Urology 2023年第12期13卷 565-571页

作者： Messan Semefa Agbedey Kanowa Gracia Makala Komi Hola Sikpa Edoe Viyome Sewa Gnimdou Botcho Ngalamulume David Tshimbundu Kambala Stephane Kangudia Kanowa Christian Katanga Moussa Salifou Diallo Ibrahima Diallo Tchongwang Pierre Ndengang Essodina Padja Essomindelou Leloua kodjo kevin tengue Urology Departement Kpalime Prefectural Hospital Kpalime Togo General Surgery Departement Sino-Congolese Friendship Hospital N’Djili Democratic Republic of the Congo General Surgery Departement Kinshasa University Clinics Kinshasa Democratic Republic of the Congo Urology Departement Kara Teaching Hospital Kara Togo Department of Urology University Teaching Hospital of Lomé Lomé Togo Department of Urology University of Lomé Lomé Togo Urology Departement Sokode Regional Hospital Sokode Togo General Surgery Department Otto-Girard Polyclinic of Kananga Katanga Democratic Republic of the Congo General Surgery Departement Kabinda General Referal Hospital Kinshasa Democratic Republic of the Congo General Surgery Departement Bocar Sidi Sall University Hospital Center Kati Mali Urology Departement Regional Hospital Ziguinchor Senegal General Surgery Departement Bonamoussadi Ad Lucem Hospital Douala Cameroon Urology Department Sylvanus Olympio Teaching Hospital Center Lomé Togo

Aim: Radical prostatectomy started in TOGO for nearly a decade. We purposed to evaluate the indications, technique and result obtained by this practical in our context. Methods: Descriptive retrospective study over 6 years, involves patients who underwent radical prostatectomy in the urology andrology department of the Sylvanus Olympio University Hospital in Lomé. Results: In 6 years, 24 radical prostatectomies were performed on 209 patients with prostate cancer (prevalence 12.92%). The average age of the patients was 63.8 ± 4.2 years. The average PSA rate was 27.9 ± 21.2 ng/ml. 58.3% were at high risk for d’Amico. The retropubic route with ilio-obturator lymph node dissection was the technique used for all patients. 80.9% of patients were continent and 33.3% had a satisfactory erection 12 months after the surgery. Recurrence-free survival at 1 year was 62.5% and 3 deaths or 12.5% were recorded in the first year in high-risk patients. Conclusion: Radical prostatectomy maintains its place of choice in the treatment of localized or locally advanced prostate cancer. It improves recurrence-free survival.

关键词： Radical Prostatectomy Sylvanus Olympio

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Urological Endoscopy: Results of the First 15 Months, in Kara (Togo)

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Open Journal of Urology 2022年第9期

作者： komi hola sikpa gnimdou botcho messan semefa agbedey essodina padja essomindelou leloua kossi edem gueouguede pwerew rodolphe plante edoe viyome sewa kodjo kevin tengue matchonna tchilabalo kpatcha

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Radical Prostatectomy: Indication, Technique and Results at Sylvanus Olympio University Hospital Center of Lomé

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Open Journal of Urology（泌尿学期刊） 2023年第12期

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Place of Open Radical Nephrectomy, in the Era of Laparoscopy in Subsaharian Africa

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Open Journal of Urology 2022年第12期12卷 596-601页

作者： kodjo tengue Edoé Viyomé Sewa Komi Hola Sikpa Gnimdou Botcho Essodina Padja Matchonna Tchilabalo Kpatcha Departement of Urology University of Lomé Lomé Togo Department of Urology University of Kara Kara Togo

Introduction: Kidney cancer is discovered in Africa often at advanced or locally advanced stages. These patients could be treated by radical nephrectomy or cytoreductive nephrectomy. Open surgery still retains its place due to the technical difficulties which are linked to the stage of the tumors in this era where laparoscopy is becoming the gold standard. Through this study, we wanted to highlight the advanced stages of patients operated by open surgery in our institution rather than laparoscopy, however, with good results. Patients and Method: It was a retrospective study over a period of 5 years. Were included all patients in whom radical nephrectomy had been performed during this period. Results: Thirty-five (35) open radical nephrectomies for kidney cancer were performed. The average tumor size was 11.6 cm (±3.4 cm). The mean operating time was 169 min ± 63.4 min with extremes of 115 min (1 h 55 min) and 360 min (6 h). This duration was longer for large tumors (p = 0.002). Intraoperative incidents occurred in 4 patients (11.4%);it was a vena cava injury (02) and a spleen injury (02). Blood loss was estimated on average at 535 ml. The mean follow-up time was 19 ± 11 months. The overall survival rate was 90% at 3 months, 53% at 12 months and 35.4% at 24 months. Conclusion: The large size of kidney tumor found in Africa may constitute an obstacle to performing nephrectomies by laparoscopy. However, mastering the laparoscopic technique with appropriate equipment can help reduce operative morbidity.

关键词： Open Radical Nephrectomy Indications Results Africa

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Endoscopic Internal Urethrotomy in the Treatment of Male Urethral Stenosis in the Urology-Andrology Department of KARA Teaching Hospital (Togo)

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Open Journal of Urology 2024年第1期14卷 20-26页

作者： Musapudi Éric Mbuya Komi Hola Sikpa Edoe Viyome Sewa Messan Semefa Agbedey Gnimdou Botcho kodjo tengue Tchilabalo Matchonna Kpatcha Urology and Andrology Department Kara Teaching Hospital Kara Togo Urology and Andrology Department Hubert Koutoukou Maga National Teaching Hospital Cotonou Benin Surgery Department University Clinics of Lubumbashi Lubumbashi DRC Aneho Prefectural Hospital Center Aneho Togo Urology and Andrology Department Kpalime Prefectural Hospital Center Kpalime Togo Urology and Andrology Department Sokodé Regional Hospital Center Sokodé Togo Urology and Andrology Department Sylvanus Olympio Teaching Hospital Lomé Togo

Introduction: Endoscopic internal urethrotomy (EIU) is a method for stricture opening using transurethral incision by direct visualisation of the urethral channel, resulting in a widening of the urinary canal with the aim of improving the quality of bladder emptying. The aim of the study was to evaluate the indication and results of EIU in the treatment of stenosis of the male urethra in the Urology-Andrology Department of Kara Teaching Hospital. Methodology: This was a cross-sectional descriptive study with retrospective data collection in the Urology-Andrology department of Kara Teaching Hospital. It involved 21 records of patients with urethral stenosis treated by endoscopic internal urethrotomy (EIU) in the said department during the period from January 2021 to September 2023. The following variables were evaluated: age, circumstance of discovery, site, length, number, etiology of the urethral stenosis and evolution of the patients. Results: The mean age of the patients was 59.2 ± 11.7 years. Infectious etiology of stenosis was predominant with 10 patients (47.6%) followed by trauma with 5 cases (23.8%). The bulbar urethra was the most frequently observed site, with 11 cases (52.4%). The length was mostly less than 2 cm in 12 patients (57.1%). Stenosis was unique in 14 patients (66.7%). The mean postoperative follow-up time was 3.2 months. The result was immediately better in 11 patients (52.4%) and it was poor in 8 patients (38.1%) who required maintenance dilation sessions.

关键词： Internal Urethrotomy Urethral Stenosis Kara Togo

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Trauma of the Male Genitals in the Teaching Hospital Sylvanus Olympio of Lome: Lesional and Therapeutic Aspects

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Open Journal of Urology 2021年第2期11卷 31-35页

作者： kodjo tengue Edoé Viyomé Sewa Komi Hola Sikpa Gnimdou Botcho Essodina Padja Matchonna Tchilabalo Kpatcha Ekoué David Dosseh Department of Urology University Teaching Hospital of Lomé Lomé Togo Department of Urology University Teaching Hospital of Kara Kara Togo Department of Surgery University Teaching Hospital of Lomé Lomé Togo

Introduction: Trauma of the external male genital organs (TEMGO) is multifaceted and rare. The objective of this work was to provide an overview of these lesions by describing the epidemiology, the diagnostic approach, their therapeutic and prognostic aspects. Materials and Methods: It was a retrospective study carried out over a ten-year period, from January 1, 2009 to December 31, 2018. It included male patients, admitted and treated in surgical emergencies and in the urology department of the Sylvanus Olympio Teaching Hospital in Lomé for trauma of male external genital organs. Results: Thirty-five cases had been collected. They had represented 1.5% of urological emergencies. The subjects were young with a mean age of 29.6 ± 3.1 years, with extremes of 18 and 60 years. Trauma to the penis was more frequent and found in 60% of cases, with the mechanism of coitus misstep in 54.3%, leading to a fracture of the penis. Testicular contusions were found in 22.9% of the cases. The ultrasound was performed in 6 patients. Four orchidectomies were performed for an unsustainable testicle found at scrototomy. The postoperative had been simple in all cases. Fifteen patients (42.8%) had been regularly followed on 18 months. Residual testicular pain and mode-rate erectile dysfunction was noted respectively in 3 and 2 patients. Conclusion: TEMGO, although rare, require perfect knowledge for adequate therapeutic decisions, as they can compromise the functional prognosis of concerned organs.

关键词： Genital Organs Trauma Scrototomy Togo

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Prostate Cancer Screening by General Practitioners in Lomé, Togo

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Open Journal of Urology 2022年第1期12卷 27-36页

作者： Tchilabalo Matchonna Kpatcha Tchin Darré Edoe Viyome Sewa Komi Hola Sikpa Gnimdou Botcho Essodina Padja Essomendedou Adolphe Leloua kodjo tengue Department of Urology University Teaching Hospital of Kara Kara Togo Department of Pathology University Teaching Hospital of Lomé Lomé Togo Department of Urology University Teaching Hospital of Lomé Lomé Togo

Background: Prostate cancer is a common disease in men over 50 years. Only early detection by screening can guarantee a favourable outcome. Objective: The objective of the study is to report on the practice of prostate cancer screening by general practitioners in Lomé. Material and Method: This was a practice survey. A questionnaire administered to general practitioners allowed to examine the following parameters: the practitioner’s years of practice, the screening criteria, the screening tools and the factors motivating the request for urological advice. The data were analysed using the software Epi info 7.1.5. The P value was considered significant below 0.05. Results: One hundred and eighty (180) physicians average-aged 29 were administered among whom one hundred and fifty-seven (157) males and twenty-three (23) females. The average duration of the medical practice was 35.2 months (6 months - 204 months). The screening criteria were age (47.2%), family history of cancer (17.8%), and age over 50 years associated with symptoms of the low urinary tract (35%). The practitioner’s experience did not affect these criteria (p = 0.12). The screening tools were the digital rectal examination (DRE) associated with prostate specific antigen (PSA) assay (20.5%), PSA alone (29.5%), DRE alone (6.6%), suprapubic ultrasound (32.3%) and endorectal ultrasound (11.1%). The choice of the screening tool was related to the practitioner’s experience (p = 0.03). The determining factor for a urological consultation was a high PSA (>4 ng/ml) independent of the DRE. Conclusion: Prostate cancer screening is largely done by general practitioners in Lomé. However, the use of some criteria and tools for the screening is not optimal.

关键词： Prostate Cancer Screening Survey Lomé Togo

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Urological Emergencies at Kara Teaching Hospital (Togo): Epidemiological, Clinical and Therapeutic Profile

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Open Journal of Urology 2023年第1期13卷 1-8页

作者： Komi Hola Sikpa Tchilabalo Matchonna Kpatcha kodjo tengue Gnimdou Botcho Edoe Viyome Sewa Sabi Rachid Sade Messan Semefa Agbedey Pwerew Rodolphe Plante Kossi Edem Gueouguede Kara Teaching Hospital Kara Togo

Background: The urology department of the teaching hospital of Kara is the second urology department in Togo, after that of the teaching hospital Sylvanus Olympio, in Lomé the capital. It is a very young service, created less than 5 years ago. Urological emergencies were previously managed by general surgeons, for lack of urologists. The influx of patients with urological pathologies has increased with the arrival of urologists. The update on urological emergencies having been made in Lomé, we therefore wanted to take stock of urological emergencies at the teaching hospital of Kara. Objective: To describe the epidemiological, clinical, and therapeutic aspects of urological emergencies received at the teaching hospital of Kara. Patients and Methods: This was a descriptive study with retrospective data collection. The study took place in the urology department, and in the surgical emergency department of the teaching hospital of Kara, over a period of 18 months, from January 2021 to June 2022. The on-call medical team consisted of the intern in on-call medicine, and an on-call urologist, whom the intern called upon when he received a urological emergency. Pediatric urological emergencies were managed by the pediatric surgeon and were not considered in our study. The operating room register, the surgical emergency consultation register, the urology department consultation register, and the records of patients hospitalized in the urology department were used for data collection. The following parameters were studied: age, sex, type of urological emergency, and therapeutic management;epi info 7 software was used for data processing. Results: The average age of the patients was 52.5 ± 19.6 years with extremes ranging from 16 years to 102 years. Note that 57.7% of the patients were over 50 years old. The sex ratio was 8.9. Urinary retention was the most common urological emergency in 47.7% (52) of cases;follow-up of infectious pathologies in 30.2% (33) of cases. Among the

关键词： Urological Emergencies Profile Kara Togo

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