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Saadi M, Chakroun M, Saadi A, Boussafa H, Ayed H, Bouzouita A, Derouiche A, Ben Slama R, Chebil M. Bacterial ecology of acute obstructive pyelonephritis. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33589-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Boussaffa H, Saadi A, Chakroun M, Bibani H, Bouzouita A, Derouiche A, Ben Slama R, Ayed H, Chebil M. Facteurs prédictifs d’instabilité hémodynamique peropératoire au cours de la surrénalectomie pour phéochromocytome. Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Saadi A, Saadi H, Chakroun M, Karray O, Achour N, Bouzouita A, Derouiche A, Ben Slama R, Mnif N, Ayed H, Chebil M. Traumatismes scrotaux : intérêt de l’échographie préopératoire dans la prédiction de la rupture de l’albuginée. Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kaaroud H, Harzallah A, Sayhi M, Bacha M, Khadhar M, Goucha R, Bouzid K, Ayed H, Bouzouita A, Cherif M, Chebil M, Mrad R, Omezzine A, Jallouli M, Gargah T, Ben Hamida F, Ben Abdallah T. [Inherited kidney stones: A nephrology center experience]. Prog Urol 2019; 29:962-973. [PMID: 31537493 DOI: 10.1016/j.purol.2019.08.262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Revised: 07/06/2019] [Accepted: 08/06/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Genetic factors must be considered in etiological diagnosis of urinary lithiasis. The aim of this study was to determine clinical, metabolic characteristics and the progression of hereditary urinary lithiasis in our patients. METHODS A retrospective study was conducted between 2008 and 2018 and 60 patients were included. Patients were referred to our department from pediatrics departments to be followed-up in adulthood in 9 cases, for etiological investigation in 42 cases and for chronic renal failure in 9 cases. RESULTS Thirty-five men and twenty-five women were enrolled in this study with a M/F sex ratio equal to 1.4. The mean age at the time of diagnosis of the hereditary character of the urinary lithiasis was 28.6years (3months-63years). The average delay between the onset of the lithiasis disease and the etiological diagnosis was 8years (0-42years). We noted 31 cases of cystinuria, 18 cases of primary hyperoxaluria type 1 with two mutations (I244T in 14 cases, 33-34 Insc in 23 cases) and 11 cases of renal tubulopathy. Fourteen patients were affected with chronic renal failure, of which five were in the end-stage renal disease. Crystalluria was positive in 62% of cases. The morpho-constitutional analysis of stones was performed in 37 cases and it contributed to the diagnosis in 29 cases. After an average follow-up of 16years, we noted normal renal function in 42 cases, chronic renal failure in 7 cases, hemodialysis in 10 cases all with primary hyperoxaluria and transplantation in 1 case. CONCLUSION The etiological diagnosis of hereditary urinary lithiasis in our study was made with considerable delay. Cystinuria was the most frequent etiology and primary hyperoxaluria was the most serious affection. LEVEL OF EVIDENCE 4.
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Gharbi M, Chakroun M, Chaker K, Zaghbib S, Saadi A, Bouzouita A, Ayed H, Slama MB, Derouiche A, Chebil M. Évaluation de la prescription des carbapénèmes au cours des pyélonéphrites aiguës obstructives. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Chaker K, Bouzouita A, Chakroun M, Zaghbib S, Ayed H, Cherif M, Ben Slama M, Derouiche A, Chebil M. Urétroplastie pour rupture complète de l’urètre postérieur : faut–il attendre 3 mois ? Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bettaieb A, Neji M, Kharoub H, Kaaroud H, Ben Hamida F, Ben Abdallah T, Bouzid K, Talbi E, Ayed H, Chebil M. Lithiase urinaire de l’adulte et insuffisance rénale chronique : à propos de 32 cas. Nephrol Ther 2018. [DOI: 10.1016/j.nephro.2018.07.338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Karray O, Saadi A, Chakroun M, Ayed H, Cherif M, Bouzouita A, Slama MRB, Derouiche A, Chebil M. Retro-peritoneal paraganglioma, diagnosis and management. Prog Urol 2018; 28:488-494. [PMID: 29983333 DOI: 10.1016/j.purol.2018.06.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2017] [Revised: 02/06/2018] [Accepted: 06/07/2018] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Paragangliomas, defined as extra-adrenal chromaffin-cells tumors, are rarely located in the retro-peritoneum. Clinical presentation is similar to pheochromocytoma, and mainly depends on the producing character of the tumor. Positive diagnosis requires plasmatic and urinary hormonal assays. Radiological and isotopic explorations are essential before surgery. The only curative therapeutic strategy is surgical, associated to peri-operative prevention and monitoring of the frequently reported hemodynamic and cardiovascular disorders. Outcome depends of the metastatic character of the tumor, the presence of tumor remnant after surgical resection. Genetic study is recommended; the risk of recurrence and association to other neoplasm is more described in genetic forms. MATERIAL AND METHODS Authors report 5cases of retro-peritoneal paraganglioma, operated in the department of urology of Hospital, between 2013 and 2017. Observations are about 2men and 3women. Clinical presentation is not always specific and paraganglioma may be discovered fortuitously. Two patients have been operated by coelioscopic approach, midline incision was performed in two other cases, and dorsal lumbotomy associated to a Rutherford-Morrison incision in a patient. RESULTS Two patients presented resistant hypertension and palpitation associated to suspect retro-peritoneal masses in imagery and elevated urinary methoxylated derivates before surgery. One patient was asymptomatic and the tumor was discovered in imagery. Per-operative hypertensive crisis and sinus tachycardia occurred in a case. The average follow-up period is 22.8months. Hypertension and palpitation disappeared after surgery. There was no recurrence for all the operated patients. CONCLUSION Retro-peritoneal paraganglioma is a rare condition. Symptoms are not specific and clinical presentation may be similar to pheochromocytoma. Abdominal CT-scan and MRI, in association with MIBG scintigraphy are strongly evocative. Histological examination ensures diagnosis. Per-operative cardio-vascular disorders are to consider and must prevented and managed by anesthesiologists. Complete surgical resection is the only curative treatment and avoids recurrences.
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Karray O, Oueslati A, Chakroun M, Ayed H, Bouzouita A, Cherif M, Ben Slama MR, Derouiche A, Chebil M. Splenogonadal fusion - a rare cause of scrotal swelling: a case report. J Med Case Rep 2018; 12:172. [PMID: 29921313 PMCID: PMC6011191 DOI: 10.1186/s13256-018-1712-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Accepted: 05/06/2018] [Indexed: 11/10/2022] Open
Abstract
Background Splenogonadal fusion is a rare and benign condition. Diagnosis is challenging for clinicians. Despite its indolence, diagnosis is often confirmed after orchidectomy. Surgery is mandatory, particularly to rule out the extremely rare association with malignancy. Case presentation We report a case of splenogonadal fusion in a 38-year-old North African man presenting a palpable scrotal mass. We describe clinical aspects, pathogenic hypothesis, radiological features, as well as surgical management principles. Conclusions Splenogonadal fusion is rarely suspected and diagnosed preoperatively. A diagnosis is made once an ectopic testicular mass is associated with cryptorchidism and suggestive radiological signs. A better knowledge of the clinical and radiological features of splenogonadal fusion provides an opportunity for conservative surgery.
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Chaker K, Chakroun M, Bouzouita A, Gharbi M, Saidani M, Ferjani A, Cherif M, Ayed H, Benslama R, Derouiche A, Chebil M. Évaluation de la prescription des carbapénèmes au cours des pyélonéphrites aiguës obstructives. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kaaroud H, Harzallah A, Najjar M, Chtioui NH, Cherif M, Ayed H, Kerkeni W, Bouzouita A, Chebil M, Talbi E, Baccouch H, Benzarti A, Abdelmoula J, Benhamida F, Ben Abdallah T. Nephrolithiasis in living kidney donor: experience of nephrologists. LA TUNISIE MEDICALE 2018; 96:97-100. [PMID: 30324973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND Living kidney donation for transplantation has become common practice. The decisions to accept a donor with nephrolithiasis are becoming frequent. AIM The aim of our study was to report our experience in the living donor kidney with asymptomatic lithiasis. METHODS Over a period of 4 years from 2009 to 2013 we collected 18 cases. From the clinical, metabolic and radiological data, we have determined the etiology of urolithiasis in our patients and established, after a literature review, a decision tree of kidney donation. RESULTS Our study included 10 women and 8 men with a mean age of 43 years. The nephrolithiasis was discovered incidentally during radiological assessment through the urinary tract without preparation in 1 case, the abdominal ultrasound in 6 cases and the abdominal CT scan in 11 cases. The donation of kidney in our study was performed in 1 case and disqualified in the others cases especially for metabolic abnormalities. In the single couple donor-recipient, after a follow up of 5 years; we have not identified adverse side effects either in the donor or in the recipient patient. CONCLUSION In living donors with nephrolithiasis the final decision of renal transplantation must be based on the confrontation between the clinical, biological and radiological data. Metabolic disorders constituted the mainly contraindication of kidney donation in our patients.
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Saadi A, Bouzouita A, Gayed KB, Jendoubi A, Rehaiem A, Kerkeni W, Ayed H, Cherif M, Slama RB, Boutiba I, Derouiche A, Chebil M. Comparaison de deux protocoles d’antibioprophylaxie pour la biopsie de la prostate : prophylaxie empirique versus prophylaxie ciblée selon la culture rectale. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Saadi A, Bouzouita A, Essid M, Gharbi M, Ayed H, Kerkeni W, Cherif M, Slama RB, Derouiche A, Chebil M. Surrénalectomie pour phéochromocytome : étude comparative entre la voie laparoscopique et voie ouverte. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Saadi A, Bouzouita A, Allouche M, Hamdoun M, Chebil M. Variations anatomiques du drainage veineux de la glande surrénale gauche. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Saadi A, Bouzouita A, Kerkeni W, Ayed H, Ben Miled A, Cherif M, Ben Slama M, Mnif N, Derouiche A, Chebil M. Une masse abdominale. Rev Med Interne 2017; 38:347-348. [DOI: 10.1016/j.revmed.2016.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Accepted: 02/20/2016] [Indexed: 10/21/2022]
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Kerkeni W, Ayari Y, Charfi L, Bouzouita A, Ayed H, Cherif M, Ben Slama M, Mrad K, Derouiche A, Chebil M. Transitional Bladder Cell Carcinoma Spreading to the Skin. Urol Case Rep 2017; 11:17-18. [PMID: 28083478 PMCID: PMC5220250 DOI: 10.1016/j.eucr.2016.11.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Revised: 11/27/2016] [Accepted: 11/30/2016] [Indexed: 11/18/2022] Open
Abstract
Cutaneous metastases from bladder malignancies are rare. We report the case of a 74 year old man who underwent cysto-prostatectomy and adjuvant chemotherapy for a pT3b N+ bladder transitional cell carcinoma. Four months later, he presented with skin disseminated pigmented lesions. Skin biopsy confirmed cutaneous metastasis from urothelial carcinoma.
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Arfaoui AT, Mejri S, Belhaj R, Karkni W, Chebil M, Rammeh S. Prognostic value of immunohistochemical expression profile of epidermal growth factor receptor in urothelial bladder cancer. J Immunoassay Immunochem 2016; 37:359-67. [PMID: 26919632 DOI: 10.1080/15321819.2016.1146757] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
We studied epidermal growth factor receptor (EGFR) expression profile in urothelial bladder carcinoma (UBC) which is a complex and heterogeneous disease with a large spectrum of histological aspects and deadly potential. Using immunohistochemistry (IHC), all GI tumors and pTa cases showed a low expression profile of EGFR. However, we note that when the stage of disease is advanced, tumors over-express EGFR. Indeed, 5% and 25% of GII and GIII tumors over-expressed EGFR, respectively. Further, 0% of pTa, 9,5% of pT1, 15% of pT2, 50% of pT3, and 90% of pT4 tumors were shown to be high EGFR expression (HEE). Moreover, we found a statistically significant correlation between the EGFR over-expression and grade and stage (P < 0.05). Thus, EGFR over-expression could be a potential prognostic marker to predict poor outcome in Tunisian patients with UBC.
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Chakroun M, Kerkeni W, Saadi A, Ayed H, Bouzouita A, Cherif M, Ben Slama M, Derouiche A, Chebil M. Résultats de la cystectomie chez les sujets jeunes et les sujets âgés, étude comparative. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Chakroun M, Kerkeni W, Saadi A, Ayed H, Bouzouita A, Cherif M, Ben Slama M, Derouiche A, Chebil M. Le pronostic des tumeurs vésicales en fonction du mode de présentation : les tumeurs non infiltrant le muscle qui progressent sont-elles associées à un moins bon pronostic ? Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Chakroun M, Bouzouita A, Saadi A, Kerkeni W, Ayed H, Cherif M, Ben slama M, Derouiche A, Chebil M. Complications hémorragiques de la néphrolithotomie percutanée, quels facteurs prédictifs ? Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Saadi A, Kerkeni W, Essid M, Ayed H, Bouzouita A, Cherif M, slama RB, Derouiche A, Chebil M. Quels sont les facteurs prédictifs de récidive des sténoses de l’urètre après une première urétrotomie interne ? Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Cherif M, Chakroun M, Bouzouita A, Dimassi H, Ayed H, Derouiche A, Ben Slama M, Chebil M. Caractéristiques épidémiologiques du cancer de la vessie chez la femme en Tunisie. AFRICAN JOURNAL OF UROLOGY 2016. [DOI: 10.1016/j.afju.2015.06.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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Rebai M, Kerkeni W, Krarti M, Saadi A, Ayed H, Bouzouita A, Cherif M, Derouiche A, Ben slama M, Chebil M. Intérêt de la lomboscopie dans le traitement des calculs de l’uretère lombaire. Prog Urol 2015; 25:754. [DOI: 10.1016/j.purol.2015.08.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Rebai M, Kerkeni W, Krarti M, Ayed H, Bouzouita A, Cherif M, Derouiche A, Ben slama M, Chebil M. Dysfonction érectile après traitement chirurgical de la fracture de la verge. Prog Urol 2015; 25:773. [DOI: 10.1016/j.purol.2015.08.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Saadi A, Bouzouita A, Cherif M, Ayed H, Kerkeni W, Derouiche A, Ben slama M, Chebil M. Contusion sur rein pathologique. Prog Urol 2015; 25:773-4. [DOI: 10.1016/j.purol.2015.08.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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