Active surveillance for prostate cancer: Is it ready for primetime in the Caribbean?
Conclusion Active surveillance should not be universally rejected in black men and perhaps further study is needed to determine race-specific recommendations. Until then, discussion with the patient should reflect the potential pitfalls for black men on active surveillance. (Source: African Journal of Urology)
Source: African Journal of Urology - January 20, 2017 Category: Urology & Nephrology Source Type: research

A near-fatal case of emphysematous pyelonephritis: Embracing the new management ‘gold standard’ – Saving the life while saving the kidney!
We report on the presence of EPN (Grade 3a) in a patient with poorly controlled diabetes, who presented in septic shock due to EPN. Although previous older treatment algorithms would proceed with an immediate nephrectomy, based on her grade, she was successfully managed by incorporating the new treatment ‘gold standard’: medical management with percutaneous drainage. A high index of suspicion is required to detect and manage this life-threatening condition associated with diabetes, since the presenting symptoms may be non-specific. The diagnosis, risk factors, and current management options of EPN are expanded ...
Source: African Journal of Urology - January 17, 2017 Category: Urology & Nephrology Source Type: research

Significance and clinical value of the transitional zone volume (TZV) or index (TZI) in assessing the degree of lower urinary tract obstruction: Revisited
Conclusion Estimating the transition zone volume during TRUS is a reasonable way to obtain the required information about the TZI. Calculating the TZI could not be directly correlated with any of the different parameters, making the clinical value of such an index questionable. The observation that the obstructed and the retention groups both had a TZI above 0.5 deserves further research that can help in the classification of patients into obstructed and non-obstructed. (Source: African Journal of Urology)
Source: African Journal of Urology - January 11, 2017 Category: Urology & Nephrology Source Type: research

La lithiase du bas appareil urinaire  : Aspects diagnostiques et thérapeutiques à l’Hôpital de la Mère et de l’Enfant (HME) à N’Djamena(Tchad)
Conclusion La lithiase du bas appareil urinaire est fréquente. La chirurgie à ciel ouvert est la seule méthode thérapeutique qui est pratiquée dans notre contexte. Faute d’une recherche étiologique réelle, la prise en charge correcte des lithiases reste limitée. The Objective of this report was to describe the epidemiological, clinical and therapeutic characteristics of lower urinary tract lithiasis in children at the Hôpital de la mère et de l’enfant of N’Djamena (Chad). Patients and methods We conducted a descriptive study on 130 cases...
Source: African Journal of Urology - January 4, 2017 Category: Urology & Nephrology Source Type: research

La calcinose scrotale  : une observation au Togo et revue de la littérature
Conclusion la cause de la calcinose scrotale n’est pas encore élucidée et le seul traitement qu’on peut proposer est l’excision large des lésions. Introduction Scrotal calcinosis is a rare idiopathic disease. We report the case of a young patient treated by surgical excision. The aim of our study was to discuss ethiopathogenical and therapeutical aspects of scrotal calcinosis at the light of a review of the literature. Observation it was a patient of 28 years old who consulted for painless nodules of the scrotum lasting for four years. Clinical examination permitted to diagnose scrota...
Source: African Journal of Urology - January 3, 2017 Category: Urology & Nephrology Source Type: research

A rare case of synchronous association of chromophobe renal cell carcinoma with urothelial carcinoma of urinary bladder
Conclusion Synchronous association of chromophobe RCC with urothelial carcinoma of urinary bladder has not been reported so far, hence there is no scientific consensus in the management of these lesions. (Source: African Journal of Urology)
Source: African Journal of Urology - January 3, 2017 Category: Urology & Nephrology Source Type: research

Vesicoureteral reflux: A historical perspective
Publication date: Available online 28 December 2016 Source:African Journal of Urology Author(s): K.N. DeCotiis, F.J. Penna, M.A. Koyle, A.A. Caldamone The management of vesicoureteral reflux is a mainstay of pediatric urology. This management however, has evolved considerably throughout the years due to a dynamic understanding of both pathology and the relationship between surgical and medical therapies. The purpose of this article is to provide the reader with a historical perspective on management and delineate how its past has shaped current therapies and guidelines. (Source: African Journal of Urology)
Source: African Journal of Urology - December 28, 2016 Category: Urology & Nephrology Source Type: research

Urethral catheterization:The need for adequate undergraduate exposure
Conclusion Newly recruited interns have poor practical exposure to urethral catheterization. Efforts should be made to improve the quality of supervised training given to medical undergraduates so as to avoid complications that could arise if this procedure is not properly done when they qualify. (Source: African Journal of Urology)
Source: African Journal of Urology - December 25, 2016 Category: Urology & Nephrology Source Type: research

Living donor kidney transplantation in the hemodialysis-naive and the hemodialysis-exposed: A short term prospective comparative study
Conclusion PLDKT has a lower rate of AGR. Despite it has a higher rate of lymphoceles, it saves the patient the morbidities of vascular access and inconveniences of HD. Hence, PLDKT is recommended as the first choice for each KT-candidate. (Source: African Journal of Urology)
Source: African Journal of Urology - December 25, 2016 Category: Urology & Nephrology Source Type: research

An unusual presentation of advanced prostate cancer in a 56-year old Nigerian
We report an atypical case of a 56- year old Nigerian male who had bowel obstruction, multiple peripheral and intra-abdominal lymphadenopathies. The patient had a normal initial urological evaluation but his diagnostic conundrum was resolved to be prostate cancer by immuno-histochemistry of the cervical lymph node biopsy and he did well after antiandrogen monotherapy. (Source: African Journal of Urology)
Source: African Journal of Urology - December 25, 2016 Category: Urology & Nephrology Source Type: research

Retrocaval ureter with vesicoureteric reflux, a very rare entity
Conclusion In a child presenting with retrocaval ureter we should look for associated VUR. The problem is similar to pelviureteric junction obstruction and ipsilateral reflux. The management is to deal with obstruction first, followed by extravesical ureteric reimplanation or subureteric teflon injection for reflux. (Source: African Journal of Urology)
Source: African Journal of Urology - December 25, 2016 Category: Urology & Nephrology Source Type: research

The role of the percentage free PSA in the diagnosis of prostate cancer in Blacks: Findings in indigenous West African men using TRUS guided biopsy
Conclusion The %fPSA is an effective discriminating tool in determining the need for prostate biopsy in indigenous West African men with PSA 4–10ng/ml. A cut off of 15% was associated with the highest performance. (Source: African Journal of Urology)
Source: African Journal of Urology - December 24, 2016 Category: Urology & Nephrology Source Type: research

An atypical cause of retroperitoneal fibrosis: Case report and literature review
Publication date: Available online 24 December 2016 Source:African Journal of Urology Author(s): F. Cassim, S. Sinha, J. Lazarus, M. Locketz Retroperitoneal fibrosis (RPF) is a rare inflammatory disease resulting in the development of a retroperitoneal mass, which may encase the aorta and its branches, as well as the ureters. The systemic inflammatory response causes constitutional symptoms. The mass itself leads to symptoms of non-specific back pain and abdominal pain, as well as ureteric obstruction and subsequent renal insufficiency. Immunoglobulin 4 (IgG4) has recently been found to be involved in the pathogenesis of ...
Source: African Journal of Urology - December 24, 2016 Category: Urology & Nephrology Source Type: research

Preliminary study of the efficacy of the combination of tamsulosin and trospium as a medical expulsive therapy for distal ureteric stones
Conclusions The combination of 0.4mg tamsulosin and 40mg trospium as MET for single lower ureteral stones <10mm is safe and more effective than 0.4mg tamsulosin as a mono-therapy. (Source: African Journal of Urology)
Source: African Journal of Urology - December 13, 2016 Category: Urology & Nephrology Source Type: research

Prostate cancer revealed by skin metastasis: A case report in black African man
Conclusion Skin metastasis of prostate cancer is rare and their recognition remains poor among practitioners requiring biopsy of the lesions. The prognosis could be better in newly diagnosed prostate cancer. (Source: African Journal of Urology)
Source: African Journal of Urology - November 23, 2016 Category: Urology & Nephrology Source Type: research

Asymptomatic dedifferentiated liposarcoma mimicking renal cell carcinoma —A report of a rare case and review of the literature
We report on an extremely rare case of asymptomatic perinephric de-differentiated sclerosing liposarcoma mimicking a cystic renal cell carcinoma on clinical and radiological presentation. Difficulties in diagnosis and therapy of this rare tumor are discussed in the light of the available literature. (Source: African Journal of Urology)
Source: African Journal of Urology - November 22, 2016 Category: Urology & Nephrology Source Type: research

Tamsulosin therapy improved the outcome of ureterorenoscopy for lower ureteral stones: A prospective, randomised, controlled, clinical trial
Conclusion Post-tamsulosin ureteroscopy was easier and safer; leading to significantly increased stone-free rates and fewer complications. (Source: African Journal of Urology)
Source: African Journal of Urology - November 19, 2016 Category: Urology & Nephrology Source Type: research

First report of an OXA-58 carbapenemase-producing Acinetobacter baumannii isolated from urinary tract infection, in Morocco
Publication date: Available online 18 November 2016 Source:African Journal of Urology Author(s): S. Natoubi, A. Barguigua, N. Zerhouni, N. Baghdad, M. Timinouni, A. Hilali, S. Amghar, K. Zerouali (Source: African Journal of Urology)
Source: African Journal of Urology - November 18, 2016 Category: Urology & Nephrology Source Type: research

Impact of Tamsulosin, Tolterodine and drug-combination on the outcomes of lower urinary tract symptoms secondary to post-ureteroscopy ureteral stent: A prospective randomized controlled clinical study
Conclusion Combination of alpha blockers (Tamsulosin) and Anticholinergics (Tolterodine) seems to significantly improve post-URS lower urinary tract symptoms secondary to ureteral stents with lower need for analgesia and better quality of life. Adverse effect of used drugs mentioned as transient and tolerated by the patients without need for auxiliary medication. (Source: African Journal of Urology)
Source: African Journal of Urology - November 18, 2016 Category: Urology & Nephrology Source Type: research

To study the relationship between cadmium, zinc and mtDNA copy number in North Indian patients suffering from prostate cancer: A case control study
Conclusion Cd, Zn and mtDNA copy number significantly correlate with [Gleason] score which suggests that the former may serve as marker for therapeutic guidance. (Source: African Journal of Urology)
Source: African Journal of Urology - November 18, 2016 Category: Urology & Nephrology Source Type: research

Penile gangrene in a HIV patient
Conclusion HIV infection should be taken in account among causes of penile necrosis. (Source: African Journal of Urology)
Source: African Journal of Urology - November 16, 2016 Category: Urology & Nephrology Source Type: research

Le prolapsus de la muqueuse ur étrale chez la fillette: à propos de 12 cas et revue de la littérature
Conclusion Le prolapsus urétral est une pathologie rare. Son diagnostic est clinique. L’exérèse chirurgicale constitue le traitement radical du prolapsus urétral et donne de bons résultats. Objectives To report on the epidemiological, diagnostic, and therapeutic aspects of urethral prolapse. Patients and methods The current study is a descriptive cross-sectional study over a period of 8 years (January 2006-December 2013). It was conducted on 12 patients aged under 16 and managed for urethral prolapse in the pediatric surgery department of the hospital Aristide Le Dantec. We studied ...
Source: African Journal of Urology - November 11, 2016 Category: Urology & Nephrology Source Type: research

Sarcome à cellules fusiformes du rein de l’adulte : A propos d’un cas
Conclusion Le SCCR, bien qu’il soit connu comme étant de mauvais pronostic, peut être guérri. Introduction Renal sarcoma is an exceptional malignant tumor in adults. It is characterized by an aggressive disease course marked by a high rate of recurrence and mortality. Observation We report a case of renal spindle cell sarcoma in a 69 years old patient. A right nephrectomy was performed. There was no additional treatment. It was not noted recurrence with a decline of 8 months. Conclusion The SCCR, although it is known as a poor prognosis, can be treated. (Source: African Journal of Urology)
Source: African Journal of Urology - November 11, 2016 Category: Urology & Nephrology Source Type: research

Carcinome épidermoïde Primitif de la Prostate: A propos d’un cas et revue de la littérature
We report a new case of primary squamous cell carcinoma of the prostate occurring in a young 48-years-old man and diagnosed at a metastatic stage. Despite of the chemotherapy based on Cisplatine and Méitoxantrone, death occurred two months after the diagnosis. Based on this observation and referring to literature review, we discuss the various clinical, histological, therapeutic and prognostic features of this rare tumour. (Source: African Journal of Urology)
Source: African Journal of Urology - November 8, 2016 Category: Urology & Nephrology Source Type: research

Evisc ération scrotale: complication rare de la pulpectomie
Publication date: Available online 4 November 2016 Source:African Journal of Urology Author(s): Amine Moataz, Reda Sentissi, Aissam Goultaiene, Elmehdi Wichou, Mohamed Hamirifou, Rachid Aboutaieb, Fathi Meziane, Khalid El Hattabi, Fatimazahra Bensardi, Abdelaziz Fadil Pulpectomy is a quite common and simple procedure in our unit as a result of its low cost compared to medical castration. However, several complications can occur as a result of this surgery. We will present through this observation a rare complication of pulpectomy in a 67-year-old patient who presented in the emergency department for a scrotal evisceration...
Source: African Journal of Urology - November 4, 2016 Category: Urology & Nephrology Source Type: research

Aspects épidemiologiques et thérapeutiques des hydrocèles vaginales au centre hospitalier régional de Dapaong (Togo)
Conclusion l’hydrocèle vaginale est une pathologie fréquente en zone tropicale et nécessite une prise en charge chirurgicale. La réduction de son incidence dans nos milieux passera par une éradication des filarioses lymphatiques. Objectives To describe the epidemiology and the treatment of vaginal hydrocele in a filarial endemic area. Patients and methods This was a retrospective descriptive study of patients admitted and treated in the General Surgery Service of the Regional Hospital of Dapaong (Togo) for hydrocele, diagnosed on clinical and paraclinical evidence. Results One hundr...
Source: African Journal of Urology - November 2, 2016 Category: Urology & Nephrology Source Type: research

Prise en charge des corps étrangers des voies urinaires basses à Bobo-Dioulasso (Burkina Faso). Plaidoyer pour un accès aux moyens endoscopiques
Conclusion Les corps étrangers des voies urinaires basses sont relativement peu fréquents dans notre pratique, leur diagnostic est aisé avec des circonstances de survenue et la nature de ces corps étrangers variables. Malgré les progrès de l’endoscopie urologique, leur prise en charge dans notre pratique est faite par la chirurgie à ciel ouvert. Objective To present our experience of lower urinary tract foreign bodies management Subjects and Methods It was a retrospective review of lower urinary tract foreign bodies, managed in the Urology division of Souro Sanou Unive...
Source: African Journal of Urology - November 1, 2016 Category: Urology & Nephrology Source Type: research

M étastases cutanées après une cystoprostatectomie: à propos d’un cas et revue de la littérature
We report through this observation the case of a patient with cutaneous metastases two years after cystoprostatectomy with bilateral cutaneous ureterostomy. (Source: African Journal of Urology)
Source: African Journal of Urology - November 1, 2016 Category: Urology & Nephrology Source Type: research

Caract éristiques épidémiologiques, cliniques, histo-pathologiques et thérapeutiques du Cancer du rein dans l’Ouest Algérien: à propos de 115 cas
Conclusion Le cancer rénal dans notre population était une pathologie de sujets âgés, avec une prédominance masculine et symptomatologie polymorphe. Le carcinome rénal à cellules claires était le type histologique le plus fréquent avec dominance des stades T3, T2 et des grades II et III. Objectives The main aim was to conduct a retrospective epidemiological study to determine the histoclinical, pathological and therapeutic characteristics of kidney cancers in western Algeria. Patients and methods Retrospective epidemiological study including 115 cases of kidney ...
Source: African Journal of Urology - November 1, 2016 Category: Urology & Nephrology Source Type: research

Un incidentalome surrenalien inhabituel: le ganglioneurome
We report a case of adrenal ganglioneuroma in a 42 year-old woman who had bronchiectasis and asthma. The tumor was discovered incidentally in the computed tomography indicated in the etiological assessment of her bronchiectasis. Our diagnosis was confirmed by histopathology. (Source: African Journal of Urology)
Source: African Journal of Urology - November 1, 2016 Category: Urology & Nephrology Source Type: research

D écouverte fortuite de métastases testiculaires d’un carcinome mammaire
We report the case of a 46-year-old man followed for a mammary carcinoma treated by radical mammectomy and axillary lymph node dissection, radiotherapy, chemotherapy and hormonal therapy. The patient underwent orchiectomy for bone metastasis progression. Pathologic examination revealed a right testicular metastasis from the mammary carcinoma. Through this case, we discuss the epidemiology of testicular metastasis and their clinical characteristics. (Source: African Journal of Urology)
Source: African Journal of Urology - October 28, 2016 Category: Urology & Nephrology Source Type: research

Duplication ur étrale épispade: Diagnostic et prise en charge. à propos d’un cas
We report here our first case in a three years old boy treated by open surgery. The postoperative course was uneventful and the result was good two years after. (Source: African Journal of Urology)
Source: African Journal of Urology - October 28, 2016 Category: Urology & Nephrology Source Type: research

Place de la cystomanom étrie à colonne d’eau dans l’exploration des vessies neurologiques chez l’enfant
Conclusion Cette étude montre que la cystomanométrie à colonne d’eau constitue une alternative efficace qui permet d’obtenir une mesure fiable du seuil de pression de fuite. Introduction Describe the technique of water column cystometry in children and investigate the existence of a correlation between the leak point pressure measured by this process and the alteration of the upper urinary tract. Subjects and methods During the period 2009 - 2012, 48 children with neurogenic bladder secondary to myelodysplasia, aged between 2 and 15 years at the first consultation and have not received a sp...
Source: African Journal of Urology - October 28, 2016 Category: Urology & Nephrology Source Type: research

Prise en charge de l ’uretère rétrocave au Togo: A propos de 3 observations
Publication date: Available online 28 October 2016 Source:African Journal of Urology Author(s): K. Tengue, G. Botcho, T.M. Kpatcha, K. Adabra, E. Sewa, E. Leloua, A.K. Amavi, K. Sikpa, E. Dosseh L’uretère retrocave est une malformation rare. Par ces 3 cas, les auteurs rappellent que cette affection est retrouvée plus souvent chez l’adulte jeune. La manifestation clinique habituelle étant la douleur lombaire due à l’obstruction du haut appareil urinaire, les formes asymptomatiques aussi peuvent être rencontrées. Le diagnostic reposant sur l’uroscanner son tra...
Source: African Journal of Urology - October 28, 2016 Category: Urology & Nephrology Source Type: research

Le kyste hydatique r énal primitif: Une première observation mauritanienne
Publication date: Available online 27 October 2016 Source:African Journal of Urology Author(s): T.I. Boudhaye, M.M. Taleb Jiddou, T. Mohamed, B. Salem, C. Jdoud L’hydatidose est une affection parasitaire rare qui sévit à l’état endémique dans certains pays du bassin méditerranéen. La localisation rénale est rare et n’existe que dans 2 à 3% des formes viscérales. En Mauritanie, cette pathologie est extrêmement rare, nous rapportons une première observation d’une localisation rénale de l’hydatidose dans cette r&e...
Source: African Journal of Urology - October 26, 2016 Category: Urology & Nephrology Source Type: research

Int érêt pronostique de l’infiltration du chorion dans les tumeurs vésicales pT1
Conclusion Le classement des ces tumeurs en fonction de l’importance d’envahissement du chorion et de l’infiltration de la musculaire muqueuse a prouvé son efficacité à travers les taux de récidive et de progression tumorale chez nos malades. Introduction The aim of our study was to evaluate the prognostic impact of tumor infiltration depth of the lamina propria and invasion or non-invasion of the muscularis mucosa of pT1 bladder tumors, studying recurrence and progression rate, overall survival, disease-free survival and progression-free survival. Patients and methods All slid...
Source: African Journal of Urology - October 26, 2016 Category: Urology & Nephrology Source Type: research

Lithiases v ésicales géantes: A propos de 2 cas
Publication date: Available online 27 October 2016 Source:African Journal of Urology Author(s): S. Ouedraogo, M.T. Traoré, B. Kirakoya Les lithiases vésicales sont fréquentes. Généralement, les calculs vésicaux sont de petite taille et leur traitement est relativement aisé. Les macro-lithiases vésicales sont rares. Nous présentons deux cas de macro-lithiase vésicale diagnostiqués dans un contexte social particulier. Il s’agit de deux patients de sexe masculin, l’un âgé de 47ans et l’autre de 66ans, reçus en c...
Source: African Journal of Urology - October 26, 2016 Category: Urology & Nephrology Source Type: research

ETS-1 oncoprotein expression is decreased in aggressive papillary transitional cell carcinoma of the urinary bladder: An immunohistochemical study
Conclusion ETS-1 oncoprotein is down regulated with high grade and highly invasive urinary bladder papillary transitional cell carcinomas. This oncoprotein may be used as an independent prognostic marker to predict the aggressive papillary transitional carcinomas with high invasive potential. More studies are needed to confirm our results. (Source: African Journal of Urology)
Source: African Journal of Urology - October 20, 2016 Category: Urology & Nephrology Source Type: research

R ôle de l’IRM prostatique dans le cancer de la prostate en 2016: mise au point et perspectives d’avenir
Publication date: Available online 7 October 2016 Source:African Journal of Urology Author(s): A. Barrier, A. Ouzzane, A. Villers Le diagnostic du cancer de la prostate est le plus souvent porté à l’occasion d’un dosage élevé de PSA, fait dans le cadre du dépistage individuel, et repose sur la réalisation de «biopsies systématisées» par voie transrectale avec guidage échographique. Cette stratégie classique entraîne un risque de sur-diagnostic de cancers cliniquement non significatifs [microfoyers], ainsi qu’une non-d...
Source: African Journal of Urology - October 9, 2016 Category: Urology & Nephrology Source Type: research

L ’urétroplastie par résection anastomose terminoterminale pour rétrécissement de l’urètre masculin au CHU Sylvanus Olympio de Lomé au Togo
Conclusion L’URAT, est la technique d’urétroplastie la plus utilisée au CHU-SO de Lomé. C’est une technique qui donne de bons résultats. Mais le taux d’échec reste encore élevé chez nous. Les complications post opératoires sont également fréquentes, réduisant ainsi, les chances de réussite de l’urétroplastie. Objective To evaluate the end-to-end urethroplasty anastomosis (EURA) in the CHU Sylvanus Olympio of Lomé in Togo. Patients and methods A descriptive and retrospective study over 30 months on...
Source: African Journal of Urology - September 3, 2016 Category: Urology & Nephrology Source Type: research

Outcome of ureteral distensibility on the success of ureteroscopy: A prospective hospital-based descriptive study
Conclusions Our results suggest that ureteric distensibility should be tested before ureteroscopy. Primary ureteroscopy is recommended in distensible ureters because of its low complication rates and favorable outcome. Pre-stenting may be necessary before ureteroscopy in non-distensible ureters; secondary ureteroscopy may be safer and more feasible in these settings. (Source: African Journal of Urology)
Source: African Journal of Urology - August 25, 2016 Category: Urology & Nephrology Source Type: research

Clinical presentation and treatment of urethral stricture: Experience from a tertiary hospital in Port Harcourt, Nigeria
Conclusion Trauma is the leading cause of USD in Port Harcourt. Iatrogenic strictures were common. Urethroplasty gives satisfactory outcome. Efforts should be made to reduce urethral injuries. (Source: African Journal of Urology)
Source: African Journal of Urology - August 22, 2016 Category: Urology & Nephrology Source Type: research

Clinical and pathological features of papillary renal cell carcinoma and prognostic value of its type-1 and type-2 subtypes
Conclusion PRCC represents the second most common histological type of renal cancer. It has no clinical or radiological predicting signs, although CT enhancement is usually <40HU. Distinguishing between the two subtypes is essential because of their prognostic value. (Source: African Journal of Urology)
Source: African Journal of Urology - August 20, 2016 Category: Urology & Nephrology Source Type: research

Functional evaluation of a modified Studer ileal neobladder
Conclusion Minimizing the length of the ileum for Studer neobladder reconstruction is feasible and with acceptable results. (Source: African Journal of Urology)
Source: African Journal of Urology - August 17, 2016 Category: Urology & Nephrology Source Type: research

Capacit é de la biopsie de la prostate à prédire le score réel du cancer de la prostate?
Conclusion Le score de Gleason ne reflète qu’imparfaitement celui de la pièce opératoire, ainsi ces limites de stadification doivent être bien comprises lors de la détermination des stratégies thérapeutiques. Objective To evaluate the correlation between Gleason score at needle biopsy and prostatectomy specimen. Subjects and Methods We reviewed the records of 47 patients treated for prostate cancer by radical prostatectomy and the evaluation of the agreement was made according to the differentiation groups (well, moderately and poorly differentiated). Results The concor...
Source: African Journal of Urology - August 8, 2016 Category: Urology & Nephrology Source Type: research

Prise en charge du priapisme à bas débit vue tardivement : à propos de 28 cas
Conclusion Le priapisme doit être considéré comme une urgence andrologique majeure dont le traitement s’impose sans délai. Le pronostic dépend essentiellement de l’âge des malades et du délai de leur prise en charge. Dans notre étude le priapisme idiopathique semble avoir le meilleur pronostic. Enfin, le traitement des facteurs de risque et la prise en charge précoce sont les meilleurs moyens pour éviter cette infirmité. Introduction Priapism is a rare condition, affecting young adults and is defined as a prolonged and painful erection o...
Source: African Journal of Urology - August 8, 2016 Category: Urology & Nephrology Source Type: research

Congenital prepubic sinus – A variant of urethral duplication
Conclusion Simple excision of the sinus tract is preferred in most patients. Awareness and knowledge of the anatomical variations of the course of the sinus tract will help in complete excision and hence avoiding the recurrence. (Source: African Journal of Urology)
Source: African Journal of Urology - August 3, 2016 Category: Urology & Nephrology Source Type: research

Profil hormonal chez l ’homme en cas d’infertilité au laboratoire de radio immunologie de l’institut des radioisotopes de Niamey
Conclusion There are many endocrinopathies that can induce male infertility. They can be congenital or acquired and can concern several stages, hypothalamus, pituitary and testis. It's important to diagnose thoses endocrinopathies, because some of them are accessible to treatment. (Source: African Journal of Urology)
Source: African Journal of Urology - August 3, 2016 Category: Urology & Nephrology Source Type: research

The effect of presence of facultative bacteria species on semen and sperm quality of men seeking fertility care
Conclusions Although bacterial presence in semen reduced mean sperm concentration and viability, thereby contributed to oligozoospermia and by extension the chances of siring a child, however, factors other than bacterial presence may contribute more. Improved interpretative approaches of semen analyses are highlighted. (Source: African Journal of Urology)
Source: African Journal of Urology - August 2, 2016 Category: Urology & Nephrology Source Type: research

New developments in percutaneous stone surgery
Publication date: Available online 1 August 2016 Source:African Journal of Urology Author(s): S. Derisavifard, C. Hartman, N. Gupta, D. Hoenig, Z. Okeke, A. Smith Percutaneous stone surgery is the gold standard in removing large renal calculi. In light of the increase in prevalence and size of renal stones being addressed in recent years, numerous advances have been made in attempts of improving the morbidity, efficacy, and technical ease of stone clearance. In this review article, we assess new advancements in percutaneous stone surgery including diagnosis and surgical planning, methods of renal access, patient positioni...
Source: African Journal of Urology - August 2, 2016 Category: Urology & Nephrology Source Type: research