Bladder paraganglioma — A report of two cases
ConclusionWe would like to stress on the histomorphology and immunohistochemistry findings of this rare condition and its diagnosis on transurethral resection specimens. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Burden and seasonality of testicular torsion in tropical Africa: Analysis of incident cases in a Nigerian community
Publication date: March 2018Source: African Journal of Urology, Volume 24, Issue 1Author(s): Jibril O. BelloAbstractIntroductionChildren, adolescents and young adults in tropical Africa occasionally presents to the emergency department with testicular torsion. However, no estimates of the burden of the condition is available and there is also sparse evidence of a seasonal variation in incidence.ObjectiveTo determine the incidence and seasonality of the condition in a Nigerian community.Subjects and methodsA retrospective review of incident cases of testicular torsion occurring in a typical tropical sub-Saharan African comm...
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

IFC: Editorial Board
Publication date: March 2018Source: African Journal of Urology, Volume 24, Issue 1Author(s): (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Abcès prostatique à staphylococcus Aureus: A propos d’un cas clinique
Publication date: Available online 2 March 2018Source: African Journal of UrologyAuthor(s): A. Saouli, O. Yddoussalah, A. Janane, T. Karmouni, M. Alami, A. Ameur, K. El Khader, A. Koutani, A. Iben Attya AndaloussiRésuméL’abcès prostatique est causé généralement par les entérobactéries rarement par le staphylococcus aureus. Sa mortalité et morbidité ont baissé depuis l’introduction des antibiotiques à large spectre. Souvent les signes sont non spécifiques. Le diagnostic est rendu aisé grâce à l’&e...
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Comparison of safety and efficacy of tamsulosin, tadalafil, combinations and deflazacort in lower ureteric orifice negotiation by large size ureteroscope (8/9.8 Fr) prior to intracorporeal lithotripsy
ConclusionBoth tamsulosin and tamsulosin with tadalafil helps in forward propagation of large size ureteroscope as compared to other groups with less operative time without any significant complications. So, we can conclude that tamsulosin alone can be helpful for lower ureteric orifice negotiation during intracorporeal lithotripsy with minimal side effects. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

An 80 year old hermaphroditic with Hugh Brenner tumor: A rare case report and review of literature
ConclusionThe morphological expression of a true hermaphroditism is an “ovotestis” which can be classified into three different categories and require a tissue biopsy for confirmation. The association of a Brenner tumour in a hermaphroditic patient makes this report a significant contribution to human sexual differentiation literature. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Understanding the role of estrogen in the development of benign prostatic hyperplasia
ConclusionThis review highlights the roles of estrogen as well as the therapeutic use of phytoestrogens in the prevention and management of BPH. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

A pilot biomonitoring study of bladder tumor antigen (BTA) in aflatoxin exposed Nigerian villagers
ConclusionThis study showed that there may not be a connection between aflatoxin exposure and human BTA which is one of the biomarkers of bladder cancer. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Neonatal giant hydronephrosis – a rare case report
ConclusionEstablishing the correct diagnosis of GH is necessary to plan appropriate surgical intervention. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

La lithotripsie extracorporelle: expérience d’un centre Sénégalais
ConclusionLa LEC a été efficace dans la prise en charge des calculs du haut appareil urinaire cependant, ces résultats peuvent encore être améliorés.AbstractObjectivesEvaluate the efficacy of extracorporeal lithotripsy (ECL) in the management of urinary lithiasis.Patients and methodsRetrospective, descriptive and analytical study of 76 patients who underwent ECL in a center in Senegal from January 2013 to January 2016. The parameters studied were: age, sex, body mass index (BMI), Calculus characteristics, number of lithotripsy sessions, treatment outcomes and complications.ResultsTh...
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Basal cell carcinoma of the scrotum: A rare occurrence in sun protected skin
ConclusionBCC should be considered in the elderly with chronic skin lesions at the genitalia. Multiple factors contribute to delayed presentation. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Pattern of presentation and surgical management of penile fractures in a semi-urban African teaching hospital: Case reports and literature review
ConclusionThe trend of penile fracture seems to be changing in our semi-urban African community. Surgical reconstruction results in good outcome. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Extracorporeal shock wave lithotripsy (ESWL) versus flexible ureteroscopy (F-URS) for management of renal stone burden less than 2 cm in children: A randomized comparative study
ConclusionStone free rate after one session of F-URS is higher than ESWL with comparable rates of complications. F-URS could be offered to children who are less likely to respond completely after ESWL monotherapy. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Angiogenesis in prostate cancer and benign prostatic hyperplasia assessed by VEGF and CD-34 IHC: A comparative clinico-pathological study
Publication date: Available online 24 May 2018Source: African Journal of UrologyAuthor(s): K.A. Gautam, A.N. Singh, A.N. Srivastav, S.N. SankhwarAbstractIntroductionProstate carcinoma is still a dreaded disease wanting more effective treatment and definitive early detection for a better prognosis and cure of life. The present study was planned to investigate the correlation of vascular endothelial growth factor (VEGF) expression level and microvessel density (MVD) between the BPH and prostate cancer subjects to analyze their diagnostic and prognostic value.Subjects and methodsFreshly diagnosed histopathologically confirmed...
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Abdominoscrotal hydrocele: A systematic review and proposed clinical grading
ConclusionsAbdominoscrotal hydrocele is rare, but the number of the reported cases is far larger than the previously reported numbers. Etiology follows multiple hypotheses and management is speculative. Proposed clinical grading may support differentiation of severity of the associated cumulative risks. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

An academic year in Sub-Saharan Africa: The clinical experience of a British Urology Registrar
ConclusionsWorking in different countries as a surgeon improves one’s perception of the diseases’ spectra of manifestation and management, while enabling participation to surgical activities nowadays seldom in the West. The holistic benefit of such a year, to a surgeon’s in-training professional life cannot be over-emphasised; both on the grounds of experiencing different surgical realities and building upon professional skills, but also in cultivating an international network. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

High (trans) scrotal orchidopexy for palpable undescended testes in children: Influence of age and testicular position
ConclusionIncreasing age of patients and location of testes had no effect on the outcome of high scrotal orchidopexy in terms of successful placement of testes in the scrotum and rate of testicular retraction when compared to the conventional orchidopexy. However, the operative time was shorter and the cosmetic appearance of scar was better in the high scrotal group compared to the conventional orchidopexy. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Primitive neuroectodermal tumor of kidney mimicking as an inflammatory renal mass
ConclusionRenal PNET should be kept in the differentials of a renal SOL presenting in adolescents and young adults. All diagnostic modalities concerning SOL of the kidney must be interpreted with caution in order for the appropriate management. Punctures for cytology can be indicated in select cases. Histopathology, immuno histochemistry supported by cytogenetic studies are required for the exact diagnosis of renal PNET. Multidisciplinary approach consisting of surgery, chemotherapy, and radiotherapy is recommended to manage this condition in view of its aggressive nature and poor prognosis. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Laparoscopic excision of a giant adrenal myelolipoma and review of the literature
ConclusionsLaparoscopic excision of giant adrenal myelolipoma is a challenging procedure, but it seems to be a feasible promising approach. Expert surgeons are recommended when operating large tumors, especially, in the obese patients. (Source: African Journal of Urology)
Source: African Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Primitive neuroectodermal tumor of kidney mimicking as an inflammatory renal mass
Conclusion Renal PNET should be kept in the differentials of a renal SOL presenting in adolescents and young adults. All diagnostic modalities concerning SOL of the kidney must be interpreted with caution in order for the appropriate management. Punctures for cytology can be indicated in select cases. Histopathology, immuno histochemistry supported by cytogenetic studies are required for the exact diagnosis of renal PNET. Multidisciplinary approach consisting of surgery, chemotherapy, and radiotherapy is recommended to manage this condition in view of its aggressive nature and poor prognosis. (Source: African Journal of Urology)
Source: African Journal of Urology - June 27, 2018 Category: Urology & Nephrology Source Type: research

Laparoscopic excision of a giant adrenal myelolipoma and review of the literature
Conclusions Laparoscopic excision of giant adrenal myelolipoma is a challenging procedure, but it seems to be a feasible promising approach. Expert surgeons are recommended when operating large tumors, especially, in the obese patients. (Source: African Journal of Urology)
Source: African Journal of Urology - June 27, 2018 Category: Urology & Nephrology Source Type: research

High (trans) scrotal orchidopexy for palpable undescended testes in children: Influence of age and testicular position
Conclusion Increasing age of patients and location of testes had no effect on the outcome of high scrotal orchidopexy in terms of successful placement of testes in the scrotum and rate of testicular retraction when compared to the conventional orchidopexy. However, the operative time was shorter and the cosmetic appearance of scar was better in the high scrotal group compared to the conventional orchidopexy. (Source: African Journal of Urology)
Source: African Journal of Urology - June 27, 2018 Category: Urology & Nephrology Source Type: research

An academic year in Sub-Saharan Africa: The clinical experience of a British Urology Registrar
Conclusions Working in different countries as a surgeon improves one’s perception of the diseases’ spectra of manifestation and management, while enabling participation to surgical activities nowadays seldom in the West. The holistic benefit of such a year, to a surgeon’s in-training professional life cannot be over-emphasised; both on the grounds of experiencing different surgical realities and building upon professional skills, but also in cultivating an international network. (Source: African Journal of Urology)
Source: African Journal of Urology - June 10, 2018 Category: Urology & Nephrology Source Type: research

Abdominoscrotal hydrocele: A systematic review and proposed clinical grading
Conclusions Abdominoscrotal hydrocele is rare, but the number of the reported cases is far larger than the previously reported numbers. Etiology follows multiple hypotheses and management is speculative. Proposed clinical grading may support differentiation of severity of the associated cumulative risks. (Source: African Journal of Urology)
Source: African Journal of Urology - June 8, 2018 Category: Urology & Nephrology Source Type: research

Angiogenesis in prostate cancer and benign prostatic hyperplasia assessed by VEGF and CD-34 IHC: A comparative clinico-pathological study
Conclusions The present findings may support the assumption that VEGF and CD34 expression level might have an important role in the prediction of prostate cancer as it was significantly differed with BPH. In addition, VEGF expression level showed intense staining in the tissue samples with higher grading of prostate cancer which reveals its importance as prognostic marker. (Source: African Journal of Urology)
Source: African Journal of Urology - May 24, 2018 Category: Urology & Nephrology Source Type: research

Extracorporeal shock wave lithotripsy (ESWL) versus flexible ureteroscopy (F-URS) for management of renal stone burden less than 2  cm in children: A randomized comparative study
Conclusion Stone free rate after one session of F-URS is higher than ESWL with comparable rates of complications. F-URS could be offered to children who are less likely to respond completely after ESWL monotherapy. (Source: African Journal of Urology)
Source: African Journal of Urology - May 23, 2018 Category: Urology & Nephrology Source Type: research

Pattern of presentation and surgical management of penile fractures in a semi-urban African teaching hospital: Case reports and literature review
Conclusion The trend of penile fracture seems to be changing in our semi-urban African community. Surgical reconstruction results in good outcome. (Source: African Journal of Urology)
Source: African Journal of Urology - May 22, 2018 Category: Urology & Nephrology Source Type: research

Basal cell carcinoma of the scrotum: A rare occurrence in sun protected skin
Conclusion BCC should be considered in the elderly with chronic skin lesions at the genitalia. Multiple factors contribute to delayed presentation. (Source: African Journal of Urology)
Source: African Journal of Urology - May 22, 2018 Category: Urology & Nephrology Source Type: research

La lithotripsie extracorporelle: exp érience d’un centre Sénégalais
Conclusion ECL is effective in the management of the calculi of the upper urinary tract however; its results can still be improved. (Source: African Journal of Urology)
Source: African Journal of Urology - May 19, 2018 Category: Urology & Nephrology Source Type: research

Neonatal giant hydronephrosis – a rare case report
Conclusion Establishing the correct diagnosis of GH is necessary to plan appropriate surgical intervention. (Source: African Journal of Urology)
Source: African Journal of Urology - May 3, 2018 Category: Urology & Nephrology Source Type: research

A pilot biomonitoring study of bladder tumor antigen (BTA) in aflatoxin exposed Nigerian villagers
Conclusion This study showed that there may not be a connection between aflatoxin exposure and human BTA which is one of the biomarkers of bladder cancer. (Source: African Journal of Urology)
Source: African Journal of Urology - April 30, 2018 Category: Urology & Nephrology Source Type: research

Understanding the role of estrogen in the development of benign prostatic hyperplasia
Conclusion This review highlights the roles of estrogen as well as the therapeutic use of phytoestrogens in the prevention and management of BPH. (Source: African Journal of Urology)
Source: African Journal of Urology - April 28, 2018 Category: Urology & Nephrology Source Type: research

An 80  year old hermaphroditic with Hugh Brenner tumor: A rare case report and review of literature
Conclusion The morphological expression of a true hermaphroditism is an “ovotestis” which can be classified into three different categories and require a tissue biopsy for confirmation. The association of a Brenner tumour in a hermaphroditic patient makes this report a significant contribution to human sexual differentiation literature. (Source: African Journal of Urology)
Source: African Journal of Urology - April 12, 2018 Category: Urology & Nephrology Source Type: research

Comparison of safety and efficacy of tamsulosin, tadalafil, combinations and deflazacort in lower ureteric orifice negotiation by large size ureteroscope (8/9.8  Fr) prior to intracorporeal lithotripsy
Conclusion Both tamsulosin and tamsulosin with tadalafil helps in forward propagation of large size ureteroscope as compared to other groups with less operative time without any significant complications. So, we can conclude that tamsulosin alone can be helpful for lower ureteric orifice negotiation during intracorporeal lithotripsy with minimal side effects. (Source: African Journal of Urology)
Source: African Journal of Urology - April 11, 2018 Category: Urology & Nephrology Source Type: research

Asymptomatic dedifferentiated liposarcoma mimicking renal cell carcinoma —A rare case report and review of literature
We report on a extremely rare case of asymptomatic perinephric dedifferentiated sclerosing liposarcoma which appeared to mimic cystic renal cell carcinoma on clinical and radiological presentation. The patient underwent a right partial nephrectomy and remains tumour free at six months follow up. (Source: African Journal of Urology)
Source: African Journal of Urology - March 16, 2018 Category: Urology & Nephrology Source Type: research

Nomogram for predicting the probability of the positive outcome of prostate biopsies among Ghanaian men
Conclusion We conclude that, nomograms offer a better and accurate assessment for predicting a positive outcome of prostate biopsies than the use of traditional tools of PSA, DRE and PSAD alone. (Source: African Journal of Urology)
Source: African Journal of Urology - March 16, 2018 Category: Urology & Nephrology Source Type: research

The untapped potential of digital pathology in prostate cancer diagnosis and medical education in sub-Saharan Africa
Conclusion A transition to digital pathology in sub-Saharan Africa could yield incremental benefits to the quality of pathology diagnosis and highlight the growing capacity of digital pathology as a sub-speciality educational tool in the training of African pathologists both in prostate pathology and other pathology sub-specializations. (Source: African Journal of Urology)
Source: African Journal of Urology - March 10, 2018 Category: Urology & Nephrology Source Type: research

Evaluation de l ’antibioprophylaxie en chirurgie urologique au sein de l’Hôpital Militaire Moulay Ismail de Meknès
This study aimed to evaluate this practice in urology to determine discrepancies with international standards and propose corrective measures. Subjects and Methods The first phase of two months allowed for the collection of data prospectively for each patient. The second phase was determined inclusion and exclusion criteria differentiating the cards with prescribing prophylactic antibiotics or not. The last phase was devoted to the literature review to assess compliance of the decision of antibiotic prophylaxis against specific recommendations. Results and conclusions The results showed that the compliance of the indicatio...
Source: African Journal of Urology - March 2, 2018 Category: Urology & Nephrology Source Type: research

Tunica vaginalis free graft urethroplasty: 10 years experience
Conclusion To the best of our knowledge this is the first long term study using this technique with encouraging results and the researchers propose that it is considered as an additional option by reconstructive genitourinary surgeons. (Source: African Journal of Urology)
Source: African Journal of Urology - March 2, 2018 Category: Urology & Nephrology Source Type: research

Abc ès prostatique à staphylococcus Aureus: A propos d’un cas clinique
Publication date: Available online 2 March 2018 Source:African Journal of Urology Author(s): A. Saouli, O. Yddoussalah, A. Janane, T. Karmouni, M. Alami, A. Ameur, K. El Khader, A. Koutani, A. Iben Attya Andaloussi L’abcès prostatique est causé généralement par les entérobactéries rarement par le staphylococcus aureus. Sa mortalité et morbidité ont baissé depuis l’introduction des antibiotiques à large spectre. Souvent les signes sont non spécifiques. Le diagnostic est rendu aisé grâce à l’échographie ...
Source: African Journal of Urology - March 2, 2018 Category: Urology & Nephrology Source Type: research

The South African guidelines on Enuresis —2017
Conclusion An independent, unbiased, national evaluation and treatment guideline based on the pathophysiological subcategory is proposed using an updated, evidence based approach. This Guideline has received endorsement from the South African Urological Association, Enuresis Academy of South Africa and further input from international experts within the field. (Source: African Journal of Urology)
Source: African Journal of Urology - March 1, 2018 Category: Urology & Nephrology Source Type: research

Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case report
Conclusions Laparoscopic excision of large adrenal myelolipoma may indicate some technical adjustments, but it seems to be a feasible and advantageous approach even in obese patients. (Source: African Journal of Urology)
Source: African Journal of Urology - February 21, 2018 Category: Urology & Nephrology Source Type: research

Scrotoschisis in Aba, South East Nigeria: A case report
Conclusion Scrotoschisis is treated by returning the testis to the scrotal sac followed by orchidopexy. The immediate and short term results of treatment are good, although there is need to follow up the patient until puberty. (Source: African Journal of Urology)
Source: African Journal of Urology - February 21, 2018 Category: Urology & Nephrology Source Type: research

Bilateral spontaneous thrombosis of the pampiniform plexus; A rare etiology of acute scrotal pain: A Case report and review of literature
Conclusions Anatomical factors are probably responsible for almost exclusive involvement of the left side. However, coagulation abnormalities and retroperitoneal tumors or absence of inferior vena cava must be sought especially in cases of right side or bilateral thrombosis of the pampiniform plexus. The management of pampiniform plexus thrombosis remains non surgical based on symptomatic treatment with good clinical and radiological evolution. (Source: African Journal of Urology)
Source: African Journal of Urology - February 18, 2018 Category: Urology & Nephrology Source Type: research

Patient knowledge of urethral stricture disease in a state sector South African Academic Hospital
Conclusion This study demonstrates that the level of knowledge of own disease is unacceptably poor across the whole patient profile. Interventions to improve patient knowledge regarding urethral stricture disease is indicated. (Source: African Journal of Urology)
Source: African Journal of Urology - February 17, 2018 Category: Urology & Nephrology Source Type: research

Urethral stricture disease after bipolar prostatectomy: Is it a concern?
Conclusion BTUSP is a safe and effective modality for surgical management of BPH-related LUTS. With no evidence of increased incidence of USD, and with significant improvement of flowmetry and IPSS after 2 years follow up. (Source: African Journal of Urology)
Source: African Journal of Urology - February 16, 2018 Category: Urology & Nephrology Source Type: research

Severe congenital penile torsion with anterior urethral diverticulum: A case report
Conclusions Penile de-gloving and adequate urethral mobilization corrects the severe penile torsion of 180°. Correction of severe torsion and urethroplasty is feasible in a single stage with good results. (Source: African Journal of Urology)
Source: African Journal of Urology - February 16, 2018 Category: Urology & Nephrology Source Type: research

Burden and seasonality of testicular torsion in tropical Africa: Analysis of incident cases in a Nigerian community
Conclusion The burden of testicular torsion found in the studied tropical sub-Saharan community is comparable to other regions of the world and seasonal variation in incidence does occur with a significant increase in cases during the cold season. (Source: African Journal of Urology)
Source: African Journal of Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research

Management of penile fracture: Can it wait?
Conclusion Immediate surgical repair has the best prognosis and should remain the recommended treatment modality of penile fracture. (Source: African Journal of Urology)
Source: African Journal of Urology - February 14, 2018 Category: Urology & Nephrology Source Type: research

Arabic translation and linguistic validation of the questionnaire Bladder Cancer Index
Conclusion This Arabic version of BCI questionnaire will enable researchers from Arab countries to use a measurement tool validated and recognized internationally to assess QOL in patients with BC. (Source: African Journal of Urology)
Source: African Journal of Urology - February 14, 2018 Category: Urology & Nephrology Source Type: research