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Severe External Genitalia Lesion by Firearm: A Case Report  [PDF]
Mahamat Ali Mahamat, Sidi Sougui, Choua Ouchemi, Olivier Ngaringuem, Mohamed Jalloh, Lamine Niang, Serigne M. Gueye
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.510030
Abstract: Gunshot wounds to external genitalia are rare either in war field and civilian setting accounting for 2% - 4% of all injuries with often a lesion to the urinary tract. We report a case of external genital injury in a 27 years old man, accidentally injured by his own arm when he pressed the trigger of his gun placed in his pants. He had no past medical or surgical history, he presented to the emergency room (ER) with hemorrhagic scrotal and penile injuries with adjacent urethral tissue damage. He underwent a scrotal flap urethroplasty, and realignment of the corpus cavernosa and the tunica albugina. The patient lost his Foley catheter at post-operative day 3 and subsequently developed a urethral stenosis. Gunshot wounds to external genitalia are rare. A good reconstruction is necessary to avoid an impact on sexual and voiding function.
External Genitalia Gangrene: Clinical, Therapeutic Aspects and Prognosis at University Hospital Souro Sanou of Bobo Dioulasso (Burkina Faso)  [PDF]
Timothée Kambou, Adama Ouattara, Abdoulkarim Paré, Brahima Kirakoya, Fasnéwindé Aristide Kaboré, Hassan Dogo, Hamidou Bako
Open Journal of Urology (OJU) , 2017, DOI: 10.4236/oju.2017.712028
Abstract: Objective: To describe the clinical aspects and the management of external genitalia gangrene in the Urology department of the Bobo Dioulasso CHUSS. Patients and methods: This was a retrospective and descriptive study over a period of 6 years from January 2011 to December 2016, which covered 54 patients hospitalized in the urology department of the University Hospital Souro Sanou for external genitalia gangrene. Results: The mean age of our patients was 53.8 years. The large ulcero-necrosis of scrotum was the main reason for reference. Our patients consulted on average 8.23 days after the onset of symptomatology. A risk factor was found in 44.2% of cases and a cause was identified in 65.3% of patients. A urogenital cause was present in 32.7%. Probabilistic antibiotic therapy and medical reanimation were systematic at admission. Debridement was performed on average 18 hours after admission and 10 patients had more than one debridement. We noted a mortality rate of 5.5%. Conclusion: Fournier’s gangrene is a serious infectious disease whose diagnosis is often delayed in our context. Early surgical debridement remains the essential therapeutic gesture to reduce mortality.
Trauma of External Genitalia by Firearm: Therapeutic Strategy and Result, about a Case at CHU-YO, Ouagadougou, Burkina Faso  [PDF]
C.A.M.K.D. Yameogo, Brahima Kirakoya, Moussa Kaboré, Fasnéwindé A. Kaboré, Bienvenue D. Ky, Boukary Kabré, Barnabé Zango
Open Journal of Urology (OJU) , 2016, DOI: 10.4236/oju.2016.64012
Abstract: Introduction: Ballistic traumas of the external genitalia are rare especially in civil practice. Emergency surgical exploration is the rule. Case Report: Mr. F.Y., 29 years old, a security agent, admitted to the Urological Emergency Unit of Yalgado Ouédraogo University Hospital of Ouagadougou for trauma of the penile and left purse by firearm. The clinical examination revealed a good hemodynamic status, bladder distension. A suprapubic catheterization was performed. We noted a transfixing and bleeding wound on the penile, and on the left purse which was edematous. The patient was admitted to the operation room 07 hours after trauma. Exploration found a total destruction of the left testicle classified grade 5 of the classification of the American Association of the Surgery of Trauma (AAST). We performed a left orchiectomy. There was a partial rupture of the ventral face of the penile urethra. We performed an end-to-end anastomosis on a Foley catheter CH 18. The Foley catheter was removed after two weeks. Urination was spontaneous without dysuria. Erections were painless and without kinking of penile. Conclusion: Open traumas of the external genitalia are rare and their treatment is an extreme surgical emergency.
Contribution of the Medical Imaging in Care of Ambiguous Genitalia  [PDF]
Zanga Sore Moussa, Diallo Ousseini, Ouattara Boubakar, Napon Aischa Madina, Bamouni Yomboue Abel, Cisse Rabiou
Open Journal of Radiology (OJRad) , 2018, DOI: 10.4236/ojrad.2018.82014
Abstract: We report a case of ambiguous genitalia in a 15-year-old patient to demonstrate input of medical imaging in the diagnosis and care of this rare congenital deformation. Disorders of sexual differentiation (DSD) have been defined as congenital conditions in which development of chromosome, gonad, or anatomic sex is atypical and that raise an issue in the sex assignment. In lower socioeconomic countries where antenatal diagnosis is almost non-existent, due to lack of technical facilities, their medical and surgical management is hard. The case which we report was investigated by ultrasonography and genitography, which remains primary indications in our context.
Case for diagnosis
Gon?alves, Sheila Viana Castelo Branco;Valente, Neusa Yuriko Sakai;Oliveira Junior, José Vitor de;Paiva, Daniele Loureiro Mangueira;
Anais Brasileiros de Dermatologia , 2012, DOI: 10.1590/S0365-05962012000300026
Abstract: porokeratosis is a primary keratinizing disorder of unknown etiology. this disorder is characterized by the presence of centrifugally enlarging hyperkeratotic plaques, associated with the histopathological hallmark of cornoid lamellae. genital porokeratosis is extremely rare. no more than thirty cases have been reported in the literature, including only one case of linear porokeratosis confined to the genital area. this case report describes a patient with genital linear porokeratosis, who was successfully treated with cryotherapy. over two years of follow-up, the lesion improved and there was no evidence of recurrence or signs of malignant transformation. nevertheless, there is a need for long-term follow-up data on recurrence and malignant transformation.
Trauma to the Male External Genitalia: Epidemiology, Diagnosis and Therapeutic Aspects at Yalgado Ouedraogo Teaching Hospital of Ouagadougou  [PDF]
Barnabé Zango, Fasnéwindé A. Kabore, Abdoul Karim Pare, Brahima Kirakoya, Cl?taire Alexis Marie Kiemdiba Donega Yameogo, Adama Ouattara, Cyprien Zare
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.57016
Abstract: Objective: To describe the epidemiology, diagnosis and therapeutic outcomes of trauma to the external genitalia trauma. Materials and Methods: This is a retrospective descriptive study over a period of six and a half years from January 1st, 2006 to June 30th, 2012. About 42 cases of trauma to the male external genitalia were received at the emergency department of General surgery and Urology of Yalgado Ouedraogo Teaching Hospital of Ouagadougou. Results: The average age of the patients was 31.7 years and the age groups most affected were those between 16 - 26 years. Our study population were mainly pupils and students with 40.5% of cases. Causes of trauma to the external genitalia were mainly highway accident with 19 cases (45.2% of cases). 85.7% of patients presented on the day of the trauma. Scrotum and its contents were more exposed to trauma (30 cases) than penis (12 cases). Treatment was most often surgical (78.6%). The postoperative course was uneventful in 75% of the cases of testicular trauma and 72.7% of the cases of penile trauma. Conclusion: External genitalia traumas affect young people. Complications can be important like erectile dysfunction. However, the prognosis is good if treatment is early.
Recent Injuries of External Genitalia: Clinical Aspects and Management  [PDF]
Kimassoum Rimtebaye, Kaboro Mignagnal, Arya Zarif Agah Tashkand, Franklin Danki Sillong, Lamine Niang, Gueye Serigne Magueye
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.59025
Abstract: Aim: Report the epidemiological, clinicopathological characteristics and ensuring management of recent traumas of the external genitalia in Urology. Methods: This was a descriptive retrospective study of 47 cases of patients suffering from recent traumas of the external genitalia over a period of 5 years. The variables studied were sociodemographic, clinical, paraclinical, therapeutic and evolutionary. Results: A total of 47 patients, including 46 men, were managed. The mean age was 26.8 years, ranging from 6 to 56 years. The circumstances of occurrence were: the missteps of coitus (n = 16), traffic accidents (n = 9) and criminal injuries (n = 8). The fracture of the penis (n = 16) was the most common lesion followed by the scrotal wound (n = 11). The management was medical and surgical and varied by the type of lesion. The outcome was favorable in 91.5% of cases. Conclusion: The incidence of traumas of the external genitalia was 9.4 in urology department in N'Djamena. Penis fracture was the frequent lesion. The management is multidisciplinary, medical and surgical.
El género Cephalocoema Serville, 1839 (Orthoptera: Proscopiidae, Tetanorhynchini)
Bentos-Pereira, Alba;
Neotropical Entomology , 2007, DOI: 10.1590/S1519-566X2007000300009
Abstract: the genus cephalocoema serville, 1839 is revised by the study of its type-species and additional ones. new species are described and synonymies are made. each species is studied in its morphological features and genital characters, both male and female. type localities are marked in biogeographical regions map, which let us to get a pattern of distribution related with the habitat preferences of each species, for the whole genus.
Comparative anatomy of the male reproductive internal organs of 51 species of bees
Ferreira, Amilton;Abdalla, Fábio C.;Kerr, Warwick E.;Cruz-Landim, Carminda da;
Neotropical Entomology , 2004, DOI: 10.1590/S1519-566X2004000500005
Abstract: the anatomy of the internal organs of the male reproductive apparatus (mra) of adults and pupae was compared among 51 species of bees, including representatives of six families. four different types of mra were found. the type i is present in males of the less derived families (colletidae, andrenidae, and halictidae) and is characterized by three seminiferous tubules per testis, which are almost completely enveloped by the scrotal membrane. the type ii is an intermediary between types iii and i and is present in melittidae and megachilidae, as well as in some apidae studied, being characterized by post-vesicular deferent ducts outside the scrotal membrane and by three or four seminiferous tubules per testis, except for apis mellifera l., which has a secondarily increased number of tubules. type iii was only found in the apidae studied and is characterized by separately encapsulated testes and genital ducts (except for the post-vesicular deferent duct). accessory glands are well developed, and the ejaculatory duct is thickened with fissures in its wall, which may also occur in the type ii. type iv is present exclusively in the tribe meliponini, and is characterized by the absence of accessory glands.
Cuatro especies nuevas del grupo de especies Drosophila mesophragmatica (Diptera, Drosophilidae) de los Andes ecuatorianos
Céspedes, Diego;Rafael, Violeta;
Iheringia. Série Zoologia , 2012, DOI: 10.1590/S0073-47212012000100010
Abstract: four new species of drosophila mesophragmatica group are described. the new species were found in paramo and remnants of andean forest and in the ecuadorian andes. these species were captured from 2200 to 4000 m. the new species are: d. cashapamba sp. nov., d. chorlavi sp. nov., d. rucux sp. nov. and d. yanayuyu sp. nov. with these new species, the number of species of the d. mesophragmatica group has been increase to 17. the species of this group are distributed mainly in the andes of south america.
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