Résumé But Décrire les aspects cliniques et thérapeutiques des urgences andrologiques reçues en milieu urbain dans un centre hospitalo-universitaire du Cameroun. Nous avons réalisé une étude prospective sur une période de 36 mois, recrutant toutes les urgences andrologiques reçues à l’hôpital Laquintinie de Douala. Résultats Nous avons recensé 291 patients d’âge moyen de 42,50 ans. La majorité des patients (73,53 %) avait un âge compris entre [0–45] ans. Les affections les plus fréquentes étaient les traumatismes des organes génitaux externes (OGE) (51,50 %) et les infections urogénitales (23,71 %). Le priapisme et la torsion du cordon spermatique (TCS) ont également été retrouvés. Parmi les urgences reçues, 185 ont nécessité des interventions chirurgicales. L’exploration et la suture des plaies des OGE (38,91 %) et la scrototomie exploratrice (21,62 %) étaient les principaux gestes effectués. Conclusion Les traumatismes des OGE sont la principale urgence andrologique en milieu urbain au Cameroun. Des cas d’infections urogénitales, de priapisme et de TCS sont également rencontrés.

Falciparum malaria is a major cause of morbidity and mortality worldwide. Plasmodium infected patients carry a wide range of parasitic loads and exhibit asymptomatic, mild or severe malaria. Among host intrinsic factors which likely influence development of malaria type, controversies remain on the relationship between malaria infection and ABO blood groups types. This cross-sectional study was designed to investigate any relationship between ABO blood types, Plasmodium loads and clinical type of malaria among outpatients received in Bonassama hospital.Each outpatient who volunteered for the study was examined, tested for ABO blood types and malaria parasites carriage. Data were statistically analyzed for any association.Of 375 Plasmodium falciparum infected patients included, ABO blood group frequency was 45.3% (O), 25.3% (A), 21.6% (B), 7.8% (AB). All ABO blood groups harboured predominantly light intensities of falciparum infections; however high intensities of infections were significantly frequent in blood group A. Gender did not significantly influence P. falciparum infection prevalence. Infection prevalence was significantly high in less than 15 years blood group A patients. P. falciparum infection prevalence was not significantly different among blood group patients (p>0.05). Although all ABO blood group patients exhibit different clinical malaria types, severe-like malaria symptoms were exhibited more frequently among blood group A and group B patients. Blood group O patients exhibited predominantly asymptomatic and uncomplicated malaria.No significant association was found between Plasmodium loads, gender and age groups. Under five year blood groups A and B patients were likely more affected by severe malaria whereas blood group O patients suffered predominantly from mild and symptomless malaria.Findings from this study demonstrated that in Douala, young blood group A and B patients were more predisposed to high intensities of P. falciparum infections and severe malaria whereas blood group O exhibited mostly light infections associated to mild and asymptomatic malaria. malaria [4]. History of previous malaria infection is thought to enhance a partial immunity which likely downregulates the outcome of clinical malaria. Such regulation by the immune system occurs much rapidly as the infections are frequent like in stable malaria transmission, and later in teenagers in seasonal malaria transmission areas. Human intrinsic risks factors have been also pointed to influence the susceptibility to malaria and development of either malaria stage. These intrinsic factors include sickle cell trait (HbAS), α-thalassaemia, Glucose-6-phosphate dehydrogenase (G6PD) deficiency, erythrocyte variants as well as ABO blood group types. These factors act either by regulating parasites loads or occurrence of clinical forms of malaria. Age and acquired immune responses have long been the most frequent human-related determinants of the host susceptibility to clinical malaria and infection. Sickle cell trait (HbAS) and...

Introduction: We aim to report, from three observations, the diagnostic difficulties and complications, and ensure the management of pelvic kidney in women at childbearing age in the Urology Department of the National General Referral Hospital of N'Djamena. Pelvic kidney is due to an abnormality of the migration that can be associated or not with a malrotation. Its symptomatology is not specific, causing diagnostic difficulties and therapeutic errors. Observation: There were three observations of female patients aged respectively 26, 29 and 32 years who were taken care of for years in the gynecology department for pelvic inflammatory disease before being routed in urology. The diagnosis of pelvic kidney was retained on the basis of morphological examination (ultrasound, intravenous urography, CT urography). The patients have undergone nephrectomy; the postoperative aftermath was simple. Conclusion: Pelvic kidney is a rare disease. It is often discovered during autopsy. Symptoms are non-specific; nephrectomy is the treatment of choice in symptomatic cases.

Background: Male infertility is defined as a lack of pregnancy for a couple after 12 months of regular and normal sexual intercourse without contraception with the cause being clearly from the male origin. Contrary to popular belief, the prevalence of male infertility is similar to that of female infertility and sometimes even higher. However, data on the subject in Cameron are scarce and nonexistent in the city of Douala. This motivated the realization of this study in two centers in the city of Douala. The objective was to describe the epidemiological profile of male infertility. Methods: We conducted a crosssectional study among patients who consulted for infertility in two hospital centers in Douala from January 2014 to October 2019. A consecutive sample of all eligible cases was considered for this study. Data were analyzed using Statistical Package for Social Sciences (SPSS Inc, Chicago, Illinois, USA) V. 20.0 and EPI-INFO V. 3.5 software. Analyzed variables included sociodemographic data (age, marital status, educational level, profession, region, alcohol, smoking habit and mean infertility duration) and other causes of infertility (obesity, history of testes infection, STI, testes traumatism, varicocele or varicocele surgery, herniorrhaphy, genetic or malformative disease). Results: We included 137 patients' records. The frequency of male infertility for patients consulting in urology was 5.6%. Their average age was 35.4±7.4 years. The average number of sexual intercourses per week was 2.7±0.97. Those patients were mainly from an intellectual profession (40.2%), married (71.5%) with a higher education level (67.2%). Almost 60% of the studied population had alcohol consumption. Primary infertility accounted for 65.7% of the study population and the average duration of infertility was 5.9±5.3 years. The main factors for infertility were respectively history of sexually transmitted infections (STI) in 59 (43.1%) and childhood mumps in 42 (32.7%) cases. Furthermore, herniorrhaphy (16.1%) and varicocelectomy (10.9%) were the most representative surgical background. Conclusion: Male infertility is not uncommon in urological consultation with primary infertility been more frequent. Risk factors of infertility in our setting included a history of STI, mumps, and surgery.

Résumé Les auteurs rapportent une observation d’une plaie de la verge par embrochage d’une esquille de bois lors de l’activité quotidienne d’un menuisier. Le patient a été reçu trois heures après l’accident de travail. L’esquille de bois avait transpercé la verge de part en part, avec arrêt au niveau de la cuisse gauche. L’exploration chirurgicale a retrouvé une plaie d’environ 1,5 × 3 cm des corps caverneux, sans atteinte visible de l’urètre, et une effraction du muscle quadriceps. Le risque de dysfonction érectile secondaire au traumatisme des corps caverneux a été évoqué.