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Epidemiological and Clinical Profile of Male Hypofertility in Consultation at the Urology-Andrology of Yalgado Ouedraogo Teaching Hospital (Burkina Faso)  [PDF]
Brahima Kirakoya, Zango Barnabé, Paré Abdoul Karim, Kaboré Fasnéwendé Aristide, Yaméogo Clotaire, Nikièma Amélie
Advances in Sexual Medicine (ASM) , 2015, DOI: 10.4236/asm.2015.51001
Abstract: Objective: To determine the epidemiological and clinical characteristics of male hypofertility attending at urology for paternity desire. Materials and methods: Cross-sectional study conducted from January 1st to December 31 2012 at urology department of teaching hospital Yalgado Ouedraogo. We collated men attending for hypofertility. Only subjects living regularly with their partner were retained. Results: The study concerned 95 men. The average age was 36.9 years (range: 23 years and 53 years) and 28.6 years for their wives (range: 19 years and 40 years). Patients resided in urban areas in 90.5% of cases. Gynecologists and general physicians sent respectively 77.9% (N = 74) and 17.9% (N = 17) of cases. The average consultation delay time was 3 years. The average duration of infertility was 5.8 years (Extreme: 1 year and 20 years). Infertility was primary in 68.4% of cases and secondary in 31.6% of cases. 24.2% of patients admitted for history of genitourinary infection. Varicocele was found in 22.1% of cases. The semen analysis showed that 42 men had azoospermia. The semen culture isolated a germ in 19.1% of cases. Serum FSH was high in 47.3% of cases. Conclusion: Male hypofertility affected men of all age. Urologists are the last resort of the male hypo fertile, gynecologists constituting the first contact. Azoospermia is a problem commonly encountered in urological consultation.
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.
Elderly Men Sexuality in Ouagadougou (Burkina Faso)  [PDF]
Brahima Kirakoya, Moussa Kabore, Fanéwendé Aristide Kabore, Abdoul Karim Pare, Abubakar Babagana Mustapha, Ky Bienvenue Désiré, Barnabé Zango
Open Journal of Urology (OJU) , 2019, DOI: 10.4236/oju.2019.93007
Abstract: Background: In general, sexuality is a taboo subject. It is more so in elderly people, as it is believed that they do not complain about sexual disorder. Objective: To analyse the sexual activity of elderly men in Ouagadougou, Burkina Faso. Methods: This is a descriptive cross-sectional study on the sexual activity of men aged at least 60 years old. The study was carried out in Ouagadougou, Burkina Faso, from 1st June to 31st August 2014. All consenting males who were aged 60 and above at the time of the study were included. Results: We contacted 652 men, but only 200 responded i.e. a response rate of 30.67%. The age of the respondents was between 60 years and 89 years with a mean age of 66.38 ± 5.72 years. 80.15% of the respondents had at least one sexual intercourse in a month. Erection was considered satisfactory or very satisfactory in 45.8% (60/131) of respondents and 63.36% of them always had orgasm during sexual intercourse. Premature ejaculation was noted in 23.66% of respondents, while a decline in libido was noted in 82.44% of them. Conclusion: This study which is the first of its kind in Burkina Faso has helped reveal the importance of sexuality in the lives of elderly men.
Prostate Cancer Disease Characteristics at the Time of Diagnosis and Initial Treatment Offered in a Tertiary Hospital at Ouagadougou (Burkina Faso)  [PDF]
Fasnéwindé Aristide Kaboré, Barnabé Zango, Timothé Kambou, Aimé Sosthène Ouédraogo, Aboubacar Bambara, Clotaire Yaméogo, Brahima Kirakoya, Olga Lompo
Open Journal of Urology (OJU) , 2014, DOI: 10.4236/oju.2014.41002

Objectives: to describe the characteristics of newly diagnosed prostate cancer (PCa) and the initial treatments offered to patients in the most important urological center of Burkina Faso. Methods: We analyzed the data of a cohort of 168 consecutive patients with no prior history of PCa between January 2009 and December 2012. Diagnosis of PCa was based on histological analysis of transrectal prostate biopsies. Patient and disease characteristics and the initial treatment offered were taken in account. Results: The mean age at presentation was 68.59 ± 9.41 years (range 30 to 95 years). There was a 3.6-fold increase in the incidence of PCa through the four years of the study. The mean duration of symptoms prior to presentation was 11.6 ± 10.9 months. The majority of cases (86.9%) were presented as locally advanced or metastatic disease. Androgen deprivation therapy (ADT) was the first therapeutic option for 121 patients (72%) and 73 patients (43.4%) underwent ADT through bilateral orchiectomy. Only 3 patients (1.78%) underwent radical prostatectomy. Conclusion: An increase in the diagnosis of PCa in our country was observed in this study. The diagnosis of prostate cancer was usually tardive in Burkina Faso. Treatment often involves surgical ADT for socioeconomic reasons.

Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou  [PDF]
Prince Pascal Hounnasso, Josué Dejinnin Georges Avakoudjo, Abdoul Karim Paré, Kirakoya Brahima, Adama Ouattara, Michel Michael Agounkpé, Gilles Natchagandé, Sanni Rafiou Toré, Abubakar Babagana Mustapha, Alexandre Vodounou
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.52002
Abstract: Purpose: To study the epidemiology and treatment modalities of urolithiasis at Urology Department of University Hospital of Cotonou. Materials and Methods: It was a retrospective and descriptive study over a 10 years period ranging from January 1st, 2004 to December 31st, 2013. One hundred and two patients who were hospitalized for symptomatic urolithiasis at the Urology Department of University Hospital of Cotonou were enrolled. Results: Hospital incidence of urolithiasis was 3.7%. Patients mean age was 39.6 years (extremes: 10 years to 73 years). Male to female ratio was 2.2. The main reason for consultation was renal colic for 81 patients (79.4%). Average duration of symptoms at presentation was 5 months (range: 1 day to 10 years). A total of 173 stones were identified with an average size of 12 mm (range: 1 mm to 95 mm). Calyceal stones were seen in 32.9% of cases, renal pelvis stones in 21.4% of cases, ureteral stones in 34.1% and bladder stones in 11.5% of cases. Open surgery was the main treatment for stones that could not be managed medically. 50.8% of patients underwent surgery with extraction of 116 stones. This represented 67.1% of all stones. 9 patients (8.8%) had expelled their stone during urination. The postoperative course was uneventful in 77.5% of cases. Conclusion: Modern treatment options for urolithiasis remain rudimentary in our health facilities. Open surgery is still the main stay of treatment in our countries with limited resources.
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.
From Traditional Management of Mental Illness to Self-Mutilation of the Penile: A Case Report  [PDF]
Barnabé Zango, Fasnéwindé A. Kaboré, Moussa Kaboré, Bienvenue D. Ky, Richard W. Ouédraogo, Brahima Kirakoya, Cl?taire Alexis Marie Kiemdiba Donega Yameogo, Kabré Kabré, Adama Sanou
Open Journal of Urology (OJU) , 2016, DOI: 10.4236/oju.2016.63005
Abstract: Introduction: Self-mutilation of the external genitalia is rare. It occurs most often on a psychotic ground. Case Report: Mr. P.O. 25-year-old, a dress maker, admitted to the urological emergency for self-section of the penile. The patient had cut his penile with a razor blade and the amputated distal extremity had been thrown in the water closet. The patient was admitted 19 hours after the act of self-harm. Clinical examination had found a stable hemodynamic status, a section of the penile at its root. Psychiatrically schizophrenia evolving for 08 months was diagnosed. An attempt of penile reconstruction was performed. The patient benefited serum and tetanus vaccine, antibiotic and neuroleptics. The parents asked to go home against medical advice the 5th day. Conclusion: The management of self-mutilation of external genitalia is multidisciplinary including surgery and psychiatry.
Acute Generalized Peritonitis Due to the Migration of a Ballpoint Pen from Bladder to Great Peritoneal Cavity: A Case Report  [PDF]
Barnabé Zango, Fasnéwindé A. Kaboré, Moussa Kaboré, Brahima Kirakoya, Bienvenue D. Ky, Cl?taire Alexis Marie Kiemdiba Donega Yameogo, Adama Ouattara, Boukary Kabré, Timothée Kambou
Open Journal of Urology (OJU) , 2016, DOI: 10.4236/oju.2016.63006
Abstract: Foreign bodies of the bladder are rares. The presence of a foreign body in the bladder is often anecdotic. We report a case of acute generalized peritonitis due to migration of a ballpoint pen from bladder to great peritoneal cavity in a 17-year-old man. He was admitted for a peritoneal syndrome after introducing a ballpoint pen into the urethra to masturbation purposes. He has no psychiatric history. Exploration had found an agglutination of small bowel loops around the ballpoint pen. The ballpoint pen was about 13.5 cm long and was transfixing the small intestine. We had noted about 20 cm of ileal necrosis about 30 cm from the ileocecal junction. An exit port was located at the posterior wall of the bladder. We performed?a resection of the necrotic portion followed by end-to-end anastomosis. Bladder foreign bodies can have serious complications such as the formation of an acute surgical abdomen after migration of the foreign body. The extraction must be quickly carried as soon as the diagnosis is made to avoid these complications.
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.
Suprapubic Cystostomy at Urological Emergency Unit of CHU-YO, Ouagadougou, Burkina Faso: Indications, Technique and Complications  [PDF]
Barnabé Zango, Fasnéwindé A. Kaboré, Moussa Kaboré, Brahima Kirakoya, Bienvenue D. Ky, Boukary Kabré, Cl?taire Alexis Marie Kiemdiba Donega Yameogo, Adama Ouattara, Timothée Kambou
Open Journal of Urology (OJU) , 2016, DOI: 10.4236/oju.2016.64013
Abstract: Introduction: Cystostomy allows under certain circumstances deriving the urine. This is the most performed surgery in uro-andrological emergencies. Complications can occur. We aim to analyze the indications, technical aspects and complications of suprapubic cystostomies in the urological emergency unit at CHU-YO. Patients and Methods: Between October 2013 and May 2014 we conducted a prospective study of all patients who underwent suprapubic cystostomy. Results: 86 cases of cystostomy were noted or 77.5% of surgical procedures performed in uro-andrological emergency. All patients were male. The average age of patients was 52.5 years. The AUR represented 88.4% of indications. The prostate tumor represented 65.8% of the etiologies of AUR. The cystostomy was performed under local anesthesia in 87.2% of cases. Peritoneal gap was noted in 5.8%, parietal suppuration in 12.8%. A death by generalized acute peritonitis was noted in one case. Conclusion: Suprapubic cystostomy presents a non-negligible morbidity and mortality and must be mastered.
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