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Research Article
Preliminary Carcinological Results of Radical Prostatectomies at Treichville University Hospital from 2019 to 2023 (Abidjan, Cote D’Ivoire)
Issue:
Volume 9, Issue 1, June 2025
Pages:
1-6
Received:
9 December 2024
Accepted:
18 December 2024
Published:
16 January 2025
DOI:
10.11648/j.ijcu.20250901.11
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Abstract: Background: Radical prostatectomy (RP) is the gold standard treatment for localised prostate cancer. It is performed at a low rate because of the difficulty in selecting patients. Patients are generally diagnosed at the metastatic stage. In the Ivorian literature, there are few reports on RP. We propose to describe an initial series. Objective: The aim of our study was to report the carcinological results of radical prostatectomy at Treichville University Hospital. Methods: We conducted a retrospective cohort from August 2019 to March 2023 at the Urology Department of Treichville University Hospital. We included all patients who had radical prostatectomy after being diagnosed with localised prostate cancer. Results: A total of 20 cases were selected. The mean age was 61.5 years. The most common Gleason score was 6 (3+3). 50% of patients were classified as pT3 and had a positive resection margin. Biological recurrence was observed in 75% of cases with positive resection margins after 6 months' follow-up. A 12-month recurrence-free survival analysis curve of the Klaplan Meier type was performed. Conclusion: The pT3 stage was associated with a positive resection margin and favoured biological recurrence. Later, we will expand the cohort. We are considering a research protocol on long-term functional outcomes.
Abstract: Background: Radical prostatectomy (RP) is the gold standard treatment for localised prostate cancer. It is performed at a low rate because of the difficulty in selecting patients. Patients are generally diagnosed at the metastatic stage. In the Ivorian literature, there are few reports on RP. We propose to describe an initial series. Objective: The...
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Case Report
Operative Technique and Short-term Outcome of Re-do Failed Hypospadias Repair: A Case Report
Issue:
Volume 9, Issue 1, June 2025
Pages:
7-12
Received:
3 December 2024
Accepted:
31 December 2024
Published:
21 January 2025
DOI:
10.11648/j.ijcu.20250901.12
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Abstract: Introduction: A failed hypopadias repair is a difficult case to treat considering the poor quality of surrounding tissues arising from disruption of normal vasculature associated with the underlying disorder as well as scaring from previous repairs. In this case report we describe our experience with the management of late presentation of failed hypospadias repair in a 12 year old boy. Case report: Our patient is a twelve year old ‘small for age’ who presented to our center with failed mid-penile hypospadias repair. He first presented at the age of eight to another hospital where he was evaluated and a diagnosis of mid-penile hypospadias with significant chordee was made. He had the first repair at the age of eight but the repair failed two weeks after surgery. Two years later he had a second repair in same facility which also failed after approximately two weeks. They consequently presented to our center two years later at the age of twelve. Following appropriate evaluation and counseling, he had the 3rd repair during which we ensured a preoperative sterile urine culture, created a urinary diversion via suprapubic cystostomy, the use of a monofilament (monocryl) suture, complete release of chordee after excision of scar tissues, a second intervening layer over the repair, the use of an improvised stent instead of a urethral catheter and appropriate anchorage of the stent to the suprapubic skin using a nylon suture. Patient did well post-operatively and was discharged home 14 days after the repair. Subsequent outpatient visits were uneventful and he was discharged after three months to see us only when necessary. Conclusion: This case report suggests recurrent ventral chordee and wound dehiscence as the possible risk factors for re-operation, while detailing complete release of chordee and appropriate tubularization urethroplasty technique as tips for success.
Abstract: Introduction: A failed hypopadias repair is a difficult case to treat considering the poor quality of surrounding tissues arising from disruption of normal vasculature associated with the underlying disorder as well as scaring from previous repairs. In this case report we describe our experience with the management of late presentation of failed hy...
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Research Article
Short-Term Quality of Life Outcomes: A Comparative Analysis of Thulium Laser Vaporization (ThuVap) vs. Transurethral Resection of the Prostate (TURP)
Issue:
Volume 9, Issue 1, June 2025
Pages:
13-19
Received:
23 December 2024
Accepted:
13 January 2025
Published:
24 January 2025
Abstract: Objective: This study aimed to compare short-term quality of life (QOL) outcomes and perioperative parameters between transurethral resection of the prostate (TURP) and thulium laser vaporization of the prostate (ThuVap) in patients with benign prostatic hyperplasia (BPH). Materials and Methods: A retrospective analysis was conducted on 106 patients with BPH who underwent either TURP (n = 58) or ThuVap (n = 48) at our institution between April 2021 and August 2024. Preoperative and postoperative evaluations included the International Prostate Symptom Score (I-PSS), Overactive Bladder Symptom Score (OABSS), QOL index, and uroflowmetry. Perioperative outcomes, including operative time, catheterization duration, and hemoglobin (Hb) reduction, were also analyzed. Results: Both TURP and ThuVap showed sustained improvements in I-PSS, OABSS, and QOL index during the 3-month follow-up period, with no significant differences between the groups. ThuVap demonstrated a significantly lower rate of Hb reduction on the first postoperative day compared to TURP (5.9% vs. 8.5%, P < 0.05), likely due to reduced intraoperative bleeding. Although ThuVap had a shorter mean operative time (82.3 vs. 99.3 minutes), this difference was not statistically significant (P = 0.1). Discussion: The findings indicate that both TURP and ThuVap effectively improve postoperative QOL. ThuVap's reduced bleeding may provide advantages in patients with higher cardiovascular or bleeding risks. However, variations in operative time between studies may be influenced by factors such as surgeons' experience and institutional protocols. Conclusion: Both TURP and ThuVap are effective surgical options for improving QOL in BPH patients. However, surgical efficiency and outcomes may be influenced by the surgeon's expertise and the preoperative condition of the patients. ThuVap offers additional benefits of reduced intraoperative bleeding, which may support its use in selected cases.
Abstract: Objective: This study aimed to compare short-term quality of life (QOL) outcomes and perioperative parameters between transurethral resection of the prostate (TURP) and thulium laser vaporization of the prostate (ThuVap) in patients with benign prostatic hyperplasia (BPH). Materials and Methods: A retrospective analysis was conducted on 106 patient...
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Research Article
Reporting the Complications of Open Transvesical Prostatectomy by Using the Clavien Dindo Classification at the Ignace Deen National Hospital, Conakry
Thierno Oumar Diallo*,
Mamadou Diawo Bah,
Mamadou Dian Barry,
Alimou Diallo,
Youssouf Keita,
Alpha Madiou Barry,
Thierno Sounounou Diallo,
Mamadou Moussa Barry,
Ibrahima Bah,
Abdoulaye Bobo,
Oumar Raphiou Bah
Issue:
Volume 9, Issue 1, June 2025
Pages:
20-24
Received:
1 January 2025
Accepted:
20 January 2025
Published:
5 February 2025
Abstract: Background: Benign prostatic hyperplasia (BPH) is a condition of the elderly whose incidence is constantly increasing. Open surgery for benign prostatic hypertrophy is still widely used in developing countries. The aims of this study was to report the postoperative complications for BPH using the Clavien Dindo Classification (CDC) in the urology department of Ignace Deen National Hospital. Methods: This was a retrospective, single-center documentary study focusing on post-operative complications after Open prostatic (OP) Surgery, over a period of 2 years (June 1, 2021 to May 31, 2023). A total of 380 patients underwent OP surgery for BPH followed in the urology department during the study period. Results: Among the 630 patients followed during the study period. A total of 76(20%) patients experienced 90 complications. Clavien Dindo grade I and grade II complications were reported in 45.6% and 42.2% respectively. Among grade I complications, bladder clots n=16 (17.8%) and vesicocutaneous fistulas 20 (22.3%) were predominant. Surgical site infection n=25(27.8%) was the main CDC grade II complication treated with antibiotics. Higher grade complications were rarer. Conclusion: post-operative complications for benign prostatic hyperplasia surgery are common in our department. The Clavien Dindo classification is a reproducible tool for reporting postoperative complications in our patients. Complications are mainly grade I and grade II complications.
Abstract: Background: Benign prostatic hyperplasia (BPH) is a condition of the elderly whose incidence is constantly increasing. Open surgery for benign prostatic hypertrophy is still widely used in developing countries. The aims of this study was to report the postoperative complications for BPH using the Clavien Dindo Classification (CDC) in the urology de...
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Case Report
Spontaneous Perinephric Hematoma in Patients of Pyelonephritis: Case Series of an Uncommon Complication
Issue:
Volume 9, Issue 1, June 2025
Pages:
25-29
Received:
19 December 2024
Accepted:
13 January 2025
Published:
11 February 2025
Abstract: Introduction: Spontaneous Perinephric Hematoma (SPH) used to remain undiagnosed because of deep-seated location of kidney protected by multiple anatomical envelopes. This is no more the case after easy availability of ultrasound and CT scan; and now, SPH is being diagnosed more often. SPH can occur due to various causes like inflammatory, infective, vascular conditions and bleeding diathesis. SPH can occur in association with pyelonephritis, whether non-obstructive or due to ureteric obstruction. There is no established protocol for management of SPH associated with pyelonephritis. In an attempt to fill up this vacuum, we evaluated our cases of SPH which occurred in patients admitted for indoor treatment of non-obstructive pyelonephritis with the aim was to arrive at appropriate management protocol of SPH associated with pyelonephritis. Methods: A review of record files of 82 cases of non-obstructive pyelonephritis admitted in department of urology of Goa Medical College, GOA, India from January, 2020 to April, 2024 was done. SPH was detected in 5 cases, and as per our protocol, in all 5 cases, SPH was treated by minimally invasive approach in the form of Single Stage Aspiration (SSA) +/- Pigtail catheter placement. Out of 5 cases, 2 patients were cured with SSA alone; 1 patient required an additional procedure in the form of 2nd stage Pigtail placement due to recurrence of hematoma after SSA; and 2 cases were treated with SSA + Pigtail done in same sitting. No emergency exploration of SPH was done in any case and renal salvage could be achieved in all 5 cases. Conclusion: SSA +/-Pigtail Catheter as primary therapeutic modality was found to be safe and effective for treatment of SPH in Pyelonephritis though the number of cases in this study was small.
Abstract: Introduction: Spontaneous Perinephric Hematoma (SPH) used to remain undiagnosed because of deep-seated location of kidney protected by multiple anatomical envelopes. This is no more the case after easy availability of ultrasound and CT scan; and now, SPH is being diagnosed more often. SPH can occur due to various causes like inflammatory, infective...
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Research Article
Symptoms and Impact of Double-J Stent on the Quality of Life After Percutaneous Nephrolithotomy in Vietnam
Hien Nguyen Thi Thanh*
,
Lan Anh Nguyen Thi
Issue:
Volume 9, Issue 1, June 2025
Pages:
30-35
Received:
27 January 2025
Accepted:
11 February 2025
Published:
21 February 2025
Abstract: Background: Percutaneous Nephrolithotomy (PCNL) is a common treatment for kidney stones, and double-J (D-J) stenting is often employed post-procedure to ensure proper urine flow and avoid complications. However, double-J stents are known to cause discomfort, leading to a reduced quality of life. This study aims to evaluate the urinary symptoms and overall impact of D-J stents on quality of life following PCNL. Methods: This study was conducted prospectively on 200 patients who underwent PCNL and D-J stenting at Bach Mai Hospital. The Ureteral Stent Symptom Questionnaire (USSQ) was used to assess the impact on urinary symptoms, body pain, work performance, and general health. Data were collected both four weeks post-stent implantation and four weeks post-stent removal. Results: Among 200 patients (mean age 53.06 years), 82.5% experienced pain, predominantly in the kidney front area (77.4%) and kidney back area (54.7%). Sleep was interrupted in 77.4% of patients due to pain. Urinary symptoms included urgency (90.5%), urge incontinence (42.5%), dysuria (50.5%), and hematuria (40%). The symptoms negatively impacted work performance and sexual health. After stent removal, significant improvements were observed in all domains of the USSQ. Conclusions: Double-J stents are associated with significant symptoms that lower the quality of life in patients post-PCNL. Monitoring and care programs are necessary to manage these adverse effects effectively.
Abstract: Background: Percutaneous Nephrolithotomy (PCNL) is a common treatment for kidney stones, and double-J (D-J) stenting is often employed post-procedure to ensure proper urine flow and avoid complications. However, double-J stents are known to cause discomfort, leading to a reduced quality of life. This study aims to evaluate the urinary symptoms and ...
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Research Article
The Predictive Value of Prostate Specific Antigen Density, Percentage Free Prostate Specific Antigen and the Combination for Prostate Cancer Detection in Grey Zone
Issue:
Volume 9, Issue 1, June 2025
Pages:
36-48
Received:
1 February 2025
Accepted:
14 February 2025
Published:
26 February 2025
Abstract: Introduction: Prostate cancer is a common malignancy affecting men beyond the middle age. In advanced countries, the life time risk of developing microscopic prostate cancer in men is 30%. However, it is slow-growing and the risk of developing clinical disease is 16%, while the lifetime risk is 3%. It is not common in those below 50 years, but after this age there is a steady increase in its incidence. The objective of this study was to determine the predictive value of prostate specific antigen density (PSAD), percentage free Prostate specific antigen and the combination (PSAD+%FPSA) for cancer detection in the grey zone at a tertiary health center in north central Nigeria. Methodology: A prospective study which was carried out over one year and three months. Each subject had a clinical evaluation involving relevant history, physical examination with digital rectal examination of the prostate gland, followed by blood sampling for both total and free PSA. These samples for PSA were sent to the chemical pathology laboratory. The percentage free PSA was calculated by finding the ratio between free PSA and total PSA and multiplying the result by 100. Also, a transabdominal ultrasound scan was done to determine the prostate volume. The PSA density was calculated by dividing the PSA by the total prostate volume. All patients had digitally guided transrectal prostate biopsy. The analysis were in 3 subsets; PSAD, %FPSA and the combination (PSAD+%FPSA). Results were analysed using SPSS version 20. P value <0.05 was considered significant. Charts and tables were used to express the data. The receiver operating characteristic curve (ROC) was used to determine the predictive power of PSAD and %FPSA, the combination (PSAD+%FPSA) in prostate cancer detection and hence the more predictive of them all. Results: Forty two men with mean age of 67.93 ± 7.11years who had PSA in the grey zone were recruited. Only 5(12%) had diagnosis of prostate adenocarcinoma. Mean age of those with adenocarcinoma was 69.40 ± 1.67years. There was no statistically significant correlation between prostate adenocarcinoma and the variables; PSAD, %FPSA and the combination (PSAD+%FPSA), with P values of 0.517, 0.453 and 0.451 respectively. However when the ROC curve was drawn, the AUC was highest for PSAD at 0.524 with a cut-off value of 0.108ng/ml2. While the AUC and cut-off was 0.373, 29.40 and 0.373, 30.50 for %FPSA and the combination (PSAD+%FPSA) respectively. Additionally, using a two-by-two table, the positive predictive value for adenocarcinoma was 21.1% for PSAD, compared to 11.9% for %FPSA and 7.1% for the combination. Conclusion: The study showed that PSAD was the most predictive of the 3 parameters. A PSAD cut-off value of 0.108 (sensitivity of 80% and specificity of 20%) is suggestive of prostate adenocarcinoma in patients with PSA in the grey zone.
Abstract: Introduction: Prostate cancer is a common malignancy affecting men beyond the middle age. In advanced countries, the life time risk of developing microscopic prostate cancer in men is 30%. However, it is slow-growing and the risk of developing clinical disease is 16%, while the lifetime risk is 3%. It is not common in those below 50 years, but afte...
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Research Article
Preliminary Study on the Results of the Analysis of Urinary Stones by Infrared Spectrophotometry in the Urology Department of the Pr BSS University Hospital in Kati
Issue:
Volume 9, Issue 1, June 2025
Pages:
49-54
Received:
11 February 2025
Accepted:
24 February 2025
Published:
6 March 2025
DOI:
10.11648/j.ijcu.20250901.18
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Abstract: Introduction: Urinary lithiasis corresponds to the presence of one or more stones in the urinary tract. The etiology is multiple. The etiological investigation of urinary stones is based on morpho-constitutional analysis by infrared spectrophotometry. The objective of this work is to report the preliminary results of the analysis of urinary stones by infrared spectrophotometry. Materials and methods: This was a descriptive cross-sectional study with prospective collection carried out in the urology department of the Pr Sidy Sall University Hospital in Kati. It took place over a period from January 1, 2016 to December 31, 2018, or 36 months. Included in our study were all patients who were diagnosed with urinary lithiasis and who underwent spectrophotometric analysis after the intervention in the department. The supports of our study were: consultation records, surgical report records, hospitalization records, medical records, and the account of the analysis of stones by infrared spectrophotometry. The questionnaires were entered and analyzed on Word 2016, Excel 2016 and SPSS version 23.0 software after data verification. Results: we collected eighty-one (81) cases of urinary stones. Of the 81 cases, 15 patients were able to perform an infrared spectrophotometry analysis. In 66.67% of cases, there was at least 1 stone. In 60% of cases, the stone was of medium size. The stones were brownish in color in 73% of cases. Whewellite C1 and C2 stones were the most represented. In only one patient, the chemical composition of the stones was essentially made of whewellite. In a single patient, the chemical interpretation was essentially made of dietary hypercalciuria. The concentric and radial aspect of the calculus was essentially found in a single patient.
Abstract: Introduction: Urinary lithiasis corresponds to the presence of one or more stones in the urinary tract. The etiology is multiple. The etiological investigation of urinary stones is based on morpho-constitutional analysis by infrared spectrophotometry. The objective of this work is to report the preliminary results of the analysis of urinary stones ...
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