Les tumeurs de vessie: aspects épidémiologiques et thérapeutiques à Brazzaville

Odzébé, A.W.S.; Bouya, P. A.; Mbon, Jean Bernard Nkoua; Ekat, Martin Herbas

doi:10.1007/s12558-010-0135-8

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Others have a prognosis often pejorative notably: prostate cancer, cancers of the gynecological sphere, valves of the posterior urethra or tumors of the excretory pathways justifying the number of deaths related to these etiologies in our study. In our context, tumors of the excretory tract are complications of bilharzeal infestation and occur in young people between 30 and 40 years old [4].…”

Section: Discussionmentioning

confidence: 96%

Epidemiological, Clinical and Therapeutic Profile of Obstructive Renal Failure

Rimtebaye¹,

Kamadjou²,

Eyongeta³

et al. 2018

OJU

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Aim: To describe the epidemiological, clinical, etiologic and therapeutic aspects of patients with acute obstructive renal failure at the Medical Surgical Center of Urology (MSCU). Materials and methods: this was a descriptive retrospective study of 106 patient records treated for acute renal failure from January 2012 to December 2016. Patients came for spontaneous consultation or were referred. They had benefited from a clinical and paraclinical assessment at the end of which the diagnosis of acute renal failure was retained and then an effective management at the MSCU. The variables studies were clinical, paraclinical, therapeutic and progressive. The treatment included: hemodialysis, urinary diversion (suprapubic, urethrovesical and ureteral), trans-urethral resection of the prostate, trans-urethral resection of the bladder, nephrostomy, endoscopic incision of catheter valves, posterior urethra or laparoscopic nephroureterectomy as indicated. The emergency treatments consisted of removing the obstacle and the etiological treatment was done later. External follow-up consultation varied by etiology. Results: In 4 years we had treated 106 patients, a frequency of 26.5%. The average age was 47.83 years with extreme of 2 and 80 years old. The sex ratio was 68 men for 38 women. The mean serum creatinine level was 37.8 mg/l (335 µmol/l). The etiologies were: prostatic pathologies (n = 38), lithiasic pathologies (n = 20) and gynecological pathologies (n = 18). The treatments were: endoscopic resection of prostate (n = 24), bladder (n = 6), posterior urethral valves (n = 4), JJ probe (n = 27) and nephrostomy (n = 23). The result was good (normalization of creatinine serum) in 79 patients, the persistence of elevated serum creatinine was observed in 4 patients and 18 patients died. Conclusion: Acute obstructive renal failure is a common diagnosis in our exercise setting at MSCU where it can be managed with respect to our technical platform.

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Section: Discussionmentioning

confidence: 96%

Epidemiological, Clinical and Therapeutic Profile of Obstructive Renal Failure

Rimtebaye¹,

Kamadjou²,

Eyongeta³

et al. 2018

OJU

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“…Its prognosis is poor and its management is essentially surgical by performing a total cystectomy associated with an extensive lymph node dissection due to radio-chemo resistance [7]. If in Congo, bladder tumors represent only 4% of hospitalizations in the urology department at Brazzaville University Hospital [8], adenocarcinoma as a primary histological type of bladder tumor has never been described. This is how we report the first Congolese observation of a clear cell adenocarcinoma of the bladder followed by a review of the literature.…”

Section: Introductionmentioning

confidence: 99%

First Congolese Case Report of Mucinous Adenocarcinoma of the Bladder at Brazzaville University Hospital

Aristide¹,

Melvin²,

Gael³

et al. 2022

IJCU

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Bladder tumors are the second most common genitourinary tumor after prostate tumors. In addition, it is known that urothelial carcinoma is the most common histological form. It accounts for 90% of all bladder tumors. Primary adenocarcinoma of the bladder is a rare malignant tumor. Consequently, an extension assessment is required to exclude any secondary tumor extension. Clinical presentations are not specific and remain dominated by hematuria. His prognosis is poor, and his management is essentially surgical by performing a total cystectomy associated with an extensive lymph node dissection due to radio-chemo-resistance. Background The authors report the first case of bladder adenocarcinoma. It was a 65-year-old patient who consulted at university hospital of Brazzaville for a dysuria type of slow start-up, weak jet and a total hematuria, evolving for 1 month before his consultation. The anamnesis noted a notion of smoking intoxication of a package year for 10 years. The histological diagnosis was made on basis of the results of the analysis of the trans urethral resection parts of the bladder tumor. In order to rule out any secondary extension, a radiological assessment made of computerized tomography (CT) had been carried out. The evolution was quickly fatal. Conclusion Bladder adenocarcinoma is a Clinical Anatomy Variant entity whose Its aggressive nature makes the prognosis poor, hence the interest in making the diagnosis early.

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