Les abcès du psoas: aspects diagnostic et therapeutique / M. S. Moudouni  

Public ISBD Title : Les abcès du psoas: aspects diagnostic et therapeutique Authors: M. S. Moudouni ; Z. Dahami, Author ; O. Hocar, Author ; M. Gabsi, Author ; M. Boukhari, Author ; F. Barjani, Author ; A. Elhaous, Author ; M. A. Lakmichi, Author ; I. Sarf, Author Publisher: Cairo [Egypt] : Pan African Urological Surgeons' Association Publication Date: 2005 Series: African Journal of Urology, ISSN 1110-5704 No. 11(4) Uniform Titles: African Journal of Urology Pagination: p.319-322, fig. Layout: Journal Article ISSN (or other code): 1110-5704 Languages : French Keywords: Abcès du psoas - diagnostic  Abcès du psoas - thérapie  Adulte d'âge moyen  Procédures de chirurgie urogénitale Abstract: Objectif: Décrit pour la première fois en 1881 par Mynter1, l'abcès du psoas est une maladie rare. Les auteurs rapportent leur expérience dans la prise en charge de cette pathologie. Patients et méthodes: De janvier 1999 jusqu'en décembre 2002, quinze observations d'abcès du psoas, 12 hommes (80%) et 3 femmes (20%), d'âge moyen de 53 ans (27 - 70 ans), ont été colligées dans notre service. Le délai moyen d'hospitalisation est de 6 semaines (2 semaines - 24 semaines). L'interrogatoire permettait de reconstituer l'histoire de la maladie et une enquête étiologique. Tous les patients ont été explorés par le couple abdomen sans préparation et échographies abdominales. Neuf patients ont eu un uro-scanner. Le drainage chirurgical par une petite incision de 5 cm a été effectué chez 12 patients. Le traitement étiologique a été réalisé ultérieurement chez 9 patients. Résultats : La symptomatologie clinique était faite de fièvre chez 9 malades (60%), d'un psoïtis chez 6 malades (40%), d'une masse lombaire chez 5 malades (33%) et d'une masse inguinale chez 3 malades (20%). Une hyperleucocytose oscillant entre 13000 et 34000 /mm3 a été trouvée chez tous les malades (54%). Les germes les plus fréquemment isolés sont le staphylocoque doré (54%), le bacille de Koch (38,4%), Escherichia coli (15%) et Klebsiella (8%). L'abcès du psoas était primitif chez 4 malades (26.6%) et secondaire chez 11 malades (73.3%). Le traitement chirurgical qui consiste à drainer largement la collection purulente a été réalisé chez 8 malades par voie lombaire antérolatérale extra péritonéale et par voie inguinale haute chez 4 malades. Trois de nos malades ont bien évolué sous traitement médical associé à un drainage percutané. L'évolution immédiate est favorable chez tous nos malades. Conclusion: L'abcès primitif du psoas reste de pathogénie obscure. C'est un piège diagnostique pour le clinicien. Le diagnostic clinique précis de l'abcès et la sanction thérapeutique ont bénéficié des données récentes de l'imagerie moderne. Le traitement chirurgical reste la référence en cas d'échec du drainage percutané Link for e-copy: https://www.ajol.info/index.php/aju/article/view/8130/30672 Les abcès du psoas: aspects diagnostic et therapeutique [] / M. S. Moudouni ; Z. Dahami, Author ; O. Hocar, Author ; M. Gabsi, Author ; M. Boukhari, Author ; F. Barjani, Author ; A. Elhaous, Author ; M. A. Lakmichi, Author ; I. Sarf, Author . - Cairo (El Horria - Heliopolis, Egypt) : Pan African Urological Surgeons' Association, 2005 . - p.319-322, fig. : Journal Article. - (African Journal of Urology, ISSN 1110-5704; 11(4)) . ISSN : 1110-5704 Work : African Journal of Urology Languages : French Keywords: Abcès du psoas - diagnostic  Abcès du psoas - thérapie  Adulte d'âge moyen  Procédures de chirurgie urogénitale Abstract: Objectif: Décrit pour la première fois en 1881 par Mynter1, l'abcès du psoas est une maladie rare. Les auteurs rapportent leur expérience dans la prise en charge de cette pathologie. Patients et méthodes: De janvier 1999 jusqu'en décembre 2002, quinze observations d'abcès du psoas, 12 hommes (80%) et 3 femmes (20%), d'âge moyen de 53 ans (27 - 70 ans), ont été colligées dans notre service. Le délai moyen d'hospitalisation est de 6 semaines (2 semaines - 24 semaines). L'interrogatoire permettait de reconstituer l'histoire de la maladie et une enquête étiologique. Tous les patients ont été explorés par le couple abdomen sans préparation et échographies abdominales. Neuf patients ont eu un uro-scanner. Le drainage chirurgical par une petite incision de 5 cm a été effectué chez 12 patients. Le traitement étiologique a été réalisé ultérieurement chez 9 patients. Résultats : La symptomatologie clinique était faite de fièvre chez 9 malades (60%), d'un psoïtis chez 6 malades (40%), d'une masse lombaire chez 5 malades (33%) et d'une masse inguinale chez 3 malades (20%). Une hyperleucocytose oscillant entre 13000 et 34000 /mm3 a été trouvée chez tous les malades (54%). Les germes les plus fréquemment isolés sont le staphylocoque doré (54%), le bacille de Koch (38,4%), Escherichia coli (15%) et Klebsiella (8%). L'abcès du psoas était primitif chez 4 malades (26.6%) et secondaire chez 11 malades (73.3%). Le traitement chirurgical qui consiste à drainer largement la collection purulente a été réalisé chez 8 malades par voie lombaire antérolatérale extra péritonéale et par voie inguinale haute chez 4 malades. Trois de nos malades ont bien évolué sous traitement médical associé à un drainage percutané. L'évolution immédiate est favorable chez tous nos malades. Conclusion: L'abcès primitif du psoas reste de pathogénie obscure. C'est un piège diagnostique pour le clinicien. Le diagnostic clinique précis de l'abcès et la sanction thérapeutique ont bénéficié des données récentes de l'imagerie moderne. Le traitement chirurgical reste la référence en cas d'échec du drainage percutané Link for e-copy: https://www.ajol.info/index.php/aju/article/view/8130/30672

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Accuracy of ultrasound diagnosis after blunt scrotal trauma (10 years experience) / O. A. A. Elkader

Public ISBD Title : Accuracy of ultrasound diagnosis after blunt scrotal trauma (10 years experience) Authors: O. A. A. Elkader ; A. EL Nashar, Author ; K. M. El Den, Author Publisher: Cairo [Egypt] : Pan African Urological Surgeons' Association Publication Date: 2010 Series: African Journal of Urology, ISSN 1110-5704 No. 16(3) Uniform Titles: African Journal of Urology Pagination: p.73-78 Layout: Journal Article ISSN (or other code): 1110-5704 Languages : English Keywords: Testis - injuries  Testis - diagnostic imaging  Wounds, Nonpenetrating - complications  Ultrasonography  Egypt Abstract: Objectives:To evaluate the role of ultrasonography (US) and its accuracy; sensitivity and specificity for the diagnosis of testicular rupture after blunt scrotal trauma. Moreover; tunica albuginea breach; testicular hematoma; testis avulsion; epididymal injuries and hematocele are particularly examined. Patients and Methods: Between 1998 and 2008; 24 patients presented to Suez Canal University Hospital after blunt scrotal trauma and underwent surgical exploration. All patients had an emergency scrotal US examination with the use of a 7.5-10 MHz linear transducer. US findings were compared with the surgical findings to calculate the sensitivity and specificity of US for each type of lesion. Results: Out of 24 patients; 12 were diagnosed as having testicular rupture and tunica albuginea breach was visualized on US in 6 patients. Sensitivity and specificity of US were 92and 50for testicular rupture; 85and 75for hematocele; 80and 79for testicular hematoma; and 100 and 96 for testicular avulsion; respectively. US diagnosis of epididymal injuries was poor as it failed to detect 3 out of 5 epididymal lesions. Conclusion: US was highly sensitive in the diagnosis of testis rupture. This can provide information on the integrity of the scrotal contents that can help the physician to determine the optimal treatment. Accuracy of ultrasound diagnosis after blunt scrotal trauma (10 years experience) [] / O. A. A. Elkader ; A. EL Nashar, Author ; K. M. El Den, Author . - Cairo (El Horria - Heliopolis, Egypt) : Pan African Urological Surgeons' Association, 2010 . - p.73-78 : Journal Article. - (African Journal of Urology, ISSN 1110-5704; 16(3)) . ISSN : 1110-5704 Work : African Journal of Urology Languages : English Keywords: Testis - injuries  Testis - diagnostic imaging  Wounds, Nonpenetrating - complications  Ultrasonography  Egypt Abstract: Objectives:To evaluate the role of ultrasonography (US) and its accuracy; sensitivity and specificity for the diagnosis of testicular rupture after blunt scrotal trauma. Moreover; tunica albuginea breach; testicular hematoma; testis avulsion; epididymal injuries and hematocele are particularly examined. Patients and Methods: Between 1998 and 2008; 24 patients presented to Suez Canal University Hospital after blunt scrotal trauma and underwent surgical exploration. All patients had an emergency scrotal US examination with the use of a 7.5-10 MHz linear transducer. US findings were compared with the surgical findings to calculate the sensitivity and specificity of US for each type of lesion. Results: Out of 24 patients; 12 were diagnosed as having testicular rupture and tunica albuginea breach was visualized on US in 6 patients. Sensitivity and specificity of US were 92and 50for testicular rupture; 85and 75for hematocele; 80and 79for testicular hematoma; and 100 and 96 for testicular avulsion; respectively. US diagnosis of epididymal injuries was poor as it failed to detect 3 out of 5 epididymal lesions. Conclusion: US was highly sensitive in the diagnosis of testis rupture. This can provide information on the integrity of the scrotal contents that can help the physician to determine the optimal treatment.

Adenocarcinome primitif de la vessie : a propos de 7 cas / Sadiq; A.Ouani; M.Sadiqui; R.et al.

Public ISBD Title : Adenocarcinome primitif de la vessie : a propos de 7 cas Authors: Sadiq; A.Ouani; M.Sadiqui; R.et al. Publisher: Cairo [Egypt] : Pan African Urological Surgeons' Association Publication Date: 2005 Series: African Journal of Urology, ISSN 1110-5704 No. 11(2); 121-126 Uniform Titles: African Journal of Urology Layout: Journal Article ISSN (or other code): 1110-5704 Languages : French Keywords:   AdenocarcinomaBladder Neoplasms  etiologyBladder Neoplasms  diagnosisBladder Neoplasms  therapy  AdenocarcinomaBladder Neoplasms  etiologyBladder Neoplasms  diagnosisBladder Neoplasms  therapy Abstract: Objective: The analysis of the etiopathologic; diagnostic and therapeutic aspects of the primary adenocarcinoma of the bladder. Patients and Methods: We report on a series of 7 cases of primary adenocarcinoma of the bladder out of a total of 564 cases of bladder tumors seen at our institution during a period of 14 years (1989-2003). All 7 patients with primary adenocarcinoma of the bladder presented with gross hematuria. Treatment consisted of chemotherapy using 5-fluorouracil (5-FU) in 3 cases where the tumor was locally advanced or metastatic; radical cystectomy with bilateral pelvic lymph node dissection and urinary diversion in 2 cases where the tumor was located in the bladder neck and trigone; partial cystectomy with pelvic lymph node dissection and bladder augmentation ileoplasty followed by an adjuvant chemotherapy in one case where the tumor was located at the dome of the bladder; and transurethral bladder resection followed by a chemotherapy with intravesical instillation of mitomycin-C in the remaining patient with superficial lesions. Follow-up ranged from 6 months to 15 years with a mean follow-up of 93 months. Results: The two patients treated by radical cystectomy had no recurrence after 12 months; while the patient treated by transurethral resection followed by intravesical instillation of mitomycin-C was free of disease 15 years after the intervention. The patient treated by partial cystectomy did not show any local recurrence after 10 months. Among the patients treated by chemotherapy (5-FU); a partial response was achieved in two with a mean survival of 12 months; while the remaining patient died within 6 months from treatment. Conclusion: Adenocarcinoma of the bladder is often diagnosed late. No consensus on therapy has been achieved so far. Radical cystectomy remains the gold standard for organ-confined tumors. Superficial lesions are very rare and may be treated conservatively. Adenocarcinome primitif de la vessie : a propos de 7 cas [] / Sadiq; A.Ouani; M.Sadiqui; R.et al. . - Cairo (El Horria - Heliopolis, Egypt) : Pan African Urological Surgeons' Association, 2005 . -  : Journal Article. - (African Journal of Urology, ISSN 1110-5704; 11(2); 121-126) . ISSN : 1110-5704 Work : African Journal of Urology Languages : French Keywords:   AdenocarcinomaBladder Neoplasms  etiologyBladder Neoplasms  diagnosisBladder Neoplasms  therapy  AdenocarcinomaBladder Neoplasms  etiologyBladder Neoplasms  diagnosisBladder Neoplasms  therapy Abstract: Objective: The analysis of the etiopathologic; diagnostic and therapeutic aspects of the primary adenocarcinoma of the bladder. Patients and Methods: We report on a series of 7 cases of primary adenocarcinoma of the bladder out of a total of 564 cases of bladder tumors seen at our institution during a period of 14 years (1989-2003). All 7 patients with primary adenocarcinoma of the bladder presented with gross hematuria. Treatment consisted of chemotherapy using 5-fluorouracil (5-FU) in 3 cases where the tumor was locally advanced or metastatic; radical cystectomy with bilateral pelvic lymph node dissection and urinary diversion in 2 cases where the tumor was located in the bladder neck and trigone; partial cystectomy with pelvic lymph node dissection and bladder augmentation ileoplasty followed by an adjuvant chemotherapy in one case where the tumor was located at the dome of the bladder; and transurethral bladder resection followed by a chemotherapy with intravesical instillation of mitomycin-C in the remaining patient with superficial lesions. Follow-up ranged from 6 months to 15 years with a mean follow-up of 93 months. Results: The two patients treated by radical cystectomy had no recurrence after 12 months; while the patient treated by transurethral resection followed by intravesical instillation of mitomycin-C was free of disease 15 years after the intervention. The patient treated by partial cystectomy did not show any local recurrence after 10 months. Among the patients treated by chemotherapy (5-FU); a partial response was achieved in two with a mean survival of 12 months; while the remaining patient died within 6 months from treatment. Conclusion: Adenocarcinoma of the bladder is often diagnosed late. No consensus on therapy has been achieved so far. Radical cystectomy remains the gold standard for organ-confined tumors. Superficial lesions are very rare and may be treated conservatively.

Adult Patients Presenting with Undescended Testis in Awareness-Poor Region / Osifo; O. D.Osaigbovo; E. O.

Public ISBD Title : Adult Patients Presenting with Undescended Testis in Awareness-Poor Region Authors: Osifo; O. D.Osaigbovo; E. O. Publisher: Cairo [Egypt] : Pan African Urological Surgeons' Association Publication Date: 2010 Series: African Journal of Urology, ISSN 1110-5704 No. 16(2); 39-45 Uniform Titles: African Journal of Urology Layout: Journal Article ISSN (or other code): 1110-5704 Languages : English Keywords:   CryptorchidismAwarenessAdultPatientsPoverty AreasAdult  CryptorchidismAwarenessAdultPatientsPoverty AreasAdult Abstract: Objectives The majority of patients with undescended testis present during childhood with minimal complications owing to straightforward treatment with excellent postoperative outcome. This paper reports the mode of presentation; challenges and outcome of management of adult patients with undescended testis. Methods. This prospective study included consecutive cases of adult patients managed with undescended testis from January 2004 to December 2008 in Evbuomore; Nigeria. Results Eighteen adults with a mean age of 38.3 years (range 19-61) were managed during the period. Ten (55.5) had bilateral; 5 (27.8) right and 3 (16.7) left lesions. Awareness was poor as they presented due to infertility in 8 (44.4); associated hernia 5 (27.8); wife/self discovery 4 (22.2) and accidental discovery by a health worker 1 (5.6); with 9 men (50) presenting between 30 and 40 years of age. On inguinal exploration; only 3 (10.7) patients had viable but significantly reduced testicular volume; 17 (60.7) were atrophic/fibrotic while in 8 (28.6) the vas deferens ended blindly in the inguinal canal with no viable testicular tissue. Apart from three patients who had children before presentation; infertility persisted even after treatment despite adequate hormone profiles and satisfactory sexual performance. Counseling of spouses was a major challenge; with 8 couples adopting children and three marriages ending in separation. conclusion: Management of adults with undescended testis was challenging due to irreversible complications; psychological effects and poor outcome of treatment which shows the importance of awareness programs that will result in childhood presentation. Adult Patients Presenting with Undescended Testis in Awareness-Poor Region [] / Osifo; O. D.Osaigbovo; E. O. . - Cairo (El Horria - Heliopolis, Egypt) : Pan African Urological Surgeons' Association, 2010 . -  : Journal Article. - (African Journal of Urology, ISSN 1110-5704; 16(2); 39-45) . ISSN : 1110-5704 Work : African Journal of Urology Languages : English Keywords:   CryptorchidismAwarenessAdultPatientsPoverty AreasAdult  CryptorchidismAwarenessAdultPatientsPoverty AreasAdult Abstract: Objectives The majority of patients with undescended testis present during childhood with minimal complications owing to straightforward treatment with excellent postoperative outcome. This paper reports the mode of presentation; challenges and outcome of management of adult patients with undescended testis. Methods. This prospective study included consecutive cases of adult patients managed with undescended testis from January 2004 to December 2008 in Evbuomore; Nigeria. Results Eighteen adults with a mean age of 38.3 years (range 19-61) were managed during the period. Ten (55.5) had bilateral; 5 (27.8) right and 3 (16.7) left lesions. Awareness was poor as they presented due to infertility in 8 (44.4); associated hernia 5 (27.8); wife/self discovery 4 (22.2) and accidental discovery by a health worker 1 (5.6); with 9 men (50) presenting between 30 and 40 years of age. On inguinal exploration; only 3 (10.7) patients had viable but significantly reduced testicular volume; 17 (60.7) were atrophic/fibrotic while in 8 (28.6) the vas deferens ended blindly in the inguinal canal with no viable testicular tissue. Apart from three patients who had children before presentation; infertility persisted even after treatment despite adequate hormone profiles and satisfactory sexual performance. Counseling of spouses was a major challenge; with 8 couples adopting children and three marriages ending in separation. conclusion: Management of adults with undescended testis was challenging due to irreversible complications; psychological effects and poor outcome of treatment which shows the importance of awareness programs that will result in childhood presentation.

An Interesting Neonatal Abdominal Mass / Lazarus; J.

Public ISBD Title : An Interesting Neonatal Abdominal Mass Authors: Lazarus; J. Publisher: Cairo [Egypt] : Pan African Urological Surgeons' Association Publication Date: 2010 Series: African Journal of Urology, ISSN 1110-5704 No. 16(3); 95-98 Uniform Titles: African Journal of Urology Layout: Journal Article ISSN (or other code): 1110-5704 Languages : English Keywords:   Abdominal AbscessUltrasonographyInfant  Newborn  Abdominal AbscessUltrasonographyInfant  Newborn Abstract: We present the case of a neonate who was born with an antenatal ultrasound diagnosis of a cystic abdominal mass of uncertain origin. The diagnosis of pelviureteric junction obstruction (PUJO) was obscured by difficulty determining the origin of the extremely large cystic abdominal mass. Sonographically; the kidneys appeared relatively normal; creating a diagnostic dilemma - the hydronephrosis was almost exclusively in an extrarenal pelvis. Additionally; contralateral hydronephrosis secondary to the mass effect further confused the diagnosis. We discuss the differential diagnosis of neonatal cystic abdominal masses and review the literature of giant hydronephrosis. An Interesting Neonatal Abdominal Mass [] / Lazarus; J. . - Cairo (El Horria - Heliopolis, Egypt) : Pan African Urological Surgeons' Association, 2010 . -  : Journal Article. - (African Journal of Urology, ISSN 1110-5704; 16(3); 95-98) . ISSN : 1110-5704 Work : African Journal of Urology Languages : English Keywords:   Abdominal AbscessUltrasonographyInfant  Newborn  Abdominal AbscessUltrasonographyInfant  Newborn Abstract: We present the case of a neonate who was born with an antenatal ultrasound diagnosis of a cystic abdominal mass of uncertain origin. The diagnosis of pelviureteric junction obstruction (PUJO) was obscured by difficulty determining the origin of the extremely large cystic abdominal mass. Sonographically; the kidneys appeared relatively normal; creating a diagnostic dilemma - the hydronephrosis was almost exclusively in an extrarenal pelvis. Additionally; contralateral hydronephrosis secondary to the mass effect further confused the diagnosis. We discuss the differential diagnosis of neonatal cystic abdominal masses and review the literature of giant hydronephrosis.

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Antegrade scrotal sclerotherapy versus inguinal microsurgical varicocelectomy in the treatment of varicocele – a prospective, randomized, parallel group study / A. A. Botha  

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Bladder neck resection with preservation an antegrate ejaculation / M. Abdel-Basir Sayed

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Buccal mucosa urethroplasty for bulbar urethral strictures / Pansadoro; V.Emiliozzi; P.Scarpone; P.

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Can prostate cancer be predilected in BHP patients with elevated serum PSA negative initial sextant biopsy? A multivariate analysis study / M. Abdel Khalek

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