Acute and chronic urine retention among adults at the urology section of the Accident and Emergency Unit of Komfo Anokye Teaching Hospital, Kumasi, Ghana

Yenli, EMT; Aboah, K.; Gyasi-Sarpong, Christian Kofi; Azorliade, Roland; Arhin, A.A.

doi:10.1016/j.afju.2014.08.009

Cited by 16 publications

(18 citation statements)

References 62 publications

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“…This rate is similar those of other studies [1,7,9,10]. Etiologies of acute renal colic were stones in 80% of cases.…”

Section: Discussionsupporting

confidence: 92%

“…Our rate of no-traumatic hematuria emergency is similar those of other studies [1,5,7,11]. Etiologies of hematuria in this study were BPH, prostate cancer and bladder cancer respectively in 50%, 21.42% and 17.86% of cases.…”

Section: Discussionsupporting

confidence: 79%

“…This result is higher to those of 24% who were found by Martin et al [4]. But it lower to those of Diallo et al [5] in Guinea, Fall et al [1] in Senegal, Tfeil, et al [6] in Mauritania and Yenli et al [7] in Ghana who were found respectively 73.9%, 53%, 53% and 83.5% of cases. Hematuria is a symptom of prostate tumors.…”

Section: Discussioncontrasting

confidence: 54%

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Genitourinary Emergencies at University Hospital in Cotonou: About 437 Patients

Jg¹,

Natchagandé²,

Fky³

et al. 2017

Med Surg Urol

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Purpose: To describe genitourinary emergencies at the university hospital in cotonou Material and Methods: This was retrospective descriptive study covering a period of 6 years running January 1, 2011 to January 1, 2017. All patients aged at least 15 years regardless of the sex were involved. We did not involve in this study, patients under aged 15 years old who have supported by the Pediatric surgery department. All departments were concerned by the study: Emergency department, surgery, traumatology, medicine cardiology, nephrology, internal medicine, haematology, rheumatology, neurology, reanimation and gynecology departments. The following items were studied: age, sex, complaints, etiologies and emergencies kinds. Results:The average age of patients was 51.4 years old (15 years' old-100 years old). Genitourinary emergencies were accounted for 5.4%. A male predominance was noted in 88.6% against 11.4% women. The sex ratio was 7.7. The 55% patients were referred against 45% were admitted. Over 6 year's period on the study, 46 cases of genitourinary emergencies opinion were done in eleven departments Anesthesia-reanimation department predominance was noted in 32.61%. In emergency department we were seen 391 patients for genitourinary emergencies. The discovery circumstances were urine complete retention in 45.49% with 43.40% of non-traumatic urine complete retention against 2.09% urine complete retention for traumatic urinary tract following up by genitourinary trauma in 19.8%. Conclusion:Genitourinary emergencies are different group of pathologies or symptoms.

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“…This rate is similar those of other studies [1,7,9,10]. Etiologies of acute renal colic were stones in 80% of cases.…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 79%

See 1 more Smart Citation

Genitourinary Emergencies at University Hospital in Cotonou: About 437 Patients

Jg¹,

Natchagandé²,

Fky³

et al. 2017

Med Surg Urol

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“…They may have diagnostic or therapeutic uses [2]. Globally, about two-thirds of urinary tract catheterization among adults is for therapeutic reasons in order to relief bladder outlet obstruction due to benign prostatic obstruction [3] [4] [5] [6]. The risk of bacterial Urinary Tract Infections (UTI) is dependent on the patient's susceptibility, the quality of catheter and how long catheter has been in place [7] [8].…”

Section: Introductionmentioning

confidence: 99%

Catheter-Associated Bacteria Urinary Tract Infection and Antibiotic Susceptibility Pattern in a Tertiary Hospital, in Ghana

Yenli¹,

Ankrah²,

Zeyeh³

et al. 2019

OJU

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Background: This study seeks to identify the prevalence of catheter associated urinary infection and the type of bacteria that are associated with this infection, as well as the antibiotic susceptibility patterns of the organisms isolated. This would guide the choice of antibiotics when there is catheter associated urinary tract infection. Method: From 1 November 2015-31 April 2016 a cross-sectional study was conducted among patients with urinary catheter in-situ. Urine samples collected were processed and cultured on CLED agar plates. Pure colonies of isolated organism were Gram and Biochemically characterized. A disc diffusion antibiotic susceptibility determined by Kirby-Bauer disc diffusion method was performed on each uropathogen isolated. Data obtained was cleaned, analyzed and presented. Result: There were 122 study subjects of which, 73 (59.8%) were males and 49 (40.2%) were females. Their median age was 42.5 (range 33-65) years. Significant bacterial growth was obtained in 88 (72.1%) of the urine specimen cultured of which males constituted 48 (54.5%) and females 40 (45.5%). The most prevalent uropathogens isolated were Escherichia coli 41 (46.6%), Klebsiella spp. 18 (20.6%), Pseudomonas aeruginosa 10 (11.4%), Enterobacter spp. 6 (6.8%) and Staphylococcus aureus 5 (5.8%). Bacterial isolates showed some susceptibility to Amikacin 73 (83.0%), Levofloxacin 34 (38.6%) and Ciprofloxacin 26 (29.5%) respectively. The uropathogens were least susceptible to Gentamicin 3 (3.4%), Ampicillin 3 (3.4%) and Cefuroxime 1 (1.1%) respectively. Conclusion: Catheter associated bacterial urinary tract infection (CABUTI)

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“…12 Early stages of carcinoma prostate is treated with radical prostatectomy. In cases of late stage carcinoma prostate (Stage III & IV), maximum androgen blockade achieved by orchidectomy using scrotal incision and postoperative anti androgen.…”

Section: Discussionmentioning

confidence: 99%

Clinical study and management of bladder outlet obstruction

Katakwar

Thakur

2017

Int Surg J

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Background: The incidence of bladder outlet obstruction is different and varied in both age and gender. Hence this study was conducted to assess the incidence, etiology and management of bladder outlet obstruction in patients above 18 years of age in both sexes.Methods: This was a tertiary care hospital based longitudinal study. A total of 100 cases were recruited during the period between 01st June 2014 to 31st May 2016 with objective evidence of bladder outlet obstruction. The subject's demographic data, incidence, etiological factors and clinical presentations of bladder outlet obstruction were recorded on data sheet and analyzed.Results: Male preponderance was observed in the study. Maximum incidence of bladder outlet obstruction was observed in the age group of 60-69 years. The most common cause for bladder outlet obstruction in males was benign prostate hyperplasia (BPH), where as in females the major etiological factor was bladder neck stenosis. Out of 94 cases causing bladder outlet obstruction in males, 37 underwent TURP, 11 cases were treated with alpha blockers like Tamsulosin (medical management), 9 underwent cystolithotripsy, 8 underwent b/l orchidectomy, 7 underwent radical cystectomy and ileal conduit, 7 underwent VIU, 7 underwent urethroplasty, 5 underwent open prostatectomy, 3 underwent cystolithotomy whereas in female’s bladder neck stenosis treated by bladder neck incision.Conclusions: Men were the most affected with BPH, being the leading cause. Among women, bladder neck stenosis was the main cause. Initial and definitive management were varied between causes, gender and age.

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Acute and chronic urine retention among adults at the urology section of the Accident and Emergency Unit of Komfo Anokye Teaching Hospital, Kumasi, Ghana

Cited by 16 publications

References 62 publications

Genitourinary Emergencies at University Hospital in Cotonou: About 437 Patients

Genitourinary Emergencies at University Hospital in Cotonou: About 437 Patients

Catheter-Associated Bacteria Urinary Tract Infection and Antibiotic Susceptibility Pattern in a Tertiary Hospital, in Ghana

Clinical study and management of bladder outlet obstruction

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