‘Opening a can of worms’: Bilateral varicoceles as an indicator of underlying portal-hypertension
Publication date: Available online 1 August 2016 Source:African Journal of Urology Author(s): Ahmed Adam, Wisani Craig Mamitele, Andrew Moselane, Farzanah Ismail The scrotal varicocele is a common finding encountered during clinical examination. A porto-systemic shunt presenting with an associated varicocele is exceptionally rarely reported. Herein, we report such a case in an HIV positive man who presented with bilateral varicoceles. This is only the fifth case of such an association in the world literature. A literature review and the possible underlying pathophysiological mechanisms of this rare association are expande...
Source: African Journal of Urology - August 2, 2016 Category: Urology & Nephrology Source Type: research

Chromophobe renal cell carcinoma in an 18-year-old female
Publication date: Available online 1 August 2016 Source:African Journal of Urology Author(s): I. Saguem, S. Charfi, R. Kallel, S. Makni, M. Fourati, L. Ayadi, M.N. Mhiri, T. Boudawara Renal cell carcinoma (RCC) in young adults is uncommon. Whether they have different clinicopathologic characteristics and outcomes from those in older patients is still a conflicting matter. In this article we present an uncommon subtype of RCC which is chromophobe RCC (chRCC) in a female aged less than 20 years. (Source: African Journal of Urology)
Source: African Journal of Urology - August 2, 2016 Category: Urology & Nephrology Source Type: research

Feasibility and outcome of emergency ureteroscopic removal of lower ureteral stone under intravenous sedation: A prospective study
Conclusion Emergency URS under intravenous sedation is feasible, safe and equally effective when compared to elective URS for small lower ureteral stones. (Source: African Journal of Urology)
Source: African Journal of Urology - July 30, 2016 Category: Urology & Nephrology Source Type: research

A case of isolated female epispadias and our approach to treatment
Publication date: Available online 27 July 2016 Source:African Journal of Urology Author(s): M.S. Arslan, S. Arslan, H. Zeytun, E. Basuguy, M. Ozkir, B. Aydogdu, M.H. Okur, I. Uygun Cases of isolated female epispadias (IFE) without exstrophy of the bladder are quite rare. The clinical symptoms of IFE are abnormal external genitalia with primary urinary incontinence. Our patient was a 7-year-old girl with total urinary incontinence. Physical examination revealed a patulous urethra, bifid labia minora, and a bifid clitoris. The vagina and hymen appeared to be normal. Uroflowmetry demonstrated an overflow-type patho...
Source: African Journal of Urology - July 27, 2016 Category: Urology & Nephrology Source Type: research

Complications and renal functional deterioration in patients with co-morbidities following laparoscopic partial nephrectomy
Conclusion Laparoscopic partial nephrectomy for renal malignancy is safe surgery with low complication rate and there is a definite association between the preoperative co-morbidities and renal functional deterioration postoperatively. (Source: African Journal of Urology)
Source: African Journal of Urology - July 26, 2016 Category: Urology & Nephrology Source Type: research

Ask-Upmark kidney with bilateral pelvi-ureteric junction obstruction – A rare entity
We report a case of two years’ male child presenting as abdominal swelling with respiratory distress. On evaluation he was found to have bilateral pelvi-ureteric junction obstruction and left non-functioning kidney for which he underwent right pyeloplasty and left nephrectomy later on. Histopathology report of left kidney suggestive of segmental renal hypoplasia (Ask-Upmark kidney). (Source: African Journal of Urology)
Source: African Journal of Urology - July 26, 2016 Category: Urology & Nephrology Source Type: research

Accuracy of the contemporary Epstein criteria to predict insignificant prostate cancer in North African Man
Conclusion The contemporary Epstein criteria used for the identification of clinically insignificant prostate cancer have been found to underestimate the real state of prostate cancer in as many as 43% of our patients. They were a good tool for predicting organ-confined rather than insignificant prostate cancer in our North African patients. Therefore, caution is advised when the decision on the implementation of active surveillance or focal therapy is solely based on these criteria. (Source: African Journal of Urology)
Source: African Journal of Urology - July 26, 2016 Category: Urology & Nephrology Source Type: research

A rare case of preputial calculi in a child with balanitis xerotica obliterans: A short communication
Publication date: Available online 26 July 2016 Source:African Journal of Urology Author(s): G.A. Kekre, P.R. Kothari, A.R. Gupta, P.S. Patil, R.S. Kamble, K.V. Dikshit, A. Deshpande Preputial stones are the rarest form of urolithiasis in pediatric patients with only a few cases reported in the literature. Following, we present the case of an 11-year-old boy who developed preputial stones. (Source: African Journal of Urology)
Source: African Journal of Urology - July 26, 2016 Category: Urology & Nephrology Source Type: research

Unilateral nodular adrenal hyperplasia: Case series
Conclusion Unilateral nodular hyperplasia is an existent pathology affecting our patients with hyperaldosteronism and Cushing syndrome. The disease may not be rare but actually overlooked as the nodular hyperplasia may be <1cm. (Source: African Journal of Urology)
Source: African Journal of Urology - July 26, 2016 Category: Urology & Nephrology Source Type: research

Int érêt du lambeau fasciocutané médial de la cuisse dans la gangrène de Fournier
Conclusion La couverture des pertes de substance périnéoscrotales a été longtemps dominée par l’enfouissement des testicules et la greffe de peau. Certes, ces deux techniques sont simples, mais elles ne sont pas toujours réalisables. Comparé aux autres lambeaux, musculocutanés en l’occurrence, le lambeau fasciocutané médial de cuisse reste un moyen simple, utile, et dont la morbidité est moindre. Il doit occuper une place de choix dans la couverture de telles pertes de substances, notamment chez le sujet âgé, chez qui le d...
Source: African Journal of Urology - July 26, 2016 Category: Urology & Nephrology Source Type: research

Male infertility: An audit of 70 cases in a single centre
Conclusion Varicocoele represents the most common treatable cause of male factor infertility and treatment is accompanied with improved seminal fluid parameters as well pregnancy rate. Post-treatment sperm concentration and motility were the only factors that could predict the possibility of achieving pregnancy. (Source: African Journal of Urology)
Source: African Journal of Urology - July 25, 2016 Category: Urology & Nephrology Source Type: research

Golden rules in practice of cancer pathology
Publication date: Available online 21 July 2016 Source:African Journal of Urology Author(s): M.N. El-Bolkainy The pathologic diagnosis of cancer is an essential initial step in the management of patients, a great responsibility facing the pathologist. The present review is a critical analysis of current practice. The aim is to disclose defects, describe diagnostic strategies and outline recent changing trends in the use of diagnostic methods. The importance of recognizing syndromic cancers, interpathologist consultation and interdisciplinary cooperation is emphasized. Twenty advises and guidelines are presented which ma...
Source: African Journal of Urology - July 22, 2016 Category: Urology & Nephrology Source Type: research

Asymptomatic uretheral intercourse associated with Mayer Rokitansky K üster Hauser syndrome type II: A case with crossed fused renal ectopia and scoliosis
Conclusions Urethral coitus is very rare with few cases reported. Woman diagnosed with MRKHS II should be assessed for associated abnormalities especially skeletal and renal ones. Urinary incontinence associated with coitus and dyspareunia with Mullerian anomalies should raise the suspicion of urethral coitus. Follow-up is important to avoid urinary tract infections if the female rejects surgery and is satisfied with intra-urethral coitus. Mullerian anomaly should be corrected to allow vaginal intercourse if possible. (Source: African Journal of Urology)
Source: African Journal of Urology - July 22, 2016 Category: Urology & Nephrology Source Type: research

Transperitoneal laparoscopic ureteric reimplantation for lower ureteric strictures and ureterovaginal fistulas: A study from north India
Conclusion Laparoscopic ureteric reimplantation is an excellent modality for both lower ureteric strictures and ureterovaginal fistulas with long term good outcomes in addition to the advantage of lesser hospital stay and lesser comorbidities. (Source: African Journal of Urology)
Source: African Journal of Urology - July 22, 2016 Category: Urology & Nephrology Source Type: research

Flexible ureteroscopy for lower calyceal stones in a horseshoe kidney – Is it the new treatment of choice?
Conclusion RIRS for the treatment of stone disease in horseshoe kidneys has been shown to be a relatively safe and effective procedure. However, due to the anatomical abnormality, a second look may be needed to render the patient completely stone-free. (Source: African Journal of Urology)
Source: African Journal of Urology - July 22, 2016 Category: Urology & Nephrology Source Type: research

Complications et facteurs pronostiques des vessies neurog ènes
Conclusion Le principal facteur de risque de survenue de complications au cours des vessies neurologiques et neurogènes a été l’hypocompliance d’où l’intérêt de l’exploration urodynamique dans la prise en charge des troubles urinaires. Objectives To determine the uronephrologic complications of neurogenic bladder and to identify the risk factors. Patients & Methods The authors carried out a retrospective study, involving 79 patients recruited at the service of Physical Medicine and Functional Readaptation of CHU IBN ROCHD of Casablanca, for a urodyn...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

D étection précoce du cancer de la prostate chez des apparentés de premier degré au Sénégal
Conclusion Dans cette étude l’association de la race noire et d’un facteur de risque familial ne semblait pas augmenter la fréquence du cancer de la prostate dans notre pays. Cependant d’autres études sur cette question sont nécessaires. Objective To determine the incidence and the profile of familial forms of prostate cancer among Senegalese men. Patients and methods We performed a prospective study between January of 2008 and December of 2010. It concerned Senegalese families that harbored a case of prostate cancer. The study consisted of screening for prostate cancer among...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

Corr élations entre la dysfonction sexuelle et le profil clinicobiologique de l’insuffisant rénal en hémodialyse
Conclusion Certains facteurs cliniques et perturbations biologiques peuvent aider à la compréhension de l’étiopathogénie de ces troubles. Une approche globale peut être proposée basée sur une optimisation des facteurs intervenants. Notre étude souligne l’intérêt d’une surveillance clinique, biologique et hormonale de ces patients. Objective To determine the correlation between sexual dysfunction and the clinical and biological profiles of chronic renal failure patients on hemodialysis (HD) at the Hassan II university teaching hospital, F...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

La mortalit é spécifique en urologie dans un hôpital de référence au Sénégal: analyse d’une série de 132 décès
Conclusion Dans notre centre, la mortalité spécifique reste élevée et les causes sont dominées par les cancers urologiques. Objective To identify the causes of deaths in a urology department of sub-Saharan Africa. Patients and Methods This is a retrospective study including all deaths between February 2010 and February 2014. The parameters studied were age at death, gender, co-morbidities, hospital stay and the cause of death. Results The number of deaths was 132 including 7 women and 125 men. Hospital mortality was 2.9%. The average age of deceased patients was 63,6 (median age 66). T...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

Ur étrocystoscopie ambulatoire au service d’Urologie/Andrologie de l’Hôpital Général Grand Yoff de Dakar
Conclusion L’urétroystoscopie est un examen important surtout en pathologie tumorale. L’hématurie en était la principale indication mettant en évidence surtout les tumeurs de vessie et l’hypertrophie prostatique mais aussi les pathologies inflammatoires de la vessie. Introduction and objectives To describe the characteristics of patients undergoing urethrocystoscopy, the indications and results of the examination and the additional procedures performed. Patients et methods We descriptively and retrospectively studied patients undergoing outpatient urethrocystoscopy at the dep...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

Ureteroscopie Retrograde: Exp érience de l’Hôpital Général Grand Yoff de Dakar
Conclusion La pratique courante de l’urétéroscopie constitue un défi pour l’urologue en Afrique subsaharienne. Elle est devenue le traitement de choix de la lithiase de la voie excrétrice supérieure. Objective To present the results of the ureteroscopy at the GrandYoff General Hospital (Hoggy) in Dakar (Senegal). Subjects and methods This is a descriptive study of 91 ureteroscopy procedures performed at the Urology department of Grand Yoff General Hospital from January 2012 to December 2013. The variables of the study were indication, age, type of ureteroscopy associate or n...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

Caract éristiques épidémiologiques du cancer de la vessie chez la femme en Tunisie
Conclusion Notre travail représente le premier travail effectué en Tunisie sur les tumeurs de vessie chez la femme. Il a permis de conclure que l’incidence de ces tumeurs subit constamment une hausse qui toutefois demeure modérée. Cette modification est expliquée en partie par le changement des habitudes sociales chez la femme et en partie par la présence de facteurs protecteurs. Introduction The incidence of urinary bladder cancer is constantly increasing with a three-fold increased preponderance in men. The fact that women are less prone to bladder cancer and the factors b...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

Les fistules uro-g énitales iatrogènes: À propos de 62 cas et revue de la littérature
Conclusion Les fistules urogénitales iatrogènes deviennent une complication relativement fréquente de la césarienne et de l’hystérectomie dans les pays en développement y compris le Niger. Bien que leur traitement chirurgical assure un taux élevé de succès, l’accent doit être mis sur la prévention par l’amélioration des formations en chirurgie et de la pratique des soins obstétricaux d’urgence de qualité. Objectives To identify types of iatrogenic genitourinary fistula, their circumstances of occurrence...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

Cancers de la prostate de score de Gleason sup érieur ou égal à 8: Evaluation de la survie des patients
Conclusion Les cancers de la prostate de score de Gleason ≥ 8 sont de mauvais pronostic dans notre pratique. Objectives To evaluate the oncological outcomes of patients treated for prostate cancer Gleason score ≥ 8 using as criteria: total PSA, overall survival and progression-free survival. Patients and methods This was a retrospective study in the Urology-andrology department of the Aristide Le Dantec hospital in Dakar, from 1st June 2010 - to October 31, 2014. We compiled the data of 30 patients with prostate cancer with a Gleason score ≥ 8. The treatments used were hormonal therapy and radical prostatectomy....
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

Hydron éphrose géante révélant un cystadénome mucineux de la voie excrétrice urinaire supérieure
We report the observation of a 63 year old man who consulted for abdominal mass gradually increasing in size. Ultrasonography and CT showed a significant hydronephrosis of the left kidney. Total nephroureterectomy was performed. Pathological examination found a mucinous cystadenoma of kidney and ureter. The mucinous cystadenoma in this presentation has not been reported before. (Source: African Journal of Urology)
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

Tumeur de Buschke-L öwenstein: à propos de 8 cas et revue de la littérature
Conclusion La TBL est une pathologie relativement fréquente qui affecte des patients jeunes des 2 sexes au service d’urologie. La « cautérisation-exérèse » est le meilleur traitement. Objectives Present the clinical, pathological, histological and management of Buschke-Löwenstein tumor (BLT) at the National General Hospital of N’Djamena in Chad. Subjects and methods A descriptive prospective study which collected 8 patients’ records presenting BLT from May 2009 to June 2012. The variables studied were clinical, paraclinical, therapeutic and evolutio...
Source: African Journal of Urology - July 21, 2016 Category: Urology & Nephrology Source Type: research

The incidence of apparent congenital urogenital anomalies in North Indian newborns: A study of 20,432 pregnancies
Conclusions The incidence of apparent congenital urogenital anomalies was 3.91%. Infertility treatment, parity >2 and a maternal age >30 years were independently associated with an increased risk of congenital urogenital anomalies. (Source: African Journal of Urology)
Source: African Journal of Urology - July 19, 2016 Category: Urology & Nephrology Source Type: research

Retrograde pericatheter urethrography (RPU) technique and its clinical use after urethroplasty: A single center experience
Conclusion RPU is the most useful radiological diagnostic method for evaluating the appropriate time for catheter removal after urethroplasty. It helps to assess urethral healing and patency after urethroplasty. Prolonged catheterization in patients showing contrast extravasation may be helpful. (Source: African Journal of Urology)
Source: African Journal of Urology - July 4, 2016 Category: Urology & Nephrology Source Type: research

Facial nerve palsy as a primary presentation of advanced carcinoma of the prostate: An unusual occurrence
We report a case of 65-year-old man who presented with right lower motor neuron (LMN) facial nerve palsy. The prostate had malignant features on digital rectal examination (DRE) and the prostate specific antigen (PSA) was 116ng/ml. Histology of the prostate biopsy confirmed an adenocarcinoma with the Gleason score of (4+3)=7/10. The computerised tomography (CT) scan of the skull revealed dense osteosclerosis at the base, worse in the petrous part of the right temporal bone with narrowed ipsilateral facial nerve canal. Androgen deprivation therapy (ADT) was achieved by bilateral orchidectomy. Analgesics and bisphosphonates ...
Source: African Journal of Urology - July 2, 2016 Category: Urology & Nephrology Source Type: research

Late recurrent adrenocortical carcinoma presenting radiologically as a gastrointestinal stromal tumour: A case report
We report a case of late metastatic ACC presented as a mesenteric mass, 10 years post left adrenalectomy. Our case was initially misdiagnosed radiologically as gastrointestinal stromal tumour (GIST), and then the decision for exploration was made. The mass could be safely excised and confirmed pathologically to be an adrenocortical tumour. (Source: African Journal of Urology)
Source: African Journal of Urology - July 1, 2016 Category: Urology & Nephrology Source Type: research

Autosomal Dominant Polycystic Kidney Disease, incidental finding with trauma: Case report and review of the literature
Conclusion Patients with abnormal kidneys require counselling regarding increased risk of injury following blunt abdominal trauma. The decision to transfuse a patient following renal trauma to pre-existing renal lesion possibly requiring a renal transplant, should be done with consideration of the increased risk of antigen sensitization. Patients that present with signs and symptoms out of proportion with the mechanism of trauma should raise the suspicion of undiagnosed pre-existing renal lesions. In cases of blunt renal trauma with a history suggesting the possibility of a pre-existing lesion, the threshold for requesting...
Source: African Journal of Urology - June 30, 2016 Category: Urology & Nephrology Source Type: research

Tumeur de Buschke-Löwenstein: à propos de 8 cas et revue de la littérature
Conclusion La TBL est une pathologie relativement fréquente qui affecte des patients jeunes des 2 sexes au service d’urologie. La « cautérisation-exérèse » est le meilleur traitement. Objectives Present the clinical, pathological, histological and management of Buschke-Löwenstein tumor (BLT) at the National General Hospital of N’Djamena in Chad. Subjects and methods A descriptive prospective study which collected 8 patients’ records presenting BLT from May 2009 to June 2012. The variables studied were clinical, paraclinical, therapeutic and evolutio...
Source: African Journal of Urology - June 27, 2016 Category: Urology & Nephrology Source Type: research

Hydronéphrose géante révélant un cystadénome mucineux de la voie excrétrice urinaire supérieure
We report the observation of a 63 year old man who consulted for abdominal mass gradually increasing in size. Ultrasonography and CT showed a significant hydronephrosis of the left kidney. Total nephroureterectomy was performed. Pathological examination found a mucinous cystadenoma of kidney and ureter. The mucinous cystadenoma in this presentation has not been reported before. (Source: African Journal of Urology)
Source: African Journal of Urology - June 26, 2016 Category: Urology & Nephrology Source Type: research

Cancers de la prostate de score de Gleason supérieur ou égal à 8: Evaluation de la survie des patients
Conclusion Les cancers de la prostate de score de Gleason ≥ 8 sont de mauvais pronostic dans notre pratique. Objectives To evaluate the oncological outcomes of patients treated for prostate cancer Gleason score ≥ 8 using as criteria: total PSA, overall survival and progression-free survival. Patients and methods This was a retrospective study in the Urology-andrology department of the Aristide Le Dantec hospital in Dakar, from 1st June 2010 - to October 31, 2014. We compiled the data of 30 patients with prostate cancer with a Gleason score ≥ 8. The treatments used were hormonal therapy and radical prostatectomy....
Source: African Journal of Urology - June 4, 2016 Category: Urology & Nephrology Source Type: research

Duodenal perforation during percutaneous nephrolithotomy (PCNL) in a pediatric patient: A case report
We report the case of a 7-year-old girl who presented with a duodenal perforation in the early postoperative period after undergoing PCNL for a calculus sized 2.5cm in the right renal pelvis. She was successfully managed conservatively. The diagnostic workup and management are discussed. (Source: African Journal of Urology)
Source: African Journal of Urology - June 3, 2016 Category: Urology & Nephrology Source Type: research

La mortalité spécifique en urologie dans un hôpital de référence au Sénégal: analyse d’une série de 132 décès
Conclusion Dans notre centre, la mortalité spécifique reste élevée et les causes sont dominées par les cancers urologiques. Objective To identify the causes of deaths in a urology department of sub-Saharan Africa. Patients and Methods This is a retrospective study including all deaths between February 2010 and February 2014. The parameters studied were age at death, gender, co-morbidities, hospital stay and the cause of death. Results The number of deaths was 132 including 7 women and 125 men. Hospital mortality was 2.9%. The average age of deceased patients was 63,6 (median age 66). T...
Source: African Journal of Urology - May 31, 2016 Category: Urology & Nephrology Source Type: research

Giant adrenal cyst in a young female patient: A case report
Publication date: June 2016 Source:African Journal of Urology, Volume 22, Issue 2 Author(s): T. Atim, A. Mukhtar Adrenal cysts are rare cystic masses that arise from the adrenal gland. They are usually non-functional, asymptomatic and less than 10cm in diameter when discovered incidentally. However, giant adrenal cysts are cysts of the adrenal gland which are larger than 10cm in diameter. They pose a diagnostic conundrum to the surgeon as localization of the origin of the cyst is very difficult. Indications for surgical intervention include a size exceeding 10cm in diameter, the presence of symptoms, endocrine abnormal...
Source: African Journal of Urology - May 25, 2016 Category: Urology & Nephrology Source Type: research

Atypical presentation of an enormous vesical calculus: A case report
Publication date: Available online 20 May 2016 Source:African Journal of Urology Author(s): A.T. Lawal, M. Ahmed, A. Bello, H.Y. Maitama, M. Awaisu Giant vesical calculi, though rare, are still encountered in contemporary urologic practice despite the increased availability, accessibility, and affordability of modern imaging modalities and urologic care. This is the case report of a middle-aged man with an unusually large vesical calculus. He presented with symptoms atypical of this disease. After the diagnosis, he was subjected to open cystolithotomy, bladder neck dilatation and bladder biopsy, leading to the relie...
Source: African Journal of Urology - May 19, 2016 Category: Urology & Nephrology Source Type: research

An association between diet, metabolic syndrome and lower urinary tract symptoms
Publication date: Available online 4 May 2016 Source:African Journal of Urology Author(s): T.G. Adedeji, A.A. Fasanmade, E.O. Olapade-Olaopa Diet is a key factor in the aetiology of many diseases, including metabolic syndrome and lower urinary tract disorders. Metabolic syndrome is a growing and increasingly expensive health problem in both the developed and the developing world, with an associated rise in morbidity and mortality. On the other hand, lower urinary tract symptoms affect millions of individuals worldwide, lowering their quality of life. Associations have been established between both conditions in existi...
Source: African Journal of Urology - May 3, 2016 Category: Urology & Nephrology Source Type: research

Urétrocystoscopie ambulatoire au service d’Urologie/Andrologie de l’Hôpital Général Grand Yoff de Dakar
Conclusion L’urétroystoscopie est un examen important surtout en pathologie tumorale. L’hématurie en était la principale indication mettant en évidence surtout les tumeurs de vessie et l’hypertrophie prostatique mais aussi les pathologies inflammatoires de la vessie. Background/Aim To describe the characteristics of patients undergoing urethrocystoscopy, the indications and results of the examination and the additional procedures performed. Patients et methods We descriptively and retrospectively studied patients undergoing outpatient urethrocystoscopy at the department of Ur...
Source: African Journal of Urology - April 23, 2016 Category: Urology & Nephrology Source Type: research

Epidemiological characteristics of childhood urolithiasis in Morocco
Conclusions This preliminary study represents only a region of the country, so more epidemiological analyses should be done. Stone analysis should be performed more frequently, and patients must be presented at earlier stages, before any development of renal failure. (Source: African Journal of Urology)
Source: African Journal of Urology - April 22, 2016 Category: Urology & Nephrology Source Type: research

Corrélations entre la dysfonction sexuelle et le profil clinicobiologique de l’insuffisant rénal en hémodialyse
Conclusion Certains facteurs cliniques et perturbations biologiques peuvent aider à la compréhension de l’étiopathogénie de ces troubles. Une approche globale peut être proposée basée sur une optimisation des facteurs intervenants. Notre étude souligne l’intérêt d’une surveillance clinique, biologique et hormonale de ces patients. Objective To determine the correlation between sexual dysfunction and the clinical and biological profiles of chronic renal failure patients on hemodialysis (HD) at the Hassan II university teaching hospital, F...
Source: African Journal of Urology - April 20, 2016 Category: Urology & Nephrology Source Type: research

Les fistules uro-génitales iatrogènes: À propos de 62 cas et revue de la littérature
Conclusion Les fistules urogénitales iatrogènes deviennent une complication relativement fréquente de la césarienne et de l’hystérectomie dans les pays en développement y compris le Niger. Bien que leur traitement chirurgical assure un taux élevé de succès, l’accent doit être mis sur la prévention par l’amélioration des formations en chirurgie et de la pratique des soins obstétricaux d’urgence de qualité. Objectives To identify types of iatrogenic genitourinary fistula, their circumstances of occurrence...
Source: African Journal of Urology - April 15, 2016 Category: Urology & Nephrology Source Type: research

Use of the adjustable trans-obturator male sling system for the treatment of male incontinence. An initial experience
Conclusions Our early experience demonstrated that the ATOMS system may be a safe and effective procedure for the treatment of male urinary incontinence. It has the advantage of being feasible any time after an operation when necessary. However, long-term follow-up on a large number of cases is required to ensure its long-term efficacy and safety. (Source: African Journal of Urology)
Source: African Journal of Urology - March 24, 2016 Category: Urology & Nephrology Source Type: research

Introduction to the special issue of Buccal Mucosa Graft Urethroplasty
Publication date: March 2016 Source:African Journal of Urology, Volume 22, Issue 1 Author(s): Ismail Khalaf (Source: African Journal of Urology)
Source: African Journal of Urology - March 18, 2016 Category: Urology & Nephrology Source Type: research

Tubularized incised plate urethroplasty repair in adult hypospadias patients. Are results similar to those reported in the pediatric age group? A prospective study
Conclusions Complications encountered in the present study were urethral fistula and meatal stenosis with a higher incidence in patients with proximal hypospadias than reported in the literature. The important factors for the outcome of TIPU were the severity of hypospadias, the degree of curvature and the development of the spongiosum and urethral plate. Proximal hypospadias with a poor urethral plate and severe curvature in adults is not suitable for TIPU. In such cases, single-stage flap urethroplasty or two-stage buccal mucosal urethroplasty should be considered instead. (Source: African Journal of Urology)
Source: African Journal of Urology - March 6, 2016 Category: Urology & Nephrology Source Type: research

Management of anterior urethral strictures with buccal mucosa: Our pioneering experience
Publication date: Available online 2 March 2016 Source:African Journal of Urology Author(s): Abdelwahab Elkassaby, Mohamed Kotb Urethral stricture management is a challenging surgery. Multiplicity of techniques means that none of them is ideal. No single technique is appropriate for all situations and the successful surgeon should have a store of operations to choose from according to each specific case. This review aims to provide an update on the different uses of buccal mucosal graft as a reconstructive and replacement tool for anterior urethral strictures management. (Source: African Journal of Urology)
Source: African Journal of Urology - March 3, 2016 Category: Urology & Nephrology Source Type: research

Management of panurethral strictures
Conclusions Repair of pan-urethral stricture in a single-stage, with one-sided dissection and dorsal onlay of oral mucosa, is a minimally invasive technique that is simple, fast, safe, effective and reproducible in the hand of any surgeon. (Source: African Journal of Urology)
Source: African Journal of Urology - February 29, 2016 Category: Urology & Nephrology Source Type: research

Conservative management of colonic injury during percutaneous nephrolithotomy
Conclusion An approach combining a high degree of suspicion for early diagnosis and a diligent conservative management results in a favorable outcome in patients with colonic injury during PNL. (Source: African Journal of Urology)
Source: African Journal of Urology - February 24, 2016 Category: Urology & Nephrology Source Type: research

URETEROSCOPIE RETROGRADE: Expérience de l’Hôpital Général Grand Yoff de Dakar
Conclusion The current practice of endoscopic treatment for upper urinary tract stone is quite challenging to the urologist practising in sub- Sahara Africa. The effectiveness and lesser morbidity of laser lithotripsy has made it the treatment of choice for upper urinary tract stones. (Source: African Journal of Urology)
Source: African Journal of Urology - February 21, 2016 Category: Urology & Nephrology Source Type: research