RESUMO
Circumcision is one of the most commonly performed surgical procedures. As traditional ritual circumcisions are still practiced in the community, in Senegal the majority of circumcisions are performed in hospitals. We report the case of a 9-year-old boy who underwent a total amputation of the glans after a circumcision in a pharmacy by an unqualified agent. A meatoplasty was performed and the postoperative course were uneventful.
RESUMO
Illegally induced abortions remain a significant public health issue in developing countries. We report a case that was complicated by a vesicovaginal fistula with intravesical calcification of the piece of wood used to perform the illegal abortion. A trans-vesical approach allowed extraction of the calcified foreign body and closure of the vesicovaginal fistula. The postoperative course was uneventful.
RESUMO
The purpose of this study was to assess outcomes of radical prostatectomy in patients with prostate cancer. We conducted a retrospective single-center study in the Department of Urology and Andrology at the Aristide Le Dantec Hospital in Dakar from June 1, 2010 to May 31, 2016. We collected data of 60 patients undergoing radical retropubic prostatectomy associated with dissection of the iliac and obturator nodes. After radical prostatectomy, prostate specific antigen (PSA) levels were undetectable (<0.1 ng/mL) in 20 patients (33.3%). Eleven patients (18.3%), who had biochemical relapse, received complementary hormone therapy. Patients achieved a response after initiation of treatment, and total PSA became undetectable again after an 8-month follow-up period. Mean overall survival was 17.5 months, with a median of 9.49. Cumulative overall survival rates at 1 year, 3 years and 4 years were 42.4, 13.6 and 6.8%, respectively. Mean relapse-free survival was 17.3 months, with a median biochemical relapse-free survival of eleven (11) months. The mean duration of specific survival was 8.1 months, with a median of 3 months. Seven patients had positive resection margins (11.6%). Four patients had lymph node involvement. Radical prostatectomy, suggested in some patients with prostate cancer in our practice, has been shown to be an effective therapeutic method leading to good outcomes.
Assuntos
Antígeno Prostático Específico/sangue , Prostatectomia/métodos , Neoplasias da Próstata/cirurgia , Intervalo Livre de Doença , Seguimentos , Hospitais Universitários , Humanos , Excisão de Linfonodo , Metástase Linfática , Masculino , Margens de Excisão , Neoplasias da Próstata/patologia , Estudos Retrospectivos , Senegal , Taxa de Sobrevida , Resultado do TratamentoRESUMO
AIM: to evaluate the results of two-level urethroplasty in the treatment of complex urethral strictures in our clinical center. PATIENTS AND METHOD: Thiswas a retrospective cross sectional study from January 2012 to September 2015 in our clinical center. Patients operated according to Bengt Johanson technique were included. The parameters studied were age, the urological history, consultation reasons, duration of evolution, stenosis characteristics and treatment outcomes. RESULTS: twelve patients were enrolled in our study. The mean age was 48 ± 20 years. The main reason consultation reason is urine retention. The mean duration of evolution was 30 ± 25 months. The most common etiology identified was scleroinflammatory one . All the patients already had at least one medical background. The physical examination showed a periurethral gangue in 10 patients. The mean length of the urethral stricture was 6.3 ± 2.2 cm. After an average follow-up of 3.8 ± 2.3 months; the treatment outcomes were considered satisfactory in 8 patients and bad in 4 patients. CONCLUSION: Bengt Johanson's two level urethoplasty gives good outcomes in the treatment of complex urethral strictures.
OBJECTIF: évaluer les résultats de l'urétroplastie en deux temps dans le traitement des sténoses urétrales complexes dans notre centre. PATIENTS ET MÉTHODE: Il s'agissait d'une étude rétrospective entre Janvier 2012 et Septembre 2015 dans notre centre. Les patients opérés selon la technique de Bengt Johanson ont été inclus. Les paramètres étudiés étaient l'âge, les antécédents urologiques, les motifs de consultations, la durée d'évolution, les caractéristiques de la sténose et les résultats du traitement. RÉSULTATS: douze patients étaient inclus. L'âge moyen était de 48±20 ans. Le principal motif de consultation était la rétention d'urine. La durée moyenne d'évolution était de 30± 25 mois. L'étiologie la plus fréquente était celle d'origine scléro-inflammatoire. Tous les patients avaient déjà eu au moins un antécédent. L'examen physique avait objectivé une gangue péri-urétrale chez 10 patients. La longueur moyenne de la sténose urétrale était de 6,3 ± 2,2 cm. Après un recul moyen de 3,8 ± 2,3 mois ; les résultats étaient jugés bons chez 8 patients et mauvais chez 4 patients. CONCLUSION: L'urétroplastie en deux selon Bengt Johanson donne de bons résultats dans le traitement des sténoses urétrales complexes.
