Interet du traitement chirurgical de la cryptorchidie a Yaounde

Une etude retrospective visant a evaluer l'interet du traitement chirurgical de la cryptorchidie a porte sur 123 patients operes a Yaounde pendant une periode de 10 ans allant de 1984 a 1994. L'analyse a revele que 93 patients (75;6 pour cent) avaient ete operes apres l'age de trois ans; au moment ou des alterations histologiques avaient deja compris le pronostic fonctionnel du testicule et augmente le risque de cancerisation. Des resultats comparables dans la litterature montrent l'insuffisance de l'information medicale sur l'age optimal de l'abaissement des testicules cryptorchides. L'etude fait des propositions pour un changement de comportement

[Focus on vesicovaginal fistulas at the Yaoundé Central Hospital. Apropos of 111 cases seen in 10 years]. / Le point sur les fistules vésico-vaginales à l'hôpital central de Yaoundé. A propos de cent onze cas observés en dix ans.

The authors discuss the vesicovaginal fistulas seen at the Central Hospital in Yaounde. Rectomyoplasty was widely used for treatment. Fortunately, public health policies have succeeded in reducing the incidence of this condition.

[An echographic study of the urologic lesions of urinary bilharziasis in children in Barombi Kotto (Cameroon)]. / Etude échographique des lésions urologiques de la bilharziose urinaire chez les enfants de Barombi Kotto (Cameroun).

Ultrasonographic examination was performed on 212 school age children (152 proven Schistosomiasis, 60 normal) living in the endemic area of Barombi Kotto (Cameroon). 86.8% of urologic lesions were observed in the diseased group. 73 renal lesions were detected: these consisted of various degrees of dilatations. Urinary bladder lesions were present in 132 cases: they consisted of wall thickenings (84.9%), wall irregularities (79.6%) and localized hypertrophies (24.3%). 11 normal (18.4%) children presented with urologic complications. The prevalence of urologic lesions increased with the intensity of infection as measured by urinary egg output, but there seemed to be no direct relationship between the parasitic load and the severity of morbidity in the study. The authors recommend the use of ultrasonography as a public health tool for the diagnosis and control of disease complications in endemic areas.