检索结果-南通市图书馆

Epidemiological and Clinical Aspects of Bladder Tumours at the Nianankoro Fomba Hospital in Segou in the urology department

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of urology 2022年第5期12卷 294-303页

作者： Sory Ibrahim Kone Honoré Jean Gabriel Berthe Aly Douro Tembely Zanafon Ouattara Mamadou Lamine Diakite urology department Nianankoro Fomba Hospital Ségou Mali department of urology CHU Point G Bamako Mali department of urology CHU Gabriel TOURE Bamako Mali department of urology CHU Gabriel TOURE Bamako Mali

Objectives: To study the epidemiological, diagnostic and prognostic aspects of bladder tumours in Segou Hospital. Patients and Methods: We conducted a descriptive cross-sectional study of bladder tumours over the period from 1 April 2012 to 1 April 2017, in the urology department of the Nianankoro Fomba Hospital in Segou. The first three years were used for patient recruitment, and the last two years for follow-up of the patients in the series. Results: Over a period of three years, we collected 165 cases of bladder tumours hospitalised out of 1308 hospitalisations from 7007 consultations, i.e. 12.6% of hospitalisations and 2.3% of consultations. The sex ratio was 1.2 in favour of men. A history of treated bilharzia was reported in 78.8% of cases and untreated bilharzia in 9.1% of cases. Haematuria was the most common reason for consultation. The majority of our patients were at stage T4 and T3 at the time of diagnosis, i.e. 53.3% and 44.3% respectively. Most patients consulted within 13 to 24 months after the first sign, i.e. 44.8%. Conclusion: The prognosis is still clouded by the delay in management. All the patients diagnosed had a bladder tumour infiltrating the muscle.

关键词： Bladder Tumour Bladder Cancer Epidemiological and Clinical Aspects

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

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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

Cancer on the Testicle Not Descended to the urology department of the Gabriel TouréUHC: About a Case

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of urology 2018年第8期8卷 257-262页

作者： Mamadou Tidiani Coulibaly Amadou Berthé Lahassana dit Tiemoko Coulibaly Cissé Dramane Thierno Madane Diop Issa Amadou Zanafon Ouattara urology department of CHU Gabriel Touré Bamako Mali

Testicular cancers are tumours of the young adult (15 - 35 years), and it is a rather rare pathology in African black. However, the risk of developing these cancers becomes higher if the testicle does not descend. In our context, these undescended testicles often go unnoticed, which poses the problem of surveillance. We report a case in a patient of 24 years who consulted for pain plus hypogastric mass, in whom at the end of the clinical, paraclinical and surgical investigations we retained the diagnosis of seminoma of the right testicle. This is the first case in our daily practice. Conclusion: The rarity of tumours on the undescended testicle should not cause their diagnosis to be misunderstood because of the seriousness of cases diagnosed late.

关键词： Esticle Cancer Undescended

Evaluating the Influence of the Prostate Weight on the Morbidity and Mortality of Transvesical Open Prostatectomy: Prospective Analysis of 108 Cases in the urology-Andrology department of the Ignace Deen National Hospital in Conakry

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of urology 2024年第4期14卷 252-261页

作者： Thierno Oumar Diallo Alimou Diallo Alpha Oumar Barry Thierno Mamadou Oury Diallo Alseny Bah Youssouf Keita Daouda Kanté Mamadou Bissiriou Bah Demba Cissé Ibrahima Bah Abdoulaye Bobo Diallo Oumar Raphiou Bah urology department National Hospital of Ignace Deen Conakry University Conakry Guinea urology department Sino-Guinean Friendship Hospital Conakry University Conakry Guinea

Introduction: Open transvesical prostatectomy remains today one of the most effective approaches for the management of benign prostatic hyperplasia despite the fact that, this method is associated with multiple complications. The objective of this study was to evaluate the influence of prostate weight on the morbidity and mortality of transvesical prostatectomy for adenoma in the urology-andrology department of the Ignace Deen National Hospital. Materials and Methods: This was a prospective, longitudinal and analytical study lasting 6 months, from March 1, 2022 to August 31, 2022 including patients admitted and operated on by open transvesical prostatectomy by assessing the influence of prostate weight on the morbidity and mortality of transvesical adenomectomies. Results: 108 patients were included in our study, the average age of our patients was 70 ± 7.7 years, cultivators were the most represented profession with 38.89%, and hypertension was the most represented comorbidity with 75%. 33.06% of cases became complicated and surgical wound infection was the main complication with a frequency of 17.40%. Statistical analysis did not conclude that, the prostate weight does not have a statistically significant influence on the morbidity and mortality of transvesical open prostatectomy for benign prostatic hyperplasia. Conclusion: Prostate weight has no influence on the morbidity and mortality of transvesical prostate adenoma.

关键词： Benign Prostatic Hyperplasia (BPH) Adenomectomy Prostate Weight Complication

Management of Kidney Cancers in urology department of the Gabriel Toure University Hospital/Bamako

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2018年第6期9卷 183-188页

作者： MT Coulibaly I. Sissoko A. Berthé Issa Amadou B. Traore M. Ly Z. Ouattara urology department of CHU Gabriel Touré Bamako Mali urology department of CHU Point G Bamako Mali Pediatric Surgeon of CHU Gabriel Touré Bamako Mali urology department of CSREF Commune II Bamako Mali Medical Oncologist of CHU Luxembourg Bamako Mali

Objective: to report our experience in the management of adult kidney cancer. Patients and Methods: This was a prospective and descriptive study, carried out in the urology department of Gabriel Touré University Hospital, during the period from January 1, 2001 to December 31, 2017 for a period of six years, interesting all the medical records of 24 adult patients diagnosed with kidney cancer. Results: During the study period, 24 patients met our inclusion criteria;the mean age was 48.23 ± 8.02 years with extreme ranging from 17 to 82 years. Most of our patients were female (58.3%), and were referred or consulted for lumbar mass in 66.7% of cases. The average tumor size was 13.6 ± 5.8 cm with extremes of 7.8 to 21.1 cm. Management included total nephrectomy in 50% and total nephrectomy expanded in 50% of cases. The histological type found was renal cell carcinoma in 23 patients and papillary carcinoma in one patient. Conclusion: Kidney cancer is rare in our context, its clinical and histological characteristics remain the same for two decades. Its management is largely based on enlarged total nephrectomy.

关键词： Kidney Cancer Adult Nephrectomy Mali

Surgical Treatment of the Upper Urinary Tract Lithiasis at the urology department of the Hopital General Idrissa Pouye

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of urology 2024年第5期14卷 290-300页

作者： Mouhamadou Moustapha Mbodji Mohamed Jalloh Medina Ndoye Abdou Fall Cheikh Gassama Babou Sakho Serigne Mbacké Ndiaye Moussa Sene Abdourahmane Diallo Issa Labou Lamine Niang department of urology and Andrology Hopital General Idrissa Pouye Dakar Senegal

Upper urinary tract lithiasis is a condition characterized by the presence of stones which is a stony concretion of crystallized substances in the kidney and/or ureter. Objective: The objective of this work is to study the epidemiological, clinical and therapeutic aspects of upper urinary tract stones on the one hand, then to compare the different types of surgical treatments and their results. Materials and Methods: This is a retrospective and descriptive study focusing on the surgical management of upper urinary tract stones, between January 2017 and December 2020, at the urology department of the Hopital General Idrissa Pouye. Results: During the study period, 7.59% of surgical interventions performed were related to the treatment of upper urinary tract stones. Average age was 45.20 ± 16.4 years, the age group [41 - 60] years was more affected with 42.68%. A history of urolithiasis was present in 25.52% of cases. Lower back pain was present in 97.48% of cases. On URO-CT scan, the stone was located more at the level of the ureter (49.57%). The size between 10 to 15 mm was more frequent (30.96%) and the density greater than 1000 HU was more frequent (33.47%). The most used therapeutic procedure was ureteroscopy (52.08%), followed by PCNL (40.83%) and open surgery (7.08%). The success rate (stone free) was 93.68% for the URS, 89.36% for the PCNL. The length of hospital stay for open surgery was 6.76 ± 4.25, for PCNL 2.62 ± 2 days and for URS 1.75 ± 1.62 days. Postoperative complications were present in 23.52% for open surgery, 11.22% for PCNL and 8% for URS. Conclusion: Urolithiasis is constantly growing in our regions. Effective endourological treatment is increasingly replacing open surgery. However, global access to these new techniques in our regions is slow to be effective.

关键词： Endo-urology Open Surgery Renal Lithiasis Ureteral Lithiasis URO-CT Scan

Treatment of Kidney Stones by Percutaneous Nephrolithotomy: Evaluation of the Results of the First Series of Our Experience in the urology department of the Idrissa Pouye General Hospital in Dakar

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of urology 2024年第2期14卷 104-114页

作者： Mouhamadou Moustapha Mbodji Mohamed Jalloh Medina Ndoye Abdourahmane Diallo Issa Labou Lamine Niang Serigne Magueye Gueye department of urology and Andrology Hospital General Idrissa Pouye Dakar Senegal

The principle of PCNL is the extraction through a nephrostomy channel of kidney stones which are defined as the presence of crystalline concretions in the kidneys. Objectives: The objective of this work was to study the epidemiological, clinical and paraclinical aspects of patients with renal lithiasis treated by PCNL and on the other hand the different technical aspects of PCNL. Materials and Methods: This was a retrospective descriptive study, conducted in the urology department of HOGIP, covering the period from January 2015 to January 2019. We studied the demographic and clinical aspects of patients presenting renal lithiasis;we also studied the technical aspects and treatment outcomes. Statistical significance was set for α = 0.05. Results: Our series covered 82 PCNLs performed during the study period. The average age was 45.95 years, the age group [40 - 49 years] was more affected. Our study involved 44 men and 38 women, a sex ratio of 1.15. At the clinic, atypical lumbar pain was more frequent in 45.83% of cases. On URO-CT, the calculations were located more at the pyelic level (31.2%) and lower caliceal (27.2%). The size of stones measured between 15 and 20 mm in 30.52%. The stone density was between 500 and 1000 HU in 47.54% of cases. Intraoperatively, the patients were placed in lateral decubitus in 41.46% of cases. Only one access to the kidney was necessary in 87.8% of cases. The lithoclast was used in 65.85% of cases. The overall success rate (stone free) in our series was 96%. The majority of cases, 41.44%, drainage were done by natural means (totally tubeless). The average duration was 92 minutes. The complications encountered in our experience concerned 10 cases, a rate of 12.19%. Conclusion: Urinary lithiasis is more and more frequent in our regions. The development of Endo-urology offers several therapeutic options. Thus, PCNL occupies an important place in the management of kidney stones.

关键词： HOGIP Kidney Stones PCNL Stone Free Uro CT Scan

Ureteroscopy with Holmium: YAG Laser—A Initial Study in the urology department of the Pr Bocar Sidy Sall University Hospital of Kati

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of urology 2024年第4期14卷 207-216页

作者： Amadou Kassogue Idrissa Sissoko Daouda Sangare Moussa Salifou Diallo Hamed Sylla Mahamadou Traore Boureima Coulibaly Salia Coulibaly Modibo Diakite Modibo Togola Fadima Tall Ilias Guindo Ben Naoum Kamel Mamadou Lamine Diakite urology department University Hospital of Pr Bocar Sidy Sall Kati Mali Radiology department University Hospital of Pr Bocar Sidy Sall Kati Mali Anesthesy and Reanimation department University Hospital of Pr Bocar Sidy Sall Kati Mali urology department University Hospital Nimes France urology department University Hospital of Point G Bamako Mali

Introduction: Ureteroscopy is a minimally invasive endoscopic surgery which provides access to the ureter, pyelon and calyceal cavities via the urethra and the bladder. Laser ureteroscopy uses the laser as an energy source to treat the stone and eliminate it naturally. Minimally invasive endoscopic methods are struggling to become popular in sub-Saharan African countries, especially for the upper urinary tract. The objective of our work was to report the results of our first laser ureteroscopy experience in the department. Materials and Methods: This was a prospective and descriptive study running from December 1, 2023 to February 19, 2024. Included in our study was any case of upper urinary tract stone operated by Laser ureteroscopy. The characteristics of the lithiasis were determined by CT scan. Sterilization of urine was verified by carrying out a cytobacteriological examination of urine. Ureteral lithiasis was approached by semi-rigid ureteroscopy. Renal lithiasis was immediately addressed by flexible ureteroscopy. Ureteroscopy was coupled with a Holmium YAG laser. A double J ureteral catheter was placed after the operation. A 230 µm laser fiber was used in each case with a generator with a power of 35 watts (Storz Calculase III type). An access sheath was used in all cases of flexible ureteroscopy. The parameters studied were: sociodemographic characteristics, lithiasis (site, size, number, density, topography), type of anesthesia, duration of laser use, duration of intervention, postoperative outcomes. Data entry and analysis were carried out using the software (Word 2016 and SPSS). Result: We collected 30 cases of laser ureteroscopy. The average age was 37 years with extremes of 9 and 79 years. The male gender was more represented. The most common age group was 24-39 years old. Renal colic was the most frequent reason for admission, 12 patients (40%). On physical examination, lumbar tenderness was present in 47% (14 patients). ECBU was positive in 4 patients

关键词： Ureteroscopy Semi-Rigid Flexible Holmium YAG Laser

Transurethral Resection of the Prostate (TURP) —An Experience of the urology department of the University Hospital of National Reference of N’Djamena (TCHAD)

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of urology 2022年第5期12卷 286-293页

作者： Mahamat Ali Mahamat Saleh Nedjim Vadandi Valentin Minguemadji Allassiangar Badaoui Mahamat Taguil Nouar Kimassoum Rimtebaye department of urology National Reference University Hospital of N’Djamena N’Djamena Chad

Introduction: Transurethral Resection of the Prostate (TURP) is a multi-invasive technique in the management of Benign Prostatic Hyperplasia. It constitutes a reference in developed countries;however in sub-Saharan Africa, it is prostatic adenomectomy which is mostly used. The aim was to analyze the results of the TURP carried out at the General National Reference University Hospital in N’Djamena (Chad). Patients and Methods: This is a retro-prospective study which extended over a period of 2 years, from June 2014 to May 2016. The records of all patients who had undergone TURP during this period were listed and analyzed. We did frequencies and average calculations. Results: 59 patients’ results that were treated with TURP were collected. TURP represented 33.4% of all interventions performed for prostate pathologies. The average age of our patients was 66 ± 8.06 years (50 to 92). Urinary retention was the main reason for consultation (45.7%;n = 27) followed by dysuria (27.1%;n = 16). TURP was associated with another procedure in 28.8% (n = 17). The average duration of hospitalization of our patients was 4.15 days with extremes of 2 to 9 days. Perioperative complications represented 13.6% of cases, early complications represented 15.3% of cases and late complications represented 6.8% of cases. The postoperative voiding status with an average follow-up of 6 months was judged to be good in 72.8% of cases (n = 43). Conclusion: TURP occupies an important place in the management of prostate pathologies with precise indications. It offers many advantages. It must be popularized in our countries;this will make it possible to limit morbidity and mortality rates and slow down medical evacuations abroad.

关键词： RTUP HBP Complications N’Djamena/Chad