Sossa Jean, Fanou Lionelle, Kikpadé Joachim, Hounto Yao Félicien, Yevi Dodji Magloire Inès, Hodonou Fred Martin, Avakoudjo Déjinnin Josué Georges
{"title":"The Impact of Body Mass on Male Fertility in a Cohort of 127 Patients","authors":"Sossa Jean, Fanou Lionelle, Kikpadé Joachim, Hounto Yao Félicien, Yevi Dodji Magloire Inès, Hodonou Fred Martin, Avakoudjo Déjinnin Josué Georges","doi":"10.4236/oju.2023.1311053","DOIUrl":"https://doi.org/10.4236/oju.2023.1311053","url":null,"abstract":"Background: Aromatase and leptin are two adipose tissue cytokines. The former converts androgens into estrogens and stimulates adipogenesis. The latter cannot fully stimulate GnRH release as its hypothalamic receptors are reduced in obese men. Thus, obesity which is associated with an adipose tissue increment can interfere with male fertility. Objective: We aim to study the correlation between the body mass index (BMI) of an individual and the quality of semen he produces. Patients and Method: By means of the software R 4.2.1 we performed a retrospective analysis of the relationship between the BMI and the semen alterations in the patients managed at the former Military Teaching Hospital of Cotonou from October 1, 2017, to September 30, 2022: a bi-varied analysis and Fischer’s exact test (significance threshold 5%, confidence interval 95%) followed by a logistic regression when a non-significant p-value is below 0.20. Results: 127 males managed for infertility (mean age = 36.2 years) were recorded, including 11.1% obese (BMI > 30 kg/m2) and 36.5% overweighted (25 kg/m2 2). The most frequent semen alterations were: oligoasthenospermia (27.8%), asthenospermia (22.2%), oligoasthenoteratospermia (14.3%), azoospermia (13.5%) and asthenoteratospermia (9.5%). Bi-varied analysis showed no correlation between the BMI and the semen alterations (p-value ranged from 0.086 to 0.9) and no difference in semen alterations between patients with BMI below and above 25 kg/m2 (p-value ranged from 0.12 to 0.9). Logistic regression demonstrated that asthenoteratospermia were correlated with BMI ≥ 25 kg/m2 [OR = 2.1, 95% CI (1.50 - 2.70), p = 0.021]. Conclusion: Male obesity and overweight can trigger asthenoteratospermia.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of the Torsion of Spermatic Cord in the Urology-Andrology Department of the Ignace Deen National Hospital in Conakry","authors":"Thierno Mamadou Oury Diallo, Mamadou Bissiriou Bah, Mamadou Diawo Bah, Boris Amougou, Daouda Kanté, Alimou Diallo, Demba Cissé, Abdoul Haqq Bah L’Imam, Mamadou Dian Oury Diallo, Abdoulaye Bobo Diallo, Oumar Raphiou Bah","doi":"10.4236/oju.2023.1310046","DOIUrl":"https://doi.org/10.4236/oju.2023.1310046","url":null,"abstract":"Introduction: Torsion of the spermatic cord is an emergency whose delay in treatment conditions the functional prognosis of the testicle. The aim of this study was to analyze the management of spermatic cord torsion in the Urology Andrology Department of the Ignace Deen National Hospital in Conakry. Material and methods: This was a ten-year retrospective descriptive study from January 1, 2012 to December 31, 2021. It involved all patients admitted for torsion of the spermatic cord, confirmed at surgical exploration. Results: We identified 21 cases of torsion of the spermatic cord. The mean age of the patients was 17.9 ± 4.4 years. The average consultation time was 19.2 ± 21.4 hours with extremes of [2 h and 98 h]. Only 6 patients (28.6%) consulted before the sixth hour. All patients presented with scrotal swelling. At scrototomy, all torsions were intravaginal with two turns of spiral in 13 cases and three turns in 8 cases. Orchiectomy followed by contralateral orchidopexy was performed in 6 cases. In the other cases, bilateral orchidopexy was performed after detorsion. The average hospital stay was 4.5 days. We recorded 4 cases of testicular atrophy after orchidopexy. Conclusion: Spermatic cord torsion is an infrequent emergency in our department. The delay in consultation remains the main predictive factor of testicular necrosis. Emergency exploratory scrotomy should be the rule.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ndiamoi Akassimadou, Kouassi Patrice Avion, Brice Aguia, Freddy Zouan, Vénance Alloka, Ben Sadia Kamara, Beh Yake, Koffi Dje
{"title":"Post-Operative Complications of Transvesical Prostatic Adenomectomy at Bouake Teaching Hospital: Epidemiological, Diagnostic and Therapeutic Aspects","authors":"Ndiamoi Akassimadou, Kouassi Patrice Avion, Brice Aguia, Freddy Zouan, Vénance Alloka, Ben Sadia Kamara, Beh Yake, Koffi Dje","doi":"10.4236/oju.2023.139039","DOIUrl":"https://doi.org/10.4236/oju.2023.139039","url":null,"abstract":"Introduction: The treatment of benign prostatic hyperplasia (BPH) responds to a medical aspect at first, the effectiveness of which is indisputable. However, the curative treatment is surgery. Trans-urethral resection of the prostate (TURP) represents the reference surgical technique when the technical platform is correct. In Bouaké, the FREYER HRYNTCHACK trans vesical approach is the technique used in our department. It sometimes leads to complications that can be life-threatening. The general objective of this work was to describe the morbidity and mortality of trans-bladder adenomectomy and their management at the Bouaké University Hospital. Material and Methods: This is a retrospective descriptive study carried out at the Bouaké Teaching Hospital over a period of 5 years from January 2016 to December 2022. It involved 150 patients operated on for BPH by the trans vesical route and who experienced postoperative complications. The parameters studied were age, postoperative complications, treatment, and mortality. Results: The mean age of the patients was 67.2 ± 7.37 years. Hemorrhage was the main immediate complication. Parietal suppuration, in 48% of cases, was the most common secondary complication, followed by vesicocutaneous fistula (18%), orchiepididymitis (15.33%) and urinary leakage (3.33). Late complications were: retrograde ejaculation in 73.33%, urethral stricture (10.66%) and sclerosis of the compartment (6.66%). Mortality was 1.33%. Conclusion: Post-operative complications of adenomectomies according to Freyer Hrynstchak remain dominated by infections. However, postoperative hemorrhage remains the surgeon’s fear because it can cause the death of the patient.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135495184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Torsion of the Spermatic Cord in Adults: Epidemiological, Diagnostic and Therapeutic Aspects Observed in 46 Patients at the Bouake Teaching Hospital","authors":"Ndiamoi Akassimadou, Kouassi Patrice Avion, Brice Aguia, Freddy Zouan, Vénance Alloka, Ben Sadia Kamara, Romain Danho, Koffi Dje","doi":"10.4236/oju.2023.139044","DOIUrl":"https://doi.org/10.4236/oju.2023.139044","url":null,"abstract":"Introduction: Torsion of the spermatic cord (TSC) is a serious surgical emergency because it is responsible for acute ischemia that can lead to the loss of the testicle. Very few studies have been carried out in C?te d’Ivoire and particularly in Bouaké, on torsion of the testicle. The general objective of this work was to describe the epidemiological, diagnostic and therapeutic aspects of testicular torsion in our context. Materials and Methods: This is a retrospective study on 46 patients received urgently at the Teaching Hospital of Bouaké over a period of nine (9) years from December 01, 2010 to November 30, 2019 for torsion of the spermatic cord in adults. Results: The mean age of patients was 26.6 years with extremes of 17 to 41 years. 33 patients were seen before the sixth hour and 13 beyond. Scrotal pain, swelling of the hemibursa and testicular ascent were the dominant physical signs. Orchiectomy + contralateral testicular fixation was performed in 11 patients (23.9%). The average length of hospital stay was three (3) days. The immediate post-operative follow-up was simple. Late complications were marked by two testicular atrophy. Conclusion: Our series was marked by a high rate of orchiectomy. Actions to raise caregivers’ awareness of the population must be carried out so that they consult quickly in front of any painful stock market board to avoid the delay in diagnosis and management detrimental to the vitality of the torsional testicle.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135800043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Urinary Lithiasis Secondary to Urethral Duplication: A Case Report","authors":"Mohamed Lamine Sadou Sacko, Balla Keita, Thierno Saidou Barry, Mory Sangare, Mamadou Madiou Barry, Moussa Conde, Seydou Keita, Daniel Agbo-Panzo","doi":"10.4236/oju.2023.1310051","DOIUrl":"https://doi.org/10.4236/oju.2023.1310051","url":null,"abstract":"Urethral duplication is a rare congenital anomaly, mainly involving boys, although cases in girls have been reported. The majority of duplications of the urethra are asymptomatic and the discovery of this malformation can be done at any age. Diagnosis and determination of its type are based on urethrocystography with mid-void images, which helps to guide the surgical approach. The treatment is not yet well codified and the therapeutic attitude varies from one author to another. We report a clinical observation of a urethral duplication with a calculus in a six-year-old boy who underwent a partial urethrectomy of the supernumerary urethra in whom a lithotomy and a urethrectomy were performed via a suspension approach. This observation illustrates the possibility of urinary stone formation after partial urethrectomy of the supernumerary urethra.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135210971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coulibaly Noël, Yao Evrard Kouamé, Adebayo Tawakaltu Bolasade, Tuo Legnima Sekou Michel, Yeo Donafologo Daouda, Dah Freddy
{"title":"Surgical Complications of Kidney Transplantation in a Resource Limited Country: Retrospective Study of the First Five Years","authors":"Coulibaly Noël, Yao Evrard Kouamé, Adebayo Tawakaltu Bolasade, Tuo Legnima Sekou Michel, Yeo Donafologo Daouda, Dah Freddy","doi":"10.4236/oju.2023.139042","DOIUrl":"https://doi.org/10.4236/oju.2023.139042","url":null,"abstract":"Background: Kidney transplantation is the most efficient treatment for renal failure but may be ruined by complications. Objective: To report the surgical complications of renal transplantation and the therapeutic means applied. Method: It was a retrospective study including 42 files of kidney transplantation in Côte d’Ivoire. We report 11 cases of surgical complications of the recipient’s intervention during the first five years. Results: The mean age was 42.64 years (±15.04). In 90.9% of the cases, there was a comorbidity factor. Lymphocele and stenosis of the uretero vesical anastomosis were the most frequent complications. One death was observed. Conclusion: Kidney transplantation is an effective way of managing chronic renal failure. Postoperative complications are polymorphic and unpredictable.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135701149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of Non-Traumatic Urological Emergencies at Souro Sanou University Teaching Hospital of Bobo-Dioulasso (Burkina Faso)","authors":"Ouattara Adama, Paré Abdoul-Karim, Yé Delphine, Simporé Moahmed, Babagana Mustapha Abubakar, Rouamba Mickael, Kaboré Aristide Fasnewindé, Kambou Timothée","doi":"10.4236/oju.2023.139040","DOIUrl":"https://doi.org/10.4236/oju.2023.139040","url":null,"abstract":"Background: Generally, urological emergencies are assumed not to be very common, however, recent reports showed that they constitute an important aspect of the day-to-day urological practice. If not well and promptly managed, they may lead to serious morbidity or mortality. Objectives: To study the pattern of presentation, diagnosis and outcome of management of non-traumatic urological emergencies seen at the Emergency Department of Souro Sanou University Hospital in Bobo-Dioulasso. Patients and Methods: This was a retrospective and descriptive study over four years. It included patients of all ages and both sexes, admitted for non-traumatic urological emergencies in the surgical emergency department of Souro Sanou University Hospital. It took place from January 1, 2017 to December 31, 2020. Results: A total of 584 patients were reviewed in our study. Non-traumatic urological emergencies account for 6.3% of all surgical emergencies seen during the study period. The male-to-female ratio was 9.2 to 1. The mean age of the patients was 51.9 ± 23.9 years. Forty-five per cent of the patients presented within 48 hours of symptoms. The vast majority of the patients presented with difficulties with passing urine (41.6%), followed by cases of hematuria (18.4%). On admission, 154 patients (26.4%) presented with severe conditions such as anemia as seen in 40.9% of the cases and deterioration in the general health condition as seen in 34.4% of the patients. Leukocytosis was noted in 18.7% of the patients and anemia in 17.9%. Urine culture was positive in 15.4% of the patients and Escherichia coli was the most common pathogen found (40.6%). Ultrasound was the most requested examination (81.2%), followed by a computerized tomography (CT) scan (22%). The most frequent diagnoses were urine retention (42.9%), hematuria (16.9%) and renal colic (10.1%). Emergency interventions were carried out in 525 patients (89.9%) who include bladder catheterization (46.1%), bladder lavage and/or bladder irrigation (20.9%) and suprapubic cystocatheterization (10.1%). Most of the patients (61.3%) were discharged after a mean stay in the hospital of about 5.1 ± 7.5 days. A mortality rate of 3.8% was also recorded among the patients studied. Conclusion: Non-traumatic urological emergencies are common and are an important aspect of daily urological practice. The majority of the patient presents late with usually a severe form of the disease, which adversely affects the outcome even after treatment.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135557432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marcos Dall’Oglio, Matheus Miranda Paiva, Fabrício Golono Kaminagakura, José Augusto Farias da Silva Júnior, Jorge Ocké
{"title":"Robot-Assisted Nephrotomy as a Nephron-Sparing Approach for Completely Intraparenchymal Renal Tumors","authors":"Marcos Dall’Oglio, Matheus Miranda Paiva, Fabrício Golono Kaminagakura, José Augusto Farias da Silva Júnior, Jorge Ocké","doi":"10.4236/oju.2023.1310052","DOIUrl":"https://doi.org/10.4236/oju.2023.1310052","url":null,"abstract":"Introduction: The diagnosis of small renal masses and the endophytic tumor approach have become challenging. This study aims to describe exclusively robot-assisted surgery as an alternative nephron-sparing approach for renal intraparenchymal tumors. Patients and Methods: We retrospectively analyzed all patients with completely endophytic tumors undergoing robot-assisted partial nephrectomy, treated under the Da Vinci System®, aided by intraoperative ultrasound. The patients’ demographic characteristics, perioperative and oncological outcomes were assessed. Results: From a total of 13 partial nephrectomies performed between 06/2010 and 10/2021, all patients underwent nephrotomy. The patients’ mean age was 52 years and the tumor measured mean 2.6 cm. Warm ischemia time was 24 minutes and histopathological analysis revealed that 12 patients had renal cell carcinoma. In a mean 36-month follow-up, no significant renal function alterations were found and no local or systemic recurrences occurred. Conclusion: Robot-assisted access is a safe and effective option for the nephron-sparing technique in completely intraparenchymal renal tumors.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135263462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vadandi Valentin, Mahamat Ali Mahamat, Ndormadjita Allah Siyangar, Abdelmahamoud Chene, Temga Ouang Michael, Vounouzia Barthelemy, Mingue Koldimadji, Rimtebaye Kimassoum
{"title":"Urinary Lithiasis in Children at the Abeche Chu","authors":"Vadandi Valentin, Mahamat Ali Mahamat, Ndormadjita Allah Siyangar, Abdelmahamoud Chene, Temga Ouang Michael, Vounouzia Barthelemy, Mingue Koldimadji, Rimtebaye Kimassoum","doi":"10.4236/oju.2023.139045","DOIUrl":"https://doi.org/10.4236/oju.2023.139045","url":null,"abstract":"Introduction: Urinary calculosis is the presence of stones in the urinary tract. It is more common in adults than in children. The aetiologies are multiple and depend on age. The management of calculi in children requires an active aetiological search because of the frequency of hereditary abnormalities which are at the origin of recurrences. The aim of our study was to report the epidemiological, clinical and therapeutic aspects of urinary lithiasis in children in the context of our practice. Aim: To report the epidemiological, clinical and therapeutic aspects of urinary lithiasis in children in our practice context. Patients and Method: This was a retrospective descriptive study carried out in the Urology Department of the University Hospital of Abeche from January 2013 to December 2019. Thirty files of patients aged 0 to 15 years operated on for urinary lithiasis were retained. The variables studied for each patient were: age, sex, clinical, para-clinical and therapeutic aspects. Results: We selected 30 cases. Patients ranged in age from 0 to 15 years, with an average age of 5.5 years. There were 26 boys and 4 girls. 62% of the patients were from rural areas. The antecedents were bilharziasis, urinary tract infections, congenital malformation, trauma and bladder lithiasis. Clinical symptoms were dominated by acute urinary retention (n = 16) and dysuria (n = 14). Urine cytobacteriological tests were positive in 16 cases. The diagnosis was made in the majority of cases by ultrasound and/or unprepared abdomen (UA). The location of lithiasis was mainly the bladder (n = 16). Treatment was surgical in 96.7% of cases, with cystolithotomy predominating. Therapeutic results were satisfactory in 90% of cases. Conclusion: Urinary calculi in children are less common than in adults. In our region, stones are most often found in the bladder. Open surgery is still the preferred method of treatment in our practice.","PeriodicalId":19545,"journal":{"name":"Open Journal of Urology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135799792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}