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1.
BMC Urol ; 15: 112, 2015 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-26572222

RESUMO

BACKGROUND: We describe three cases of advanced penile cancer associated with HIV infection. CASE PRESENTATION: Advanced penile cancer associated with VIH infection were discovered in three patients aged respectively 47, 56 and 40. The prognosis was extremely poor. Two patients died without receiving any treatment and one patient was lost to follow-up after refusing all treatment proposed. CONCLUSION: There appears to be a link between HIV infection and penile cancer with concomitant HIV infection worsening the prognosis of the disease.


Assuntos
Carcinoma de Células Escamosas/complicações , Infecções por HIV/complicações , Neoplasias Penianas/complicações , Adulto , Carcinoma de Células Escamosas/patologia , Côte d'Ivoire , Evolução Fatal , Infecções por HIV/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Penianas/patologia , Prognóstico
2.
Dakar Med ; 44(2): 186-9, 1999.
Artigo em Francês | MEDLINE | ID: mdl-11957281

RESUMO

One of the most common complication of urinary stent is urinary infection. At the Cocody University, 28 men and 2 females who had a urinary stent were evaluated for urinary infection, bacterial growth, and their sensitivity to antibiotics. In 85.71% of the cases, the bacteriologic analysis was positive for a mean duration of urinary drainage of 32, 62 days (range 03 to 90 days). Bacterial isolates were: 11 cases of Klebsiella spp, 5 cases of Providencia spp; 1 case of Escherichia coli, 1 case of Serratia marcescens. Among these bacteria, 77.78% were resistant to most of the antibiotics. Therefore, stent urinary infection is mostly due to multi resistant bacteria. Treatment needs an adapted antibiotherapy after removal of the causative agent.


Assuntos
Infecção Hospitalar/etiologia , Infecções por Enterobacteriaceae/etiologia , Complicações Pós-Operatórias/etiologia , Stents/efeitos adversos , Infecções Urinárias/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/microbiologia , Cistostomia , Resistência a Medicamentos , Farmacorresistência Bacteriana Múltipla , Enterobacteriaceae/efeitos dos fármacos , Enterobacteriaceae/isolamento & purificação , Infecções por Enterobacteriaceae/epidemiologia , Contaminação de Equipamentos , Feminino , França/epidemiologia , Hospitais Universitários/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/microbiologia , Ureter , Infecções Urinárias/epidemiologia , Infecções Urinárias/microbiologia , Unidade Hospitalar de Urologia/estatística & dados numéricos
3.
Prog Urol ; 8(3): 358-62, 1998 Jun.
Artigo em Francês | MEDLINE | ID: mdl-9689667

RESUMO

Ureteroscopy is frequently indicated in the treatment of stones of the pelvic ureter. Access to the lumbar ureter is associated with a higher complication rate: wounds, ureteric rupture, haemorrhage, or more serious lesions such as avulsions of the ureter. We present 4 cases of avulsion of the ureter seen in our department, corresponding to 4 men with stones of the lumbar ureter treated by ureteroscopy, 2 of them after failure of in situ extracorporeal lithotripsy (ESWL) and an attempt to "flush" the stone and the other two because ESWL was not available. The ureteric lesion was related to a Dormia catheter in 2 cases and the ureteroscope in 2 cases. The lesion was diagnosed and treated immediately in 2 patients and after a delay in the other 2 cases. Repair consisted of ureteric reimplantation on a Boari flap (1 case), implantation onto a psoas bladder (1 case), ureteroileoplasty (1 case) and autologous transplantation (1 case). Ureteric lesions prevented uretero-ureterostomy. Ureteric reimplantation on psoas bladder and/or Boari flap appears to be the simplest method, but it cannot always be performed. In the case of avulsion of the ureteropelvic junction with a large defect, autologous transplantation is a method of choice in young subjects. Ureteroileoplasty appears to be reserved for elderly patients.


Assuntos
Ureter/lesões , Ureteroscopia/efeitos adversos , Adulto , Idoso , Angiografia , Seguimentos , Humanos , Litotripsia , Masculino , Pessoa de Meia-Idade , Retalhos Cirúrgicos , Fatores de Tempo , Ureter/diagnóstico por imagem , Ureter/cirurgia , Cálculos Ureterais/terapia , Urografia
4.
Dakar Med ; 43(2): 213-5, 1998.
Artigo em Francês | MEDLINE | ID: mdl-10797966

RESUMO

The aim of this study was to analyze problems posed by adult renal malignant tumors both in the diagnostical and therapeutical viewpoints. We have performed a retrospective study including 48 cases of confirmed renal cancer. Have been included adult patients who presented a cancer of the kidney operated or not. Studied parameters were age, sex, clinical signs, complementary explorations i.e. biology, renal ultrasonography, IVU, Computerized tomography, the operative indication and the prognosis. We have used Robson's staging to classify our patients. The average age was 51 years with extremes of 18 and 83 years. However 60% of them were less than 50 years. Adenocarcinoma was the main histological form encountered. It has been found in 93% of cases. The flank mass has been the mode of discovery in 70.8% of cases. The classic symptomatic triad associating hematuria, pain and the renal mass has been found in 20.8% of cases. Ultrasonography and Intravenous urography (IVU) have allowed to pose the diagnosis in 93.75% of cases. Patients were often referred very late with an average delay of consultation of 14 month. So, 25% of them presented with metastasis at the moment of the diagnosis. Radical nephrectomy was performed in 60% of cases. 40% of patients have not been operated due to the advanced evolution of the tumor. The global mortality to 1 year was estimated at 38%. We conclude that renal malignant tumors in the adulthood, in our practice, presents some particularities. Indeed, patients are referred late when clinical symptoms are sufficiently evocative to suspect the diagnosis. At these advanced stages, there is no curative therapeutic. So, a precocious diagnosis is necessary in order to propose to patients radical nephrectomy which remains the only efficient therapeutical procedure of the localized renal cancer in the adulthood.


Assuntos
Neoplasias Renais/diagnóstico , Neoplasias Renais/cirurgia , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Neoplasias Renais/mortalidade , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Nefrectomia , Prognóstico , Estudos Retrospectivos , Senegal/epidemiologia , Distribuição por Sexo , Resultado do Tratamento
5.
Dakar Med ; 43(2): 234-7, 1998.
Artigo em Francês | MEDLINE | ID: mdl-10797972

RESUMO

The association between Peyronie's disease and diabetes mellitus or Dupuytren's disease is well described in the literature with a certain frequency. Through our 10 patients with Peyronie's disease, when have noticed that only one of them is undergoing diabetes mellitus and no one has Dupuytren's disease. But 7 of them presented clinical and/or electromyographical signs of peripheral neuropathy. So after clinical examination in neurology and urology, we performed measurement of motor conduction velocity of tibial posterior nerves and peroneal nerves, then, we measured sensitive vetocity of sural nerves and dorsal nerve of the penis and we studied the cortical somesthesic evoked potential of the internal hontous nerve and the sympathetic evoked response of the skin. So we hypothesize that peripheral neuropathy with or without autonomic disorders might be an etiological co-factor of Peyronie's disease.


Assuntos
Induração Peniana/etiologia , Doenças do Sistema Nervoso Periférico/complicações , Doenças do Sistema Nervoso Periférico/diagnóstico , Adulto , Idoso , Complicações do Diabetes , Contratura de Dupuytren/complicações , Eletromiografia , Potenciais Somatossensoriais Evocados , Humanos , Masculino , Pessoa de Meia-Idade , Condução Nervosa , Induração Peniana/diagnóstico , Doenças do Sistema Nervoso Periférico/fisiopatologia , Fatores de Risco
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