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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.
Prostate cancer outcome in Burkina Faso
Kabore Fasnéwindé A,Zango Barnabé,Sanou Adama,Yameogo Clotaire
Infectious Agents and Cancer , 2011, DOI: 10.1186/1750-9378-6-s2-s6
Abstract: Introduction African-American black men race is one of non-modifiable risk factors confirmed for prostate cancer. Many studies have been done in USA among African- American population to evaluate prostate cancer disparities. Compared to the USA very few data are available for prostate cancer in Sub-Saharan African countries. The objective of this study was to describe incident prostate cancer (PC) diagnosis characteristics in Burkina Faso (West Africa). Methods We performed a prospective non randomized patient’s cohort study of new prostate cancer cases diagnosed by histological analysis of transrectal prostate biopsies in Burkina Faso. Study participants included 166 patients recruited at the urology division of the university hospital of Ouagadougou. Age of the patients, clinical symptoms, digital rectal examination (DRE) result, serum prostate-specific antigen (PSA) level, histological characteristics and TNM classification were taking in account in this study. Results 166 transrectal prostate biopsies (TRPB) were performed based on high PSA level or abnormal DRE. The prostate cancer rate on those TRPB was 63, 8 % (n=106). The mean age of the patients was 71, 5 years (52 to 86). Urinary retention was the first clinical patterns of reference in our institution (55, 7 %, n = 59). Most patients, 56, 6 % (n = 60) had a serum PSA level over than 100 ng/ml. All the patients had adenocarcinoma on histological study of prostate biopsy cores. The majority of cases (54, 7 % n = 58) had Gleason score equal or higher than 7. Conclusion Prostate cancer is diagnosed at later stages in our country. Very high serum PSA level and poorly differentiated tumors are the two major characteristics of PC at the time of diagnosis.
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.

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.
Emerging Trends and Old Habits in Higher Education Management: Focus on the Public vs. Private Funding Debate  [PDF]
Federico Barnabè
Creative Education (CE) , 2012, DOI: 10.4236/ce.2012.326152
Abstract: This work takes into consideration the wide reform process that is impacting on Universities all over the world, especially focusing on the public versus private funding debate for Higher Education Institutions. In this regard, the paper provides some considerations on possible funding sources, discusses data related to the relevance of public funding and presents the features of the main models of public funding across many countries, particularly focusing on Europe.
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.
Infected Vaginal Hydrocele Due to a Septic Puncture-Aspiration: A Series of Seven Cases Collected at Yalgado Ouedraogo Teaching Hospital of Ouagadougou  [PDF]
Fasnéwindé A. Kaboré, Moussa Kaboré, Bienvenue D. Ky, Cl?taire Alexis Marie Kiemdiba Donega Yameogo, Brahima Kirakoya, Boukary Kabré, Moussa Bazongo, Barnabé Zango, Timothée Kambou, Si Simon Traoré
Open Journal of Urology (OJU) , 2016, DOI: 10.4236/oju.2016.63007
Abstract: Objective: To describe diagnostic and therapeutic outcomes of infected vaginal hydrocele.Material and Methods: This is a retrospective descriptive study over a period of two years from June 2013 to May 2015 at the urological emergency department of Yalgado Ouédraogo University Hospital (CHU-YO). Results: We collected seven cases during the period of study. The average age of patients was 35 years. Two patients (2/7) were from urban and five from rural areas. Five patients (5/7) were married and two (2/7) unmarried. Six patients (6/7) were farmers and one (1/7) was civil servent. Clinical examination findings were dominated by bilateral painful scrotal swelling and fever in all cases, a scrotal necrosis in two cases. The dominant indication of the puncture-aspiration was discomfort during sexual intercourse (5/7). At the opening of the scrotum purulent fluid was aspirated in all cases, and we performed a unilateral orchidectomy in two cases. A hydrocelectomy was performed in all cases. The postoperative evolution was simple in all patients. Conclusion: The puncture-aspiration must be avoided because the risk of infection and the high recurrence rate.
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