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Sarr A, Ze Ondo C, Thiam A, Badji CA, Sine B, Ndiaye M, Ndiath A, Sow O, Diouf AA, Sow Y, Fall PA, Ndoye AK. [Epidemiological, etiological and evolutionary profile of vesico-vaginal fistulas in Senegal]. Prog Urol 2023:S1166-7087(23)00087-8. [PMID: 37117125 DOI: 10.1016/j.purol.2023.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 03/27/2023] [Accepted: 04/06/2023] [Indexed: 04/30/2023]
Abstract
AIM To evaluate the epidemiological, etiological and evolutionary profile of vesico-vaginal fistulas (VVF) in university hospitals in Senegal. PATIENTS AND METHOD This is a retrospective, descriptive, single-center study, collecting the records of patients followed for VVF between January 2014 and December 2019 at the Urology and Andrology Department of the Centre hospitalier universitaire Aristide Le Dantec, Dakar, Senegal. The following parameters were studied: age, geographical origin, parity, and etiology of VVF. To assess the evolution of the epidemiological and etiological profile of VVF, we compared our results with those of series published by our structure. RESULTS Forty-five (45) VVFs were identified over a period of 6 years. This represents an annual average of 7.5 fistulas. The average age was 40±15.13 years with extremes of 13 years and 75 years; 17 patients (37.8%) were older than 45 years. The average parity was 3 with extremes from 0 to 12 children. Multiparous women represented 68.8% of the patients. Obstetric VVF (OVF) was more frequent (48.9%) followed by iatrogenic VVF (33.3%). The mean age was higher in the IVF group compared to the VVF group (32 years) (P = 0.0004). Thirty patients were from the Dakar region and its suburbs (66.6%). The etiology of VVF did not vary according to the geographical origin of the patients (P=NS). VVF was frequently associated with the management of cervical cancer in 42.2% of cases. Comparison of our current data with previous series shows a reduction in the annual incidence of VVF. VVFs, although they have decreased significantly, are still predominant. There is a constant increase in the number of IVF. CONCLUSION There is an evolution of the epidemiological and etiological profile marked by a decrease in the frequency of VVFs and an increase in that of IVFs. It is also worth noting the frequent association between cervical cancer and VVF. LEVEL OF EVIDENCE Level 4: retrospective study.
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Affiliation(s)
- Alioune Sarr
- Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
| | - Cyrille Ze Ondo
- Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - Amath Thiam
- Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | | | - Babacar Sine
- Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - Modou Ndiaye
- Service d'urologie andrologie, hôpital Dalal-Jam, Dakar, Sénégal
| | - Abdoulaye Ndiath
- Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - Ousmane Sow
- Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - Abdou Aziz Diouf
- Service de gynécologie, centre hospitalier national de Pikine, Dakar, Sénégal
| | - Yaya Sow
- UFR en santé, université Gaston-Berger de Saint-Louis, Dakar, Sénégal
| | - Papa Ahmed Fall
- Service d'urologie andrologie, hôpital Dalal-Jam, Dakar, Sénégal
| | - Alain Khassim Ndoye
- Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal
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Ndiaye M, Sow Y, Sarr A, Thiam A, Faye ST, Ndour NS, Sine B, Zé-Ondo C, Sow O, Ndiath A, Traore A, Bagayogo NA, Fall B, Diao B, Fall PA, Ndoye AK. Hypospadias treatment by tubulated pedicled preputial island flap according to the DUCKETT technique: single-center experience in sub-Saharan Africa. Afr J Urol 2021. [DOI: 10.1186/s12301-021-00260-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Hypospadias is the second most frequent congenital condition in boys after cryptorchidism, with an incidence of 0.3–0.7% compared to 2–4% for cryptorchidism. Since the 1980s, single-stage operations, such as the one described by Duckett, have been adopted by some authors. To assess the results of hypospadias surgery by tubed pedicled preputial island flap (DUCKETT’s procedure) in a West African reference hospital.
Methods
This is a retrospective and descriptive study that includes 41 patients with hypospadias who underwent DUCKETT procedure by a tubed pedicled preputial island flap during a period of 12 years. After penile degloving, the curvature has been corrected by skin bridging with or without Nesbit’s plication. The urethroplasty was done according to the DUCKETT procedure.
Results
The patients mean age was 11 ± 8.5 years. All of them had posterior foreskin and a ventral curvature of the penis. The urethral meatus was posterior in 37%. Six of them had a previous hypospadias repair. The complication rate was 58.5%. Wound infection and meatal stenosis occurred in 14.6% and 19.6% of cases, respectively. After a mean follow-up of 20 ± 9 months, total success, relative success and failure rates were 63%, 27% and 10%, respectively.
Conclusion
The DUCKETT procedure is associated with a high complication rate in our daily practice.
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Ondo CZ, Ndiath A, Sarr A, Thiam A, Sine B, Sow O, Ndour NS, Diao B, Fall PA, Ndoye AK. Metastatic prostate cancer: clinical aspects and treatment limitations in a university hospital center in Senegal. Afr J Urol 2021. [DOI: 10.1186/s12301-021-00223-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Prostate cancer is most often diagnosed at the metastatic stage in many sub-Saharan African countries. The objective of our study is to analyze the management of metastatic prostatic adenocarcinoma based on epidemiological, clinical, therapeutic and evolutionary aspects in developing country context.
Methods
Retrospective study collecting 276 patients from January 1st, 2012 to December 31st, 2019 in Aristide Le Dantec University Hospital in Dakar, Senegal. Parameters studied: age, family history of prostate cancer, reasons for consultation, total Prostate Specific Antigen (PSA), anatomic pathology examination, extension assessment, treatment, nadir PSA, castration resistance, and overall survival.
Results
The average age was 71.4 years. A family history of prostate cancer was noted in 21 patients. Spinal pain was the most noted reason for consultation. The average total PSA level was 1967.1 ng/ml. The majority of patients had moderately differentiated prostate cancer. Bone metastases were the most common. All patients had androgen suppression. A tumor cytoreduction was performed in 89 patients. The average nadir PSA was 193 ng/ml as early as the sixth month. The time to onset of castration resistance ranged from 6 to 30 months. Abiraterone acetate was used in seven patients and docetaxel in 43 patients. The overall survival of the patients was 19.8 ± 1.2 months.
Conclusion
Metastatic prostate cancer was most often symptomatic at the time of diagnosis. Second-line treatments were rarely used during castration resistance. Overall survival was low.
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Ndour NS, Sow Y, Sine B, Ndiaye M, Sarr A, Thiam A, Ondo CZ, Bagayogo NA, Traoré A, Faye ST, Ndiath A, Sow O, Fall B, Diao B, Ndoye AK. [Outcomes of radical prostatectomy in patients with prostate cancer at the Aristide Le Dantec University Hospital]. Pan Afr Med J 2021; 38:56. [PMID: 33854685 PMCID: PMC8017364 DOI: 10.11604/pamj.2021.38.56.25198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Accepted: 12/03/2020] [Indexed: 11/24/2022] Open
Abstract
Le but était d´évaluer les résultats carcinologiques de la prostatectomie radicale. Il s´agissait d´une étude rétrospective monocentrique au service d´urologie-andrologie de l´Hôpital Aristide Le Dantec de Dakar du 1er juin 2010 au 31 mai 2016. Nous avons colligé 60 cas de prostatectomie radicale par voie rétropubienne associée à un curage ganglionnaire ilio-obturateur. Après la prostatectomie radicale (PR), le taux d’antigène prostatique spécifique (PSA) était indétectable (<0,1 ng/ml) chez 20 patients (33,3%). Onze malades (18,3%) qui avaient une récidive biochimique, ont une hormonothérapie complémentaire. Une réponse a été obtenue après instauration du traitement avec un taux de PSA total redevenu indétectable après un suivi de 8 mois. La durée moyenne de la survie globale était de 17,5 mois avec une médiane de 9,49. Le taux de survie globale cumulé à 1 an, 3 ans et 4 ans étaient respectivement de 42,4, 13,6 et 6,8%. La durée moyenne de la survie sans récidive était de 17,3 mois avec une médiane de survie sans récidive biochimique qui était de onze (11) mois. La durée moyenne de la survie spécifique était de 8,1 mois avec une médiane de 3 mois. Les marges de résection étaient positives chez sept (7) patients soit un taux de 11,6%. Quatre(4) patients avaient un envahissement ganglionnaire. La prostatectomie radicale indiquée dans quelques cas dans notre pratique, est une méthode thérapeutique efficiente avec de bons résultats carcinologiques.
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Affiliation(s)
| | - Yaya Sow
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Babacar Sine
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Modou Ndiaye
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Alioune Sarr
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Amath Thiam
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Cyrille Zé Ondo
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | | | - Aboubacar Traoré
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | | | - Abdoulaye Ndiath
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Ousmane Sow
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Boubacar Fall
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Babacar Diao
- Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
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Bagayogo NA, Sine B, Diaw M, Thiam A, Diao B, Ndoye AK. Hématurie massive chez le drépanocytaire hétérozygote : a propos de deux cas. PAMJ-CM 2021. [DOI: 10.11604/pamj-cm.2021.5.6.27111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Ndiaye M, Ndiath A, Sow O, Sarr A, Sine B, Thiam A, Myatt Y, Ndour NS, Ondo CZ, Sow Y, Fall B, Diao B, Ndoye AK, Ba M. [Results of two-level urethroplasty according to Bengt Johanson for complex urethral strictures in adults]. Mali Med 2021; 36:41-44. [PMID: 37973598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
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.
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Affiliation(s)
| | | | - Ousmane Sow
- Hôpital Aristide Le Dantec de Dakar, Sénégal
| | | | | | - Amath Thiam
- Hôpital Aristide Le Dantec de Dakar, Sénégal
| | | | | | | | - Yaya Sow
- Hôpital Aristide Le Dantec de Dakar, Sénégal
| | | | | | | | - Mamadou Ba
- Hôpital Aristide Le Dantec de Dakar, Sénégal
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Diouf MS, Tall A, Ndiaye C, Thiam A, Deguenonvo R, Ndiaye M. Complications of sinusitis: An 80-case series from the ENT and neurosurgery departments of the Fann university hospital center of Dakar, Senegal. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 137:473-476. [PMID: 32280049 DOI: 10.1016/j.anorl.2020.03.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Locoregional complications of sinusitis are dominated by oculo-orbital and/or cranioencephalic manifestations that may be life-threatening or jeopardize functional prognosis. The aim of this study was to report epidemiological, diagnostic and therapeutic aspects. MATERIALS AND METHODS A retrospective study included inpatients managed for sinusitis complications in the ENT and neurosurgery departments of the Fann university hospital center in Dakar, Senegal between January 1, 2005 and December 31, 2016. RESULTS In all, 80 files were collected. Mean age was 18.5 years, with male predominance. Mean time to treatment was 18.2 days. Cranio-encephalic complications were the most frequent (54 cases; 67.5%): mainly subdural empyema (30 cases) and brain abscess (10 cases). Seventeen patients (21.25%) had oculo-orbital complications: mainly orbital cellulitis (52.9%) and preseptal cellulitis (29.4%). Nine patients (11.25%) had both cranioencephalic and oculo-orbital complications. Acute sinusitis (82.5%) was the main cause of complications. 52.5% of patients showed pansinus involvement. Medical treatment consisted in broad-spectrum antibiotic therapy combining third-generation cephalosporins, metronidazole and gentamycin in cranio-encephalic complications and clavulanic acid and metronidazole in oculo-orbital complications. Thirty-four patients (42.5%) underwent surgical sinus drainage. Neurosurgical drainage was performed in 35 cases (43.75%). Post-treatment course was marked by 6.25% mortality (5 cases) and 16.25% sequelae. CONCLUSION With 6.25% mortality and a high rate of functional sequelae, complications of sinusitis are a serious concern in our region. Improving prognosis requires earlier management and better coordination between health professionals.
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Affiliation(s)
- M S Diouf
- Université Cheikh Anta Diop, Dakar, Senegal.
| | - A Tall
- Université Cheikh Anta Diop, Dakar, Senegal
| | - C Ndiaye
- Université Cheikh Anta Diop, Dakar, Senegal
| | - A Thiam
- Hôpital Général de Grand Yoff, Dakar, Senegal
| | | | - M Ndiaye
- Université de Thies, Thies, Senegal
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Sarr A, Keita A, Sow O, Dahbi A, Thiam A, Wambo DA, Ndiath A, Ondo CZ, Sine B, Ndour NS, Dial C, Fall PA, Ndoye AK. Prostatite tuberculeuse simulant une tumeur de la prostate chez un sujet immunocompétent : à propos de deux cas. PAMJ-CM 2020. [DOI: 10.11604/pamj-cm.2020.4.113.26324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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9
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Sarr A, Thiam A, Sow O, Ondo CZ, Sine B, Ndiaye M, Diaw EHM, Ndour NS, Ndiath A, Sow Y, Diao B, Fall PA, Ndoye AK. Les tumeurs de Buschke-Löwenstein à propos de 8 cas. PAMJ-CM 2020. [DOI: 10.11604/pamj-cm.2020.4.45.25857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Sarr A, Keita A, Sow O, Diouf D, Ondo CZ, Ndiath A, Ndiaye M, Mboup B, Malick Diaw EH, Sine B, Thiam A, Diao B, Fall PA, Ndoye AK. Rhabdomyosarcome de la vessie : à propos d’une observation chez un sujet âgé. PAMJ-CM 2020. [DOI: 10.11604/pamj-cm.2020.4.116.26806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Hamidou Zakou AR, Sarr A, Fall PA, Sine B, Thiam A, Ba M. Implantation du cathéter de dialyse péritonéale: technique et complications. PAMJ-CM 2020. [DOI: 10.11604/pamj-cm.2020.2.19.20916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Yameogo N, Samadoulougou A, Kagambèga L, Kologo K, Millogo G, Thiam A, Guenancia C, Zabsonré P. Maternal and fetal prognosis of subsequent pregnancy in black African women with peripartum cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ze Ondo C, Fall B, Sow Y, Thiam A, Sarr A, Ghazal H, Diao B, Fall P, Ndoye A, Ba M. La lithotripsie extracorporelle : expérience d’un centre Sénégalais. African Journal of Urology 2018. [DOI: 10.1016/j.afju.2018.03.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Thiam A, Conway B. Daclatasvir, asunaprevir and beclabuvir fixed-dose combination for patients with genotype 1 chronic hepatitis C. Drugs Today (Barc) 2018; 54:237-244. [PMID: 29869645 DOI: 10.1358/dot.2018.54.4.2795154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
Hepatitis C is killing 350,000 persons per year worldwide, 60% of the cases being patients with genotype 1 (GT-1). The fixed-dose tablet combination of daclatasvir (30 mg)/asunaprevir (200 mg)/beclabuvir (75 mg), DCV-TRIO, is one of the latest drugs in the pipeline of interferon-free direct-acting antiviral hepatitis C virus (HCV) therapies. DCV-TRIO increases the genetic barrier to resistance by acting at the same time against three hepatitis C key viral proteins. Results from the UNITY 1, 2, 3 and 4 phase III clinical trials showed that DCV-TRIO exhibited high sustained virologic responses at 12 weeks (between 92% and 100% for HCV GT-1 treatment-naive patients). Furthermore, DCV-TRIO was well tolerated in all studies with reported adverse events (AEs) with an incidence of at least 10% mostly being headache, diarrhea, fatigue and nausea and few AE-related discontinuations. Further research should focus on more real-life data on DCV-TRIO and on developing a pill regimen that works on other HCV genotypes with high genetic barriers and that is available at a reduced cost.
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Affiliation(s)
- A Thiam
- Vancouver Infectious Diseases Centre, Vancouver, British Columbia, Canada.
| | - B Conway
- Vancouver Infectious Diseases Centre, Vancouver, British Columbia, Canada
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Fall B, Zeondo C, Sow Y, Sarr A, Sine B, Thiam A, Faye ST, Sow O, Traoré A, Diao B, Fall PA, Ndoye AK, Ba M. [Results of anastomotic urethroplasty for male urethral stricture disease]. Prog Urol 2018; 28:377-381. [PMID: 29627339 DOI: 10.1016/j.purol.2018.03.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Revised: 02/15/2018] [Accepted: 03/16/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVE To report our experience with anastomotic uretroplasty (AU) due to male urethral stricture disease (USD) and to identify factors affecting the results. PATIENTS AND METHODS We conducted a retrospective study over a period of 4 years and 6 months (July 2012 to December 2016). Any subsequent use of endoscopic urethrotomy or new urethroplasty was considered a failure. RESULTS Forty-eight cases were included. The mean age of patients was 53.5±17.3 years (23-87 years). Urinary retention was the reason for consultation in 42 cases (87.5%). The most common localization of USD was the bulbar urethra (n=45). The mean length of USD was 1.23±0.62cm (0.5-3cm) with a median length of 1cm. The etiology was post-infectious in 56.3% of cases. More than half (58.3%) of patients had already undergone at least one urethral manipulation. After an average follow-up of 21.1±12.6 months (1 to 52 months), the overall success rate was 77.1%. In univariate analysis, length, cause and location of the stricture, age of patient, the presenting symptoms of the stricture, previous urethral manipulation and surgeon experience did not significantly impact on the success rate of anastomotic urethroplasty at one and two years follow-up. CONCLUSION The AU had provided good results in our practice. The infectious origin of the stricture and previous urethral manipulation did not significantly impact the result of this surgical technique. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- B Fall
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal.
| | - C Zeondo
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - Y Sow
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - A Sarr
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - B Sine
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - A Thiam
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - S T Faye
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - O Sow
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - A Traoré
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - B Diao
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - P A Fall
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - A K Ndoye
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
| | - M Ba
- Service urologie-andrologie, CHU Aristide-Le-Dantec, Dakar, Sénégal
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Sine B, Bagayogo N, Thiam A, Sarr A, Zakou A, Faye S, Fall B, Sow Y, Diao B, Fall P, Ndoye A, Ba M. Cancers de la prostate de score de Gleason supérieur ou égal à 8: Evaluation de la survie des patients. African Journal of Urology 2016. [DOI: 10.1016/j.afju.2016.01.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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18
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Mbengue B, Kpodji P, Sylla Niang M, Varela ML, Thiam A, Sow A, Ndiaye K, Aidara M, Thiam F, Ndiaye R, Diop G, Nguer CM, Perraut R, Dièye A. [Profiles of IgG responses against CSP, GLURP and LSA-3NR2 in urban malaria (Dakar): relations with haemoglobin levels and parasite densities]. Bull Soc Pathol Exot 2016; 109:91-98. [PMID: 27100862 DOI: 10.1007/s13149-016-0485-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2015] [Accepted: 02/23/2016] [Indexed: 06/05/2023]
Abstract
Malaria remains a major health problem in sub- Saharan African countries despite substantial decreases in morbidity and mortality due to sustained control programs. Vaccines candidates were mainly tested in rural endemic setting; however increasing proportion of the population is living in urban area. Evaluation of the qualitative or quantitative immune responses to key targets of anti-Plasmodium immunity requires further investigation in urban area. In a cohort of 144 patients with mild malaria living in Dakar, we analyzed IgG responses against target antigens of P. falciparum: CSP, LSA-3NR2 and GLURP by ELISA. A mean age of 15 yrs (4-65 yrs) was found and patients were separated in 59 adults (<15yrs) and 85 children (≤15 yrs). Parasites densities (0,01-15%) did not differ between the two age groups. In contrast, haemoglobin levels appeared lower in children (4.5-16.6 g/dl) (p<0.01). For the immune results, the most recognized antigens were GLURP and CSP compared to LSA-3NR2. Levels of IgG against these antigens were significantly different between the two age groups and they were positively correlated (rho = 0.32; p<0.001). In addition, levels of IgG anti-GLURP were associated with low parasitemia (≤1%) and absence of anemia (≥11g/dl), particularly in adults (p<0.001). In a multiple regression analysis, no significant relationship was found between parasite densities and IgG responses against all the tested antigens. Our study shows the implication of IgG anti-GLURP in humoral immune response against the parasite. The present work contributes to determine IgG levels that can be used as relevant immunologic biomarkers in urban clinical malaria.
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Affiliation(s)
- B Mbengue
- Service d'immunologie FMPO, Université Cheikh Anta Diop, Dakar, Sénégal.
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal.
| | - P Kpodji
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
| | - M Sylla Niang
- Service d'immunologie FMPO, Université Cheikh Anta Diop, Dakar, Sénégal
| | - M L Varela
- Unité d'immunologie, Institut Pasteur de Dakar, Dakar, Sénégal
| | - A Thiam
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
| | - A Sow
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
| | - K Ndiaye
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
| | - M Aidara
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
| | - F Thiam
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
| | - R Ndiaye
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
| | - G Diop
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
| | - C M Nguer
- Département génie chimique et biologie appliquée, ESP, Université Cheikh Anta Diop, Dakar, Sénégal
| | - R Perraut
- Unité d'immunologie, Institut Pasteur de Dakar, Dakar, Sénégal
| | - A Dièye
- Unité d'immunogénétique, Institut Pasteur de Dakar, Dakar, Sénégal
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Sine B, Bagayogo NA, Thiam A, Sarr A, Sow Y, Fall B, Zakou ARH, Faye ST, Diao B, Fall PA, Ndoye AK, Ba M. [Vulvo-clitoral elephantiasis: report of a new case]. Pan Afr Med J 2016; 22:133. [PMID: 26889314 PMCID: PMC4742027 DOI: 10.11604/pamj.2015.22.133.7933] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Accepted: 10/06/2015] [Indexed: 11/11/2022] Open
Abstract
L’éléphantiasis vulvo-clitoridien d'origine filarienne est une affection très rare. Nous rapportons un nouveau cas chez une femme de 33 ans suivie dans un service de Maladies Infectieuses pour filariose lymphatique. Elle avait une masse vulvo-clitoridienne qui évoluait depuis plus de 10 ans. Une résection clitoridienne et une plastie vulvaire a été réalisée. Les résultats fonctionnels et esthétiques étaient satisfaisants.
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Affiliation(s)
- Babacar Sine
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | | | - Amath Thiam
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | - Alioune Sarr
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | - Yaya Sow
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | - Boubacar Fall
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | | | - Samba Thiapato Faye
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | - Babacar Diao
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | - Papa Ahmed Fall
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | - Alain Khassim Ndoye
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
| | - Mamadou Ba
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Sénégal
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20
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Sine B, Bagayogo NA, Fall B, Sow Y, Thiam A, Sarr A, Zakou ARH, Faye ST, Diao B, Fall PA, Ndoye AK. [Post infectious urethral stenosis and megacalycosis: a train that hides another]. Pan Afr Med J 2015; 22:334. [PMID: 26977241 PMCID: PMC4773061 DOI: 10.11604/pamj.2015.22.334.6868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Accepted: 11/14/2015] [Indexed: 11/23/2022] Open
Abstract
La mégacalicose est une uropathie malformative rare caractérisée par une dilatation non obstructive des calices avec hypoplasie de la médullaire rénale. Nous rapportons un cas de mégacalicose associée à une sténose urétérale bilatérale d'origine infectieuse.
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Affiliation(s)
- Babacar Sine
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
| | | | - Boubacar Fall
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
| | - Yaya Sow
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
| | - Amath Thiam
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
| | - Alioune Sarr
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
| | | | - Samba Thiapato Faye
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
| | - Babacar Diao
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
| | - Papa Ahmed Fall
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
| | - Alain Khassim Ndoye
- Service d'Urologie-Andrologie de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal
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Sarr A, Thiam I, Gueye D, Sow Y, Fall B, Thiam A, Sine B, Ba M, Diagne BA. [Inflammatory pseudo-tumor of the bladder expelled through the urethral meatus in a girl]. Arch Pediatr 2015; 22:1295-7. [PMID: 26552617 DOI: 10.1016/j.arcped.2015.09.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Revised: 02/24/2015] [Accepted: 09/20/2015] [Indexed: 10/22/2022]
Abstract
Inflammatory pseudo-tumors of the bladder are rare benign tumors that mostly arise in the differential diagnosis of sarcomas in children. The authors report an unusual case of pedunculated inflammatory pseudo-tumor of the bladder that externalized by the urethral meatus in a 13-year-old girl. The treatment consisted of a ligation-resection of the pedicle, followed by resection of the tumor. After regular follow-up for 18 months there was no tumor recurrence.
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Affiliation(s)
- A Sarr
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
| | - I Thiam
- Laboratoire d'anatomopathologie, centre hospitalo-universitaire Aristides-Le-Dantec, Dakar, Sénégal
| | - D Gueye
- Service de chirurgie viscérale, centre hospitalier régional de Diourbel Heinrich Lubke, Diourbel, Sénégal
| | - Y Sow
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - B Fall
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - A Thiam
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - B Sine
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - M Ba
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - B A Diagne
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
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Sarr A, Ondo CZ, Sow Y, Fall B, Thiam A, Sine B, Djoufang R, Diao B, Fall PA, Ndoye AK, Ba M. [Inguinal hernia of the bladder: about 8 cases]. Pan Afr Med J 2015; 22:7. [PMID: 26600907 PMCID: PMC4643152 DOI: 10.11604/pamj.2015.22.7.7474] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Accepted: 08/16/2015] [Indexed: 11/11/2022] Open
Abstract
Décrire notre expérience de la prise en charge des hernies inguinales de la vessie (HIV). Il s'agit d'une étude rétrospective descriptive colligeant les dossiers des patients opérés pour une HIV entre janvier 2005 et décembre 2012. Les paramètres suivants ont été étudiés: l’âge des patients, les aspects anatomo-cliniques de la hernie, les circonstances de découverte, l'attitude thérapeutique et les résultats de la cure. Huit HIV ont été diagnostiquées sur une période de 7 ans. Tous les patients étaient de sexe masculin. La moyenne d’âge était de 57,6 ans. La HIV siégeait à droite chez 5 patients et était associée à une HBP chez 3 patients, deux patients avaient des antécédents de herniorraphie. La découverte était per opératoire chez 6 patients, postopératoire (fistule vesicocutanée) chez un patient et préopératoire chez un patient. Ce dernier a présenté une HIV géante diagnostiquée à l'Uroscanner. L'attitude thérapeutique était fonction des circonstances de découverte de la HIV et de la pathologie associée. Six patients ont été opérés selon la technique de Bassini et deux selon la technique de Mac Way. La durée moyenne de l'hospitalisation était de 7 jours. Après un suivi régulier de 2 ans nous n'avons pas noté de récidive herniaire. La HIV est une affection rare dont la découverte est le plus souvent per-opératoire après une taille vésicale. Il faut l’évoquer chez tout patient aux antécédents d'herniorraphie et chez les sujets âgés de plus de 50 ans qui présentent une hernie inguinale associée à des TUBA.
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Affiliation(s)
- Alioune Sarr
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Cyrille Ze Ondo
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Yaya Sow
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Boubacar Fall
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Amath Thiam
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Babacar Sine
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Rodrigue Djoufang
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Babacar Diao
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Papa Ameth Fall
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Alain Khassim Ndoye
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
| | - Mamadou Ba
- Service d'Urologie-Andrologie, Hopital Aristide Le Dantec, avenue Pasteur, Dakar, Sénégal
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Batista G, Buvé A, Ngom Gueye NF, Manga NM, Diop MN, Ndiaye K, Thiam A, Ly F, Diallo A, Ndour CT, Seydi M. Initial suboptimal CD4 reconstitution with antiretroviral therapy despite full viral suppression in a cohort of HIV-infected patients in Senegal. Med Mal Infect 2015; 45:199-206. [PMID: 25907261 DOI: 10.1016/j.medmal.2015.03.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Revised: 02/08/2015] [Accepted: 03/13/2015] [Indexed: 11/27/2022]
Abstract
OBJECTIVE We determined the risk factors and incidence of clinical events associated with suboptimal immune reconstitution (SIR) defined by an increase in CD4 inferior to 50 cells/μL, from inclusion up to six months of antiretroviral treatment (ARVT), in patients with an undetectable viral load (<50 copies/mL). METHODS Logistic regression and Cox's proportional hazards model were used to examine risk factors for SIR and the association between SIR and the risk of new clinical events or death, respectively after six months of ARVT. RESULTS One hundred and two (15.5%) of the 657 patients presented with SIR. Age > 40 years (aOR = 1.74, 95% CI = 1.10-2.75), baseline CD4 ≥ 100 cells/μL (aOR = 2.06, 95% CI = 1.24-3.42), ARVT including AZT (aOR = 4.57, 95% CI=1.06-19.76), and the occurrence of a severe opportunistic infection during the first semester of ARVT (aOR = 2.38 95% CI= 1.49-3.80) were associated with SIR. After six months of ARVT and up to seven years of follow-up, 39 patients with SIR had presented with an opportunistic infection or death (rate= 9.78/100 person-years) compared to 168 with a normal recovery (rate = 7.75/100 person-years) but the difference was not statistically significant (aHR = 1.22, 95% CI = 0.85 to 1.74). CONCLUSION SIR is less common in our country and is not associated with increased mortality or a greater incidence of opportunistic infections after six months of ARVT.
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Affiliation(s)
- G Batista
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal.
| | - A Buvé
- Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerpen, Belgium
| | - N F Ngom Gueye
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
| | - N M Manga
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
| | - M N Diop
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
| | - K Ndiaye
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
| | - A Thiam
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
| | - F Ly
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
| | - A Diallo
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
| | - C T Ndour
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
| | - M Seydi
- Service des maladies infectieuses, centre de traitement ambulatoire (CTA), centre hospitalier national universitaire (CHNU) de Fann à Dakar, BP 16760, Dakar Fann, Senegal
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Mbengue B, Sylla Niang M, Ndiaye Diallo R, Diop G, Thiam A, Ka O, Touré A, Tall A, Perraut R, Dièye A. [IgG responses to candidate malaria vaccine antigens in the urban area of Dakar (Senegal): evolution according to age and parasitemia in patients with mild symptoms]. ACTA ACUST UNITED AC 2015; 108:94-101. [PMID: 25925805 DOI: 10.1007/s13149-015-0419-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2014] [Accepted: 11/25/2014] [Indexed: 12/22/2022]
Abstract
Malaria remains a major problem in African countries despite substantial decreases in morbidity and mortality due to sustained control programs. Studies for the evaluation of qualitative or quantitative Ab responses to key targets of anti-plasmodium immunity were mostly done in rural endemic setting compared to urban area. In a cohort of 200 patients with mild malaria and living in Dakar, we analyze total and subclasses IgG responses to a panel of P. falciparum blood stage antigens: MSP1p19, MSP3, EB200, GST-5 and R23. A mean age of 15 yrs (4 to 56 yrs) and parasitemia between 0.1 to 17% were found. Levels of IgG anti-MSP3 were higher in patients with low parasitemia (≤1%) and appear negatively correlated to parasite densities (Rho =. 0.54; p= 0.021). This correlation is more significant in children (≤ 15 yrs). In addition, an increase of IgG responses against MSP1p19 is highly observed in adults having a parasitemia less than 1%. In those patients, we find that IgG1 subclasses were predominant (p <0.01). Our study shows an association between Ab responses and parasitemia. This association is dependant to IgG anti-MSP3 in children and IgG anti-MSP1p19 in adults living in urban area.
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Affiliation(s)
- B Mbengue
- Service d'immunologie UCAD FMPO, Dakar, Sénégal,
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Diom ES, Thiam A, Tall A, Ndiaye M, Toure S, Diouf R. Profile of parotid gland tumours: experience of 93 cases over a period of 16 years. Eur Ann Otorhinolaryngol Head Neck Dis 2014; 132:9-12. [PMID: 25443688 DOI: 10.1016/j.anorl.2014.01.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2012] [Revised: 10/30/2012] [Accepted: 01/14/2014] [Indexed: 10/24/2022]
Abstract
OBJECTIVE The pathology of the salivary glands focuses on that of the parotid gland. The purpose of this study is to clarify and explain the epidemiological features of parotid tumors in a Senegalese context, to highlight the importance of clinical examination when access to complementary investigations is limited, to discuss respective indications and finally to describe certain aspects of treatment in our context. MATERIALS AND METHODS This retrospective study of 114 cases of parotidectomy spans 16 years, from 1992 to 2007. It was performed in the ENT department of University Hospital of Fann, Senegal. All patients operated on for chronic mass of the parotid region for whom histological results were available when initially included. Benign swellings were subsequently excluded. The study parameters were epidemiological, clinical, paraclinical and surgical. RESULTS The 114 parotidectomies showed a predominance of benign tumours: 63 procedures (55.26%) essentially concerned pleomorphic adenoma; 30 cases (26.31%) concerned malignant tumours, mainly parotid adenocarcinoma. There were 21 cases of benign swelling (18.4%). The study focused on the series of 93 cases of benign and malignant tumours of the parotid gland. Both sexes were affected similarly. All age groups were concerned, from 5 to 89 years. A total of 97% of patients underwent surgery: conservative total parotidectomy in 75.51% of cases. CONCLUSION Although there are features specific to the local context, the epidemiological profile of parotid tumours is well-known. Indications for complementary investigations are discussed, as availability in Senegal is restricted, highlighting the important role of clinical examination in the management of parotid tumours.
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Affiliation(s)
- E-S Diom
- Service d'ORL et de chirurgie cervico-faciale, CHU de Fann, BP 23656, Dakar Ponty, Senegal.
| | - A Thiam
- Service d'ORL et de chirurgie cervico-faciale, CHU de Fann, BP 23656, Dakar Ponty, Senegal
| | - A Tall
- Service d'ORL et de chirurgie cervico-faciale, CHU de Fann, BP 23656, Dakar Ponty, Senegal
| | - M Ndiaye
- Service d'ORL et de chirurgie cervico-faciale, CHU de Fann, BP 23656, Dakar Ponty, Senegal
| | - S Toure
- Service d'ORL et de chirurgie cervico-faciale, CHU de Fann, BP 23656, Dakar Ponty, Senegal
| | - R Diouf
- Service d'ORL et de chirurgie cervico-faciale, CHU de Fann, BP 23656, Dakar Ponty, Senegal
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Sarr A, Sow Y, Fall B, Ze Ondo C, Thiam A, Ngandeu M, Diao B, Fall PA, Ndoye AK, Ba M, Diagne BA. [Pathology of the processus vaginalis in urological practice]. Prog Urol 2014; 24:665-9. [PMID: 25214297 DOI: 10.1016/j.purol.2014.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2013] [Revised: 04/14/2014] [Accepted: 05/20/2014] [Indexed: 11/29/2022]
Abstract
PURPOSE To describe the epidemiological, anatomico-clinical and therapeutic aspects of the patent vaginoperitoneal canal (PVPC) in urological practice and to compare our results with those of pediatric teams. PATIENTS AND METHODS We performed a retrospective descriptive study of PVPC cases operated in a urology unit. The following parameters were studied: medical history, age, method of installation, the anatomo-clinical type, side and the results of the treatment. RESULTS A total of 163 cases were collected over a period of 5 years. The average age was 7.5 ± 7 years with a range of 2 months and 39 years. Thirty-four patients had less than or equal to age 2 ears and 28 patients were adults. The reason for consultation was an inguinal or scrotal inguinal, painless and intermittent swelling in 72.3% of cases. Installation mode was progressive in 45 patients (27.6%). The PVPC was sitting right in 81 patients (49.7%) and was bilateral in 12 patients (7.3%). The anatomo-clinical types were dominated by the communicating hydrocele (52%). The treatment was carried out in controlled surgery in all patients and the mean duration of hospitalization was 24 hours. The postoperative course was marked by 5 cases of scrotal hematoma and 2 cases of parietal suppuration. Postoperative mortality was zero. After a mean postoperative decrease of 2 years we observed 3 cases of testicular atrophy and two recurrences. CONCLUSION Our results in terms of morbidity and mortality although satisfactory were lower than those of pediatric teams. LEVEL OF EVIDENCE 5.
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Affiliation(s)
- A Sarr
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal.
| | - Y Sow
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - B Fall
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - C Ze Ondo
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - A Thiam
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - M Ngandeu
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - B Diao
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - P A Fall
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - A K Ndoye
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - M Ba
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
| | - B A Diagne
- Service d'urologie-andrologie, hôpital Aristide le Dantec, Dakar, Sénégal
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Fall B, Sow Y, Diallo Y, Sarr A, Ze ondo C, Thiam A, Sikpa K, Diao B, Fall P, Ndoye A, Ba M, Diagne B. Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal. African Journal of Urology 2014. [DOI: 10.1016/j.afju.2014.02.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Sow Y, Sarr A, Diao B, Fall B, Thiam A, Fall P, Ndoye A, Ba M, Diagne B. Urètrocèle post-traumatique chez l’homme: A propos de 2 cas. African Journal of Urology 2014. [DOI: 10.1016/j.afju.2013.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Ondo CZ, Sarr A, Sow Y, Thiam I, Fall B, Sow D, Thiam A, Diao B, Fall P, Gaye G, Ndoye A, Ba M, Diagne B. Bilharziome testiculaire à Schistosomia haematobium : à propos de deux observations. Prog Urol 2014; 24:67-9. [DOI: 10.1016/j.purol.2013.04.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2013] [Revised: 04/03/2013] [Accepted: 04/17/2013] [Indexed: 11/16/2022]
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Pegbessou E, Diom ES, Ndiaye M, Dieng PA, Nao EEM, Thiam A, Diouf MS, Boube D, Ndiaye C, Kossinda F, Tall A, Diallo BK, Ndiaye IC, Diouf R, Diop EM. [Primitive neuroectodermal tumor of the vagus nerve]. Arch Pediatr 2013; 20:1310-3. [PMID: 24183873 DOI: 10.1016/j.arcped.2013.09.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2012] [Revised: 09/30/2012] [Accepted: 09/03/2013] [Indexed: 10/26/2022]
Abstract
Primitive neuroectodermal tumors are a rare type of malignant neuroectodermal tumor that is very aggressive. Cervicofacial location is rare, even exceptional. We report a case of a 4-month-old male infant, referred from the pediatric clinic for severe supralaryngeal dyspnea, a firm mass under the left mandibular angle, mobile and extended to the parotid area, painful, with a curve of the left side wall of the oropharynx. Cervical computed tomodensitometry showed a well-limited mass in the carotid area, enhanced by the contrast product. A vascularized mass, which had developed at the expense of the vagus nerve, was removed surgically. Histology found a primitive neuroectodermal tumor.
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Affiliation(s)
- E Pegbessou
- Clinique universitaire ORL, hôpital Fann, Dakar, Sénégal.
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Sarr A, Sow Y, Thiam A, Ngom I, Fall B, Diao B, Fall PA, Ndoye AK, Ba M, Diagne BA. [Post-hysterectomy vesicovaginal fistula]. Prog Urol 2013; 23:884-9. [PMID: 24034801 DOI: 10.1016/j.purol.2013.03.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2012] [Revised: 03/06/2013] [Accepted: 03/14/2013] [Indexed: 10/26/2022]
Abstract
OBJECTIVE Describe the epidemiology, diagnosis and treatment of vesicovaginal fistula (VVF). PATIENTS AND METHODS We conducted a retrospective descriptive study of all cases of VVF secondary to hysterectomy. The following parameters were studied: age, parity, indication for hysterectomy, risk factors, the consultation period, the anatomical type of VVF, the paraclinical, the surgical approach and results of the cure. RESULTS Fourteen cases were identified over 10 years. All hysterectomies were performed by laparotomia. The average age of patients was 54.3±13 years. Hysterectomy was performed in view of a uterine leiomyoma in eight cases, a cancer of the cervix in four cases, a menometrorrhagia in one case and a choriocarcinoma in one case. Four patients had received neoadjuvant radiotherapy. The mean time from injury was 13.5±18 months. Examination under valve was allowed to find 11 VVF type 1 and three type 2 VVF. IVU was normal in seven patients and allowed to find an ureterohydronephrose stage III in one patient. VVF was addressed by high in ten cases including 5 by transperitoneovaginale and 5 by transvesical pure. The postoperative course was uneventful in 11 patients (78%) but marked by vesicocutaneous fistula, parietal suppuration and one failure. CONCLUSION In this short series of post-hysterectomy VVF treated by laparotomia, we observed a rate of cure satisfying in spite of an important psychosocial morbidity.
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Affiliation(s)
- A Sarr
- Service d'urologie-andrologie, CHU Aristide-Le-Dantec, avenue Pasteur, BP 35354, Dakar, Sénégal.
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Seck LB, Ba M, Toure K, Thiam A, Diop AG, Ndiaye NM. Migraine in neurological department of fann teaching hospital in Dakar. J Headache Pain 2013. [PMCID: PMC3619988 DOI: 10.1186/1129-2377-14-s1-p107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Mbaye A, Koukaba Ntontolo FL, Diomou AF, Bodian M, Ndiaye MB, Kane A, Yaméogo NV, Pessinaba S, Sarr SA, Dioum M, Thiam A, Hakim R, Diao M, Kane A. [Prevalence and factors related to therapeutic adherence among black African outpatients with stable coronary artery disease in a cardiology department of Dakar in Senegal]. Ann Cardiol Angeiol (Paris) 2013; 62:17-21. [PMID: 21872836 DOI: 10.1016/j.ancard.2011.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2011] [Accepted: 07/24/2011] [Indexed: 05/31/2023]
Abstract
INTRODUCTION The management of coronary artery disease has made important progress. Adherence to therapeutic measures is a great challenge for improving the long-term prognosis. In this work, we evaluate factors related to therapeutic adherence in black African patients with stable coronary artery disease. METHODOLOGY We conducted a survey over three months (February-May 2008) in three cardiology departments in Dakar. We studied the regularity of drug intake, the adherence to the dietary advices and the appointments for consultation as well as the factors related to adherence. Good adherence was defined by a compliance rate greater or equal to 80% and a compliance rate less than 40% defined poor adherence. RESULTS We included 105 patients (61 men) with a mean age of 60.67±11.29 years. Good compliance was noted in 56.2% of cases for drug treatment, 42% for dietary advices and 65% for appointments for consultation. A history of acute coronary events (P=0.04), a good knowledge of the disease (P=0.03) and a healthcare (P=0.02) were the factors related to a good adherence to drug treatment, whereas ischemic cardiomyopathy was a factor for poor adherence (P=0.002). Knowledge of coronary disease was the only factor correlated with good adherence to lifestyle (P=0.014). CONCLUSION Therapeutic adherence remains unsatisfactory in Black African patients with stable coronary artery disease, hence the importance of patient education to reach a good adherence for therapeutic, because better adherence improves long-term prognosis of coronary artery disease.
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Affiliation(s)
- A Mbaye
- Service de cardiologie, faculté de médecine, pharmacie et odontologie, université Cheikh Anta DIOP de Dakar, hôpital général de Grand Yoff de Dakar, BP 3270 Dakar, Sénégal.
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Diao B, Fall B, Kaboré FA, Sow Y, Sarr A, Thiam A, Fall PA, Ndoye AK, Bâ M, Diagne BA. [Anderson-Hynes open pyeloplasty: which indications in the area of laparoscopic surgery?]. Prog Urol 2012. [PMID: 23178097 DOI: 10.1016/j.purol.2012.08.274] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVES To evaluate the results of Anderson-Hynes open pyeloplasty in our institution. And then to compare them to those of laparoscopic procedure and identify what can be considered now as the indications of the open procedure. PATIENTS AND METHODS It was a retrospective study on 30 cases of ureteropelvic junction syndrome managed by Anderson-Hynes open procedure. The clinical, biological and radiologic characteristics of the patients as well as the surgical technique and its results were taken into account. The patients were classified, according to Valdeyer and Cendron classification as type II in eight cases (26.7%), type III in ten cases (33.3%) and type IV in four cases (13.3%). There were also eight cases of giant hydronephrosis (26.7%). The operating time, the length of hospital stay and the outcomes were studied and compared with those of the laparoscopic pyeloplasty found in the medical literature. RESULTS The mean operating time was 115 ± 33.4 minutes (90-230 min). The mean length of hospital stay was 10.4 ± 5.1 days. Six patients (20%) had postoperative complications. After a mean follow-up of 28 ± 13.7 months (13-48 months), our first-hand success rate was 90% (n=27). CONCLUSION Anderson-Hynes open pyeloplasty reached good results but nowadays its indications can be limited to laparoscopic contraindications, severe hydronephrosis (grade IV or giant hydronephrosis) and second-hand cases. The two latter indications depend on the surgeon experience in laparoscopic surgery.
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Affiliation(s)
- B Diao
- Service d'urologie-andrologie, CHU Aristide Le Dantec de Dakar, Colobane, Dakar, Sénégal
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Sow Y, Thiam A, Fall B, Coulibali M, Sarr A, Diao B, Fall PA, Ndoye AK, Ba M, Diagne BA. Cancer du pénis au Sénégal : aspects cliniques et thérapeutiques. Basic Clin Androl 2012. [DOI: 10.1007/s12610-012-0176-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Résumé
Buts
décrire les aspects cliniques et thérapeutiques des cancers de la verge au Sénégal.
Patients et méthodes
nous avons effectué une étude rétrospective qui s’est intéressée aux dossiers des patients suivis pour cancer de la verge au service d’urologie du CHU Aristide Le Dantec entre janvier 2000 et décembre 2011.
Résultats
huit patients d’âge moyen de 51,5 ans avec des extrêmes de 27 à 77 ans ont été répertoriés. Ils étaient tous circoncis dans l’enfance. L’examen clinique avait mis en évidence une tumeur ulcérobourgeonnante intéressant le gland et une partie du corps de la verge dans cinq cas; dans deux cas, elle intéressait la totalité de la verge alors que seul un cas était limité au gland. Les patients étaient ainsi classés selon le système TNM 2002 de l’UICC en cT2 (quatre cas), cT3 (trois cas) et cT1 (un cas). Le type histologique de la tumeur était le carcinome épidermoïde chez tous les patients. Il n’y avait pas de localisation secondaire au scanner thoracoabdomino-pelvien. Sur le plan thérapeutique, une pénectomie partielle a été réalisée dans cinq cas, une pénectomie totale avec curage ganglionnaire dans un cas. Deux patients ont refusé le traitement chirurgical. Aucune récidive n’était notée chez les cinq patients ayant subi une amputation partielle du pénis. La survie globale était donc de 83,3 % pour les patients opérés.
Conclusion
le cancer de la verge est rare au Sénégal. La prise en charge est délicate du fait du diagnostic tardif avec des lésions évoluées, d’où l’importance d’une sensibilisation des populations.
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Sow Y, Fall B, Sarr A, Thiam A, Diao B, Fall PA, Ndoye AK, Ba M, Diagne BA. [Pyonephrosis: 44 cases in Senegal]. Med Trop (Mars) 2011; 71:495-498. [PMID: 22235626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
PURPOSE To report epidemiological, clinical and paraclinical features of pyonephrosis and describe current management methods in Senegal. PATIENTS AND METHODS This retrospective study includes a series of patients admitted for pyonephrosis to the Urology Department of the Aristide Le Dantec Hospital in Dakar between 1995 and 2009. The following information was collected for each patient: age, sex, clinical manifestations, diagnostic findings, treatment modalities and outcomes. RESULTS A total of 44 patients with a mean age of 34 years were included. The most common clinical manifestations were acute flank pain, sepsis and renal mass. Diagnostic was usually based on medical imaging, i.e., renal utrasonography and computed tomography. Urolithiasis was the underlying etiology in 73.2% of cases. Nephrectomy was performed in 83% of cases with or without preliminary nephrostomy catheterization. CONCLUSION Development of both diagnostic (medical imaging) and therapeutic methods for management of pyonephrosis has been consistent with the rarity of this condtion in Senegal.
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Affiliation(s)
- Y Sow
- Service d'Urologie-Andrologie, Hôpital A Le Dantec Dakar, Sénégal
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Diom ES, Ndiaye I, Ndiaye M, Thiam A, Tall A, Nao E, Diallo B, Diouf R, Diop E. Osteolipoma: An unusual tumor of the parotid region. Eur Ann Otorhinolaryngol Head Neck Dis 2011; 128:34-6. [DOI: 10.1016/j.anorl.2010.09.005] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2010] [Revised: 08/27/2010] [Accepted: 09/06/2010] [Indexed: 11/25/2022]
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Touré K, Coumé M, Ndiaye- ndongo D, Thiam H, Zunzunegui V, Bacher Y, Tal/ dia A, Gueye L, Sene- diouf F, Ndiaye M, Thiam A, Diop A, Ndiaye M. Prévalence de la démence dans une population de personnes âgées sénégalaises. African Journal of Neurological Sciences 2010. [DOI: 10.4314/ajns.v27i2.55089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Sarr A, Fall B, Mouss B, Sow Y, Thiam A, Diao B, Fall P, Diagne B. Aspects diagnostiques et thérapeutiques de la torsion du cordon spermatique au CHU Aristide-Le-Dantec de Dakar. Basic Clin Androl 2010. [DOI: 10.1007/s12610-010-0083-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Résumé
Objectif
Étudier les aspects diagnostiques et thérapeutiques de la torsion du cordon spermatique (TCS) dans notre pratique quotidienne et faire une revue de la littérature.
Patients et méthodes
Étude rétrospective de janvier 2002 à décembre 2009 sur tous les cas de suspicion de TCS reçus en urgence.
Résultats
La TCS était confirmée chez 58 patients après scrototomie exploratrice. L’âge moyen des patients était de 21 ans (avec des extrêmes de 1 et de 44 ans) et 48 patients (83 %) étaient âgés de plus de 15 ans. Le délai moyen entre le début de la symptomatologie douloureuse et l’arrivée aux urgences était de 102 heures (avec des extrêmes de 2 et de 480 heures); 47 patients ont été reçus après la sixième heure et 19 patients ont été référés d’une structure périphérique. La torsion était supravaginale chez cinq sujets âgés de plus de 15 ans et était sanctionnée d’une orchidectomie chez 30 patients (52 %).
Conclusion
Notre série est caractérisée par un taux élevé de castration d’où l’intérêt de mettre l’accent sur la sensibilisation des populations qui doivent venir consulter en urgence devant une grosse bourse douloureuse aiguë.
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Didia EE, Akon AB, Thiam A, Djeredou KB. [Three-point bending moment of two types of resin for temporary bridges after reinforcement with glass fibers]. Odontostomatol Trop 2010; 33:11-15. [PMID: 20839474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
One of the concerns of the dental surgeon in the realization of any operational act is the durability of this one. The mechanical resistance of the provisional prostheses contributes in a large part to the durability of those. The resins in general, have weak mechanical properties. The purpose of this study is to evaluate the resistance in inflection of temporary bridges reinforced with glass fibre. To remedy the weak mechanical properties of resins, we thought in this study, to reinforce them with glass fibres. For this purpose, we realized with two different resins, four groups of temporary bridges of 3 elements, including two groups reinforced fibreglass and the others not. Tests of inflection 3 points have been made on these bridges and resistance to fracture was analysed. The statistical tests showed a significant difference in four groups with better resistance for the reinforced bridges.
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Affiliation(s)
- E E Didia
- Dpt de prothèse UFR d'Odonto-Stomatologie, Abidjan, Côte d'Ivoire
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Toure K, Mapoure NY, Diagne NG, Faustin YN, Diop MS, Seck LB, Ndiaye M, Sene Diouf F, Thiam A, Diop AG, Diagne M, Diaa T, Ndiaye MM. [Acute transverse myelopathy after intramuscular injection of benzathine-benzylpenicillin. Case report in Dakar, Senegal]. Med Trop (Mars) 2009; 69:306. [PMID: 19702160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Intramuscular injection of benzathine-benzylpenicillin can cause acute transverse myelopathy. The purpose of this report is to describe a case of acute transverse myelopathy observed after injection of benzathine-benzylpenicillin in a 38-year-old man. The patient who was married and had a history of eczema was admitted to the Department of Neurology of the Fann University Teaching Hospital in 2006. All laboratory findings were normal except high serum immunoglobulin E level. An immunoallergic reaction involving inflammatory transverse myelopathy secondary to vasculitis was proposed as the most likely underlying mechanism. Treatment with corticosteroid and physiotherapy led to a favorable outcome. Health personnel should know the indications for use of benzathine-benzylpenicillin and be aware of the possible medullary complications.
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Mapoure NY, Diouf FS, Ndiaye M, Ngahane HBM, Doumbe J, Toure K, Mboup B, Thiam A, Diop AG, Ndiaye MM. [A prospective longitudinal study of coma in the intensive care unit in an African setting: case of Dakar, Senegal]. Rev Med Brux 2009; 30:163-169. [PMID: 19642487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Little is known on coma in neurological intensive care unit (NICU) in the setting of developing country in Sub-Saharan Africa. The aim of this study was to determine the morbi-mortality and survival of coma in the NICU of Dakar, Senegal. We carried out a prospective longitudinal study in the NICU of the teaching hospital of Fann in Dakar during a period of 15 months (with 12 months of inclusion) on comatose patients. Were included all patients presenting with a Glasgow score inferior to 9. Standard biological analyses were prescribed for each patient while CT scan was performed if indicated. Daily evaluation was done and complications recorded. Each patient was followed for at least 3 months. Survival was determined by the Kaplan Meier method. 345 patients were admitted in the NICU and 169 were included (48,99 %). The mean age of the patients was 58.04 +/- 17.55 years with a sex ration of 0.92. The mean time from installation of disorders and initial consultation was 47.30 +/- 138.34 hours. Etiologies were vascular disease (71 %), status epilepticus (9.47 %), meningoencephalitis (8.88 %) and metabolic disorders (8.88 %). The mean duration of hospitalization was 8.89 +/- 9.53 days associated with a mortality rate of 82.25 % for the same period. Survival at day 90 was 10.65 %. Mortality was related to infectious condition (28.4 %), renal failure (14.78 %), cardiovascular failure (13.61 %), cerebral engagement (12.43 %), multivisceral failure (11.24 %), pulmonary embolism (1.18 %) and unknown cause (18.34 %). In conclusion, coma is associated with a high mortality rate in our context and suggests that early consultation, a good control of vascular risk factors and better management of infectious condition should reduce this impact.
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Affiliation(s)
- N Y Mapoure
- Service de Neurologie, CHU de Fann, Dakar, Senegal.
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Sène Diouf F, Mapoure NY, Ndiaye M, Mbatchou Ngahane HB, Touré K, Thiam A, Mboup B, Doumbe JN, Diop AG, Ndiaye MM, Ndiaye IP. [Prognosis of intracerebral hemorrhage with coma in a neurological critical care unit in the tropics]. Med Trop (Mars) 2008; 68:606-610. [PMID: 19639829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Thirty-five percent of stroke events observed in Dakar, Senegal involve hemorrhaging. Coma is a frequent revealing sign of the disease and a severe prognostic factor. Since specific therapy is unavailable in sub-Saharan Africa, only symptomatic medical treatment is proposed to most patients presenting intracerebral hemorrhage. The purpose of this longitudinal study was to evaluate prognosis and survival in patients presenting with intracerebral hemorrhage in a neurological critical care unit in Senegal. Study was conducted from April 15, 2006 to July 18, 2007 in the neurological critical unit of the Fann University Hospital Center in Dakar. Mortality and probability of survival were estimated using Kaplan Meier methods. The predictive value of factors significantly correlated with prognosis was determined by multivariate analysis using a Cox proportional hazards model. A total of 51 cases of intracerebral hemorrhage were included in this study. Mean patient age was 64 years and the sex ratio was 1.13. Median survival was 7 days and mortality in the neurological critical care unit was 80.4%. The probability of survival at days 10, 30 and 90 were 43.14%, 21.57% and 13.73% respectively. Occurrence of a complication on day 3 was shown to be an independent risk factor for early death. Intracerebral hemorrhage with coma is associated with a high mortality rate. Better primary prevention is necessary.
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Affiliation(s)
- F Sène Diouf
- Service de neurologie, CHU Fann, Dakar, Sénégal.
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Konaté NY, Djérédou KB, Kamagaté FS, Thiam A, Pesson DM, Assi KD, Touré S. [Determination of the average value of the condylar slope of black Africans]. Odontostomatol Trop 2008; 31:33-37. [PMID: 19266848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The objective of this work was to determinate the average value of the condylar slope of Black African subject and to set up its variation according to whether the localization of the hinge axis is real or arbitrary. With this intention, we made an axiographic study at 63 subjects presented complete natural teeth, with a normoclusion in class 1 of Angle. The results of this study reveal that the average value of the slope condylar is 44,28 degrees in arbitrary hinge axis and 45,7 degrees in hinge axis real; and this difference is not statistically significant. The graphic recording of condylar displacement by the "Quick-Axis" is thus possible without risk of error in the layout and the reproduction of the mandible movements which is of a great interest for the general practitioner taking into account the simplicity of handling of the FAG system.
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Affiliation(s)
- N Y Konaté
- Dpt de Prothèse et Occlusodontie, UFR d'Odonto-Stomatologie, Université de Cocody, Abidjan, Côte d'Ivoire
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Poupard M, Aouate J, Elia C, Thiam A, Echevarria A, Agbonson J, Khuong-Josses M. D-08 Mise en place des recommandations sur le bilan de synthèse annuel chez les personnes infectées par le VIH : analyse descriptive pour 286 patients. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73101-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Touré K, Thiam A, Sene-Diouf F, Sebera F, Ndiaye M, Tal-Dia A, Diop A, Mouhamadou M, Ibrahima P. Facteurs prédictifs de mortalité par accident vasculaire cérébral (AVC) à la clinique neurologique du CHU de Fann, Dakar-Sénégal. Rev Epidemiol Sante Publique 2008. [DOI: 10.1016/j.respe.2008.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Sène Diouf F, Mapoure NY, Ndiaye M, Mbatchou Ngahane HB, Touré K, Thiam A, Mboup B, Diop AG, Ndiaye MM, Ndiaye IP. [Survival of comatose stroke victims in a neurological department in Dakar]. Rev Neurol (Paris) 2008; 164:452-8. [PMID: 18555877 DOI: 10.1016/j.neurol.2008.01.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2007] [Revised: 11/21/2007] [Accepted: 01/11/2008] [Indexed: 10/22/2022]
Abstract
BACKGROUND In Dakar, stroke is the most frequent neurological disease with the highest mortality. Victims may present in a critical state of coma. The objective of this study was to evaluate survival among comatose stroke patients in Dakar, Senegal. METHODS This was a longitudinal prospective study from April 2006 to July 2007 conducted in the Neurological Intensive Care Unit (NICU) of Fann University Teaching Hospital in Senegal. Were included in the study, all stroke patients confirmed by CT scan with a Glasgow coma score less than or equal to 8/15. Patients with subarachnoid hemorrhage were excluded. RESULTS A total of 105 patients were evaluated with 54 cases of ischemic stroke among them. The mean age was 61.87+/-14.16 years. The mean duration of hospital stay in the NICU was 10.82+/-11 days with an estimated mortality of 82.9%; the three-month survival was 9.52%. The median overall survival was 7+/-1 days (CI(95%): 5-9). CONCLUSION Comatose stroke patients have a poor prognosis, emphasizing the crucial importance of primary prevention.
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Affiliation(s)
- F Sène Diouf
- Service de neurologie, CHU de Fann, B.P. 5035, Dakar, Sénégal.
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Ndiaye M, Sarr MM, Mapouré Y, Sène-Diouf F, Touré K, Sow AD, Sène MS, Thiam A, Diagne M, Guèye L, Diop AG, Ndiaye MM, Ndiaye IP. [Epilepsy in a cohort of Senegalese children]. Rev Neurol (Paris) 2008; 164:162-8. [PMID: 18358875 DOI: 10.1016/j.neurol.2007.06.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2006] [Revised: 08/28/2006] [Accepted: 06/20/2007] [Indexed: 11/18/2022]
Abstract
Epilepsy is a significant health public problem in Senegal with an estimated prevalence of 8 to 14%. The aim of this study was to determine the clinical and electroencephalographic features of epilepsy in a cohort of Senegalese infants, search for etiological factors and determine the impact of disease on school life. This retrospective study concerned 459 children who attended the neurological outpatients clinic at the Fann hospital, Dakar, Senegal, between July 2003 and December 2006. All were aged under 19 years. Among the 135 children with idiopathic epilepsy, 23.7% had parental consanguinity and 37.77 % familial epilepsy. Rolandic epilepsy and epilepsy with absences were more frequent but several infants with idiopathic epilepsy were not classified. Non-idiopathic epilepsy was noted in 312 children. In this group, estimates of parental consanguinity and familial epilepsy were of 21.79 and 17.94%, respectively. Etiological factors were predominantly pregnancy and birth abnormalities (28.84%) and central nervous system infection (20.19%). Twelve children had febrile seizures. Of patients with idiopathic epilepsy, 65.18% were attending school versus only 9.29 with non-idiopathic epilepsy.
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Affiliation(s)
- M Ndiaye
- Service neurologie, CHU de Fann, B.P. 5035, 12522 Dakar, Sénégal.
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Touré K, Thiam A, Sène Diouf F, Ndiaye M, Coumé M, Seck LB, Diagne NS, Diop MS, Tal Dia A, Diop AG, Ndiaye MM, Ndiaye IP. [Epidemiology of stroke at the Clinic of Neurology, Fann University Teaching Hospital, Dakar-Senegal]. Dakar Med 2008; 53:105-110. [PMID: 19634543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
OBJECTIVE Describe the epidemiology of stroke among patients hospitalized at the Clinic of Neurology , Fann University, Dakar-Senegal. METHODOLOGY Retrospectively, sociodemographic, medical history and clinical data were collected for patients hospitalized for stroke from January 1st 2001 to November 1st 2003 and to whom a Computed Tomography scan of the brain was done. RESULTS The population of study (314 patients) had a mean age of 61.3 years (+/-13.8) and was composed of 56.1% of women. The mean time of admission was 8.4 days (+/-23.5). The leading risk factors of stroke were hypertension, history of stroke and diabetes. Ischemic stroke represented 60.2%. The occurrence of stroke was associated with coma and hypertension. The letality rate was 24.8%. CONCLUSION It is necessary to develop and implement health education program against risk factors for the population to reduce stroke morbidity and mortality.
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Affiliation(s)
- K Touré
- Service de Médecine Préventive et de Santé Publique , Faculté de Médecine, Pharmacie et Odontologie, Université Cheikh Anta Diop de Dakar, Sénégal.
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Sène Diouf F, Mapoure Y, Ndiaye M, Touré K, Diagne NS, Thiam A, Diop AG, Ndiaye MM, Ndiaye IP. [Vascular aphasias: clinical, epidemiologicaland evolutionary aspects]. Dakar Med 2008; 53:68-75. [PMID: 19102120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
INTRODUCTION Aphasias constitute an acquired disorder of the language. Aetiologies are dominated by stroke. The aim of this study was to describe the clinical, epidemiological and evolutionary aspects of the vascular aphasias. MATERIALS AND METHODS We conducted from August 2003 to May 2005 a descriptive cross-sectional study at the Neurology department in Dakar. This study concerned all patients admitted at the Neurology department for stroke confirmed by the cerebral tom densitometry. All patients were subjected to an examination of the language allowing to confirm the diagnosis of aphasia and to determine the type. The follow-up was monthly during one year. RESULTS 55 cases of aphasia were reported on 170 cases of stroke (frequency: 32.35%). Our patients were all right-handed. Mean age was 56.8 (28 to 86 years) with a sex-ratio of 0.61.76.36% of the patients could neither read nor to write. Only two made higher studies. The nature of stroke was ischemic in 73.7% and hemorrhagic in 26.3%. The aphasias with expressive language impairment were observed in 96.4% against 3.6% of the cases for aphasias with comprehensive language impairment. After one year of evolution, a regression of the disorders was observed only in 9 cases, and the regression was partial in 25 cases. The evolution of the aphasia was correlated with that of the motor deficit. Age, low educational level, ischemic stroke constitute factors of bad prognosis. CONCLUSION Vascular aphasias are frequent and of reserved prognosis. It disturbs social professional and family reintegration.
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Affiliation(s)
- F Sène Diouf
- Service de Neurologie, Centre Hospitalier National de Fann.
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