Prevalence of clinical benign prostatic hyperplasia amongst community-dwelling men in a South-Western Nigerian rural setting: A cross-sectional study
Conclusion The burden of clinical BPH is very high amongst Nigerian men and the prevalence increases with age. There is need for more public awareness because of the significant impairment in the QoL associated with BPH symptoms. (Source: African Journal of Urology)
Source: African Journal of Urology - April 30, 2017 Category: Urology & Nephrology Source Type: research
Antimicrobial susceptibility profile of community-acquired urinary tract infection in adults: A seven months prospective cross-sectional study in Dakar Town, Senegal
Conclusion Trimethoprim/sulfamethoxazole, nalidixic acid and fluoroquinolons should no longer be used as empirical treatments of UTI in Dakar. Alternatives must be recommended, such as cefixim the most active oral drugs available in this country. (Source: African Journal of Urology)
Source: African Journal of Urology - April 28, 2017 Category: Urology & Nephrology Source Type: research
Over-expression of β-catenin is associated with high grade of prostatic cancer in Libyan patients
Conclusions We concluded that changes in expression and cell distribution of β-catenin correlated with the progression degree of prostate adenocarcinoma, signifying a role of this molecule as a marker of progression and prognosis. Further investigations, on a larger and more heterogeneous population, should be carried out to validate and extend our results. (Source: African Journal of Urology)
Source: African Journal of Urology - April 28, 2017 Category: Urology & Nephrology Source Type: research
The effect on the sensitivities of PSA and PSA-age volume score of IPSS and nocturia in predicting positive prostate biopsy findings
Conclusions All our data shows that if we remove most of the factors which effect PSA such as age, prostate volume, prostatitis and BPH, we may increase the sensitivity of PSA for predicting positive prostate biopsy. Further PSA formulas contain of result of some tests (I-PSS, uroflowmetry or postvoiding residue urine) as well as age and prostate volume should increase the sensitivity and specificity of PSA for detecting prostate cancer. (Source: African Journal of Urology)
Source: African Journal of Urology - April 27, 2017 Category: Urology & Nephrology Source Type: research
Prise en charge urgente et diff érée des traumatismes urogénitaux au chu Souro Sanon de Bobo-Dioulasso
Conclusion La prise en charge des traumatismes urogénitaux se fait dans le contexte de l’urgence souvent en présence de lésions associées. La stratégie de prise en charge requiert une évaluation Clinique rigoureuse, un traitement précoce et efficace pour minimiser les séquelles. Urgent and delayed management of genitourinary trauma at CHU Souro Sanon de Bobo-Dioulasso. Objective To analyze management of genitourinary trauma. Patients and methods The current study is a retrospective review done in the urology department of the University Hospital of Bobo-Dioulasso. All cases of urogenital trauma were included. O...
Source: African Journal of Urology - April 1, 2017 Category: Urology & Nephrology Source Type: research
Prevalence of urinary schistosomiasis in Nigeria, 1994 –2015: Systematic review and meta-analysis
Conclusion Schistosomal infestations remain hyperendemic in Nigeria. Nigeria must, therefore, expedite the execution of resolution WHA66.12 adopted by the World Health Assembly on NTD. (Source: African Journal of Urology)
Source: African Journal of Urology - March 14, 2017 Category: Urology & Nephrology Source Type: research
Bhat's modifications of Glassberg –Duckett repair to reduce complications in management severe hypospadias with curvature
Conclusions TIPU with spongioplasty of proximal urethra and dartos cover on skin tube reconstructs functional urethra. Distal end skin sutured to glans mucosa 5–8mm proximal to the tip of glans reconstructs a cosmetically normal looking meatus. An exact measurement of the width and length of the stretched dartos, fixation of the skin tube to the corpora and covering the skin tube with dartos helps in prevention of diverticula. Elliptical anastomosis covered with spongiosum prevents fistula and stricture at anastomotic site. (Source: African Journal of Urology)
Source: African Journal of Urology - March 14, 2017 Category: Urology & Nephrology Source Type: research
Management of the exstrophy-epispadias complex in adolescents and adults
Conclusion Though exstrophy-epispadias in adolescents and adults is a rare entity, the described modified surgical technique provides good results and improves the patients’ social and psychological well being. (Source: African Journal of Urology)
Source: African Journal of Urology - March 14, 2017 Category: Urology & Nephrology Source Type: research
Large renal calculus and ipsilateral flank (incisional) hernia: Perhaps another indication for Mini PCNL?
Conclusion The presence of a hernial sac within the ipsilateral flank may be amenable to Mini PCNL, provided the basic principles of puncture are maintained. This includes the use of adequate positioning, limited respiration and the use of ultra-sound identification of the bowel loops during access puncture and tract dilatation. A new indication for the use of Mini PCNL is thus reported. (Source: African Journal of Urology)
Source: African Journal of Urology - March 10, 2017 Category: Urology & Nephrology Source Type: research
Int érêt de l’index de sévérité de la gangrène de Fournier dans la prédiction des facteurs pronostiques de la mortalité
Conclusion L’ISGF calculé à partir des aberrations physiques et métaboliques constitue un outil simple, fiable et valide dans l’évaluation de la gravité initiale de la maladie, et avec une valeur seuil de 9, il permet de prédire la mortalité avec une sensibilité et spécificité élevées. Introduction Fournier's gangrene severity index (FGSI) is a numeric score calculated from physiological parameters. It is a tool to predict the severity of this disease. The aim of our study is to identify the prognostic factors of mortality risk and to validate the FGSI. Patients and methods we reviewed retrospectively med...
Source: African Journal of Urology - February 27, 2017 Category: Urology & Nephrology Source Type: research
Frequency of stone clearance after extracorporeal shockwave lithotripsy for renal stones in adult patients with renal insufficiency
Conclusion Our results show that ESWL may be used as the first line of management for renal stones in patients with mild to moderate renal insufficiency. (Source: African Journal of Urology)
Source: African Journal of Urology - February 24, 2017 Category: Urology & Nephrology Source Type: research
Le diverticule para ur étéral avec reflux vésico urétéral type III: un cas inhabituel
Conclusion le diverticule para urétéral de Hutch est rare et entraine des difficultés diagnostiques. La symptomatologie n’est pas spécifique. La diverticulectomie par chirurgie ouverte suivi d’une réimplantation urétérovesicale donne un bon résultat. Introduction the paraureteral diverticulum is an unusual congenital uropathy. We report a case and discuss the clinical, diagnostic and therapeutic aspect. Observation M. K, a 3-years old male patient, admitted for recurrent acute urinary retention. In the history: surgical treatment for right inguinal and umbilical hernia. The voiding cystourethrography confirme...
Source: African Journal of Urology - February 23, 2017 Category: Urology & Nephrology Source Type: research
Les amputations et autres traumatismes de la verge
Conclusion Dans notre institutions, les TrV sont rares, potentiellement graves, survenant électivement chez des enfants et adolescents à la suite d’accidents domestique et de sport. Leur prise en charge thérapeutique ne pose pas de grandes difficultés dans les cas simples, en revanche le traitement des formes graves (amputations, fistules) demeure un défi. Background Penile injuries may cause serious lesions and sequelae. Under-reported, their management sometimes can be delicate. Objectives To determine the frequency and the anatomo-clinical features of penile injuries in our institution, to report the patient so...
Source: African Journal of Urology - February 22, 2017 Category: Urology & Nephrology Source Type: research
Ileum neovaginoplasty for Mayer –Rokitansky–Küster–Hauser: Review and case series
Conclusion Women with Mayer–Rokitansky–Küster–Hauser syndrome who need vaginal reconstruction have the surgical option of a vascularized free ileum graft that provides a durable, lubricated neovagina without the scarring of skin grafts. (Source: African Journal of Urology)
Source: African Journal of Urology - February 21, 2017 Category: Urology & Nephrology Source Type: research
Un cas de textilome renal simulant une tumeur de d écouverte anatomopathologique
Conclusion Les fibres de textile peuvent déclencher une réaction inflammatoire aiguë avec formation d’un abcès périrénal ou chronique en cas d’asepsie entrainant la constitution de foyers de fibrose, d’enkystement et de calcification. Le textilome rénal pose des difficultés diagnostiques à cause de l’absence de signes cliniques et radiologiques pathognomoniques. La présence d’une masse rénale associée à un antécédent de chirurgie rénale du coté homologue doit faire évoquer en premier un textilome. Le traitement est chirurgical. Une néphrectomie partielle sera le traitement de choix. Le meilleur...
Source: African Journal of Urology - February 7, 2017 Category: Urology & Nephrology Source Type: research
