Prise en charge de l’uretère rétrocave au Togo: A propos de 3 observations

Tengué, K; Botcho, Gnimdou; Kpatcha, Tchilabalo Matchonna; Adabra, Komlan; Sewa, E.V.; Leloua, E.; Amavi, A.K.; Sikpa, Komi Hola; Dosseh, E.D.

doi:10.1016/j.afju.2016.03.008

Cited by 5 publications

(9 citation statements)

References 10 publications

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“…The management of urological emergencies is a major part of the activity of our urology unit, accounting for 45.14% of all admissions to the department. Our results are superior to several studies, notably by Tengue K et al [5] Halidou M et al [7] and Diallo TO at the Kolda regional hospital [8], who reported only 147.3 urological emergencies per year, 506 cases of emergencies with 24% of all admissions to the department in 42 months and 20.40% of all admissions to the department. Our results can be explained by the fact that our department was unique in the Middle Guinea region, which was made up of five prefectures, and all urological emergencies were referred directly to our department.…”

Section: Discussioncontrasting

confidence: 92%

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Epidemiological Aspect and Evaluation of the Management of Urologic Emergencies at the Urology Unit of Labe Regional Hospital

Diallo,

Barry,

Bah

et al. 2023

OJU

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Aim: To contribute to improving the management of urological emergencies at Labé Regional Hospital. Patients and Method: This was a dynamic, descriptive study lasting six months from July 1 to December 31, 2017. Results: Urological emergencies represented 45.14% (n = 218) of all admissions to the urology unit. The mean age of our patients was 56.60 years with extremes of fifteen days and 93 years. The 71 -80 age group was the most represented with 28.03% (n = 61) followed by 61 -70 years with 24.31% (n = 53). Our patients' activities were dominated by agriculture, with 35.77% (n = 88), and the city center was most affected by urological emergencies, with 39.44% of cases (n = 86). 70.18% (n = 153) of our patients had bladder retention on admission, and 53.21% (n = 116) underwent urethral catheterization, including 3 women. The etiology of bladder retention in these 3 women was dominated by two cases of bladder lithiasis and one case of neurological bladder. Conclusion: The management of urological emergencies requires specific material and human resources. Their knowledge will enable us to better understand this problem and could serve as a basis for a broad reflection on the organization of the management of urological emergencies in our region.

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Section: Discussioncontrasting

confidence: 92%

“…In Togo, Tengue K. et al [5] in 2017 reported 442 urological emergencies over 3 years. Acute retention of vesical urine accounted for 64% of cases, with infectious pathologies taking second place in 22.2% of cases.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Aspect and Evaluation of the Management of Urologic Emergencies at the Urology Unit of Labe Regional Hospital

Diallo,

Barry,

Bah

et al. 2023

OJU

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“…La rétention d´urine vésicale était l´urgence urologique la plus fréquente de notre série avec 45,05% des cas. Ce constat avait déjà été fait dans des pays africains notamment au Burkina Faso avec un pourcentage de 40,27% [ 7 ], 66,13% des cas au Sénégal [ 8 ] et 64% des cas au Togo [ 9 ]. Cela pourrait s´expliquer par des raisons socio-économiques et culturelles où le dépistage est rare et la plupart des patients consultent au stade de complication [ 6 ].…”

Section: Discussionunclassified

“…qui les retrouvaient dans 21,09% des cas [ 7 ]. Cependant d´autres études placent l´hématurie menées en Mauritanie (5 e place), au Togo (4 e place) et au Sénégal (6 e place) [ 3 , 9 , 10 ]. Ceci pourrait s´expliquer par le fait que les études menées au Togo et en Mauritanie seraient réalisées en milieu hospitalier dans une zone urbaine.…”

Section: Discussionunclassified

Les urgences urologiques dans deux hôpitaux universitaires de Douala: une étude rétrospective (2016-2020)

Ngalle¹,

Mbouché²,

Makon³

et al. 2023

Pan Afr Med J

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Introduction les urgences en urologie sont des situations urologiques critiques qui nécessitent une intervention rapide par un professionnel de santé qualifié en urologie. Cette étude a été menée dans le but de ressortir le profil des urgences urologiques reçues dans deux hôpitaux universitaires de la ville de Douala en appréciant leurs prises en charge en urgence. Méthodes il s´agit d´une étude rétrospective portant sur les urgences urologiques dans deux hôpitaux de références de la ville de Douala que sont les hôpitaux Laquintinie et Général de Douala. Les dossiers ont été colligés durant une période de 5 ans (1 er janvier 2016 au 31 décembre 2020). Nous avons inclu toutes les consultations effectuées en urgence et reçues par le service des urgences ainsi que toutes les données cliniques et thérapeutiques venant du registre de garde durant la période d´étude. Nous avons exclu de notre étude toutes les urgences (consultations reçues pendant la période d´étude, non relevées dans le registre des urgences). Résultats nous avons étudié 364 patients, l´âge moyen des patients était de 43 ± 8,34 ans. Quatre vingt-douze virgule cinquante huit pourcent (92,58%) (n=337) des patients étaient des hommes. Les principales urgences urologiques reçues étaient la rétention d´urine vésicale (45,05%, n=164), la colique néphrétique (15,33%, n=56) et l´hématurie (13,18%, n=48). Les principales étiologies des rétentions d´urine vésicale étaient les tumeurs prostatiques, la colique néphrétique était principalement d´origine lithiasique (96,45%, n=159) et l´hématurie était d´origine tumorale chez 68,75% (n=33) des patients. Sur le plan thérapeutique, les gestes effectués en urgence étaient le sondage vésical (39,01%, n=142), le traitement médical était associé à une surveillance (27,47%, n=100) et la cystostomie sus pubienne (10,71%, n=39). Conclusion les rétentions aiguës d´urines vésicales sur tumeurs prostatiques constituent l´urgence urologique la plus fréquente dans les hôpitaux universitaires de la ville de Douala. Cela implique une prise en charge précoce et optimale des tumeurs prostatiques.

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“…Its early diagnosis is rare in our context because of fortuitous discovery [1] [3] [4] [5]. This ureteral duplication most often increases the frequency of urinary tract infections and low-noise complications [6] [7] [8] [9]. Our main objective is to prove the importance or the gravity of the morbidity linked to the late discovery of this malformative congenital uropathy.…”

Section: Introductionmentioning

confidence: 99%

Case of Incomplete Ureteral Duplication Complicated with Lithiasis and Right Uretero-Hydronephrosis

Tounkara,

Maiga,

Sidibe

et al. 2023

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Ureteral duplication is congenital malformative uropathy that occurs most often in children. Complete ureteral duplication is defined by a kidney that has two ureters with two orifices that communicate to the bladder through two ureteral meati. It is an anatomical variant that remains rare. Its early discovery is due to a lack of diagnostic means, hence the occurrence of long-term complications. To this end, we observe an increased importance of the morbidity linked to the late diagnosis of this duplicity. We report a case of incomplete ureteral duplication complicated by ureterohydronephrosis on lithiasis wedged in the uretero-vesical junction of one of the ureters in its lower portion which required uretero-lithotomy with bladder reimplantation of the ureters. Our aim was to show the importance of the morbidity associated with late diagnosis of this anomaly and the incidence of infection and complications that this pathology poses as a problem. This was a clinical case of fortuitous discovery managed by a general surgeon in the general surgery department of the hospital "Mère Enfant" Le Luxembourg Bamako Mali. The suites were simple.

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Prise en charge de l’uretère rétrocave au Togo: A propos de 3 observations

Cited by 5 publications

References 10 publications

Epidemiological Aspect and Evaluation of the Management of Urologic Emergencies at the Urology Unit of Labe Regional Hospital

Epidemiological Aspect and Evaluation of the Management of Urologic Emergencies at the Urology Unit of Labe Regional Hospital

Les urgences urologiques dans deux hôpitaux universitaires de Douala: une étude rétrospective (2016-2020)

Case of Incomplete Ureteral Duplication Complicated with Lithiasis and Right Uretero-Hydronephrosis

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