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Search Results: 1 - 10 of 3459 matches for " Hounnasso Prince Pascal "
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About 4 Cases Report of Giant Hydronephrosis Inurology Department of the National University Healthcare, CNHU HKM of Cotonou  [PDF]
Dodji Magloire Inès Yevi, Christian Henry Renaud Hounnasso, Gilles Natchagandé, Dejennin Georges Josué Avakoudjo, Michel Micha?l Agounkpé, Jean Sossa, Fred Hodonou, Prince-Pascal Hounnasso
Open Journal of Urology (OJU) , 2018, DOI: 10.4236/oju.2018.84013
Abstract: The authors report 4 different cases of giant hydronephrosis in the urology department of the national university healthcare, CNHU HKM of Cotonou. The frequency of the items, the etiologies and the different treatments carried out were elucidated. The patients were all females. The hydronephrosis affected the left kidney. The most frequent etiology was pyelouretral junction syndrome seconded by obstructive nephrolithiasis in the upper urinary tract. One of the last etiologies was lower pole vascular plexus. Three nephrectomies and one K?SS-HEYNES-ANDERSON pyeloplasty were carried out. Conclusion: Giant hydronephrosis is a rare condition. The etiologies were organic-based and malformed. The therapeutic attitude adopted shows the interest of an antenatal diagnosis for early care.
Urologic Complications after Gynaecologic and Obstetric Surgery at the Urology-Andrology Teaching Clinic of Teaching Hospital of Cotonou  [PDF]
Hounnasso Prince Pascal, Avakoudjo Josué Georges, Babadi Naméoua, Paré Abdoul Karim, Ouattara Adama, Vodounou Alexandre, Agounkpé Michel Michael
Open Journal of Urology (OJU) , 2014, DOI: 10.4236/oju.2014.410021

Objective: To study the epidemiology and current trend in the management of urologic complications following obstetric and gynaecologic surgeries at CUUA University hospital of Cotonou. Patients and Methods: It was a retrospective study of patients referred with urologic complications following obstetric and gynaecological surgeries. The study took place at the Teaching Clinic of Urology Andrology at CNHU of Cotonou between April 1, 2008 and March 31, 2013. Results: Forty-one patients were studied. They represented 3.5% of people hospitalized at CUUA throughout the study period. The average age was 41 years swith range of 20 and 57 years. Twenty-one (51.2%) of them were married. Thirty patients (73.2%) were referred from a non-academichospital, while 7 patients (17.1%) were referred from academic hospital. Caesarean section was the primary gynecological surgery in 22 cases (53.7%) and hysterectomy in 19 cases (46.3%). Clinically, the pre- dominant symptoms were leakage of urine throughout the vagina and obstructive anuria with or without back pain. We found 31 cases of VVF, 5 cases of bilateral ligation of the ureters, 3 cases of unilateral ligation of the ureter, 1 ureteralinjury and 1 uretero-vaginal fistula. These complications were diagnosed postoperatively in 95.1% of cases. Surgeries done included VVF repair in 31 cases (75.6%), unilateral ureteral reimplantation in 4 cases (9.8%), removal of ligation of the ureters in 3 cases (7.3%), bilateral ureteral reimplantation for 2 cases (4.9%) and end-to-end anastomosisin 1 case (2.4%). The postoperative period was uneventful in 29 cases and we observed 7 cases of surgical site infection. The overall success rate was 87.8%. Conclusion: Urological complications following gynecologic surgeries managed at the urologic department of teaching hospital of Coto-nou had an even higher incidence. Early diagnosis especially during the operative procedure would save the patients’ serious complications and open surgery due to the lack of endo-urological facilities. The most important factor in prevention is good knowledge of pelvicanatomy and good knowledge of the surgical techniques of caesarean operation section and trans-abdominal hysterectomy.

Clinical Stage Evaluation at Diagnosis of Prostate Cancer at Urology-Andrology Clinic Cnhu-Hkm Cotonou  [PDF]
Hounnasso Prince Pascal, Avakoudjo Josué Dejinnin Georges, Soumanou Fouad Kolawalé Yde, Koussouhon Mano?l Dossavi, Yevi Dodji Magloire, Vodonou Alexandre
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.53004
Abstract: Aims: To evaluate the clinical stage at diagnosis of prostate cancer. Materials and Methods: This study was retrospective and?descriptive from January 2008 to June 2013. Patients who were diagnosed with prostate cancer wereinvolved and confirmed by clinical examination anatomopathological screening. They also realized a total serum PSA, a bladder-prostatic and abdominal ultrasound. Results: Average age was seventy years, ranging from fifty years to seventy years. The general status of our patients was satisfactory in 78% of cases. Main symptoms were dysuria and frequencyin 96% and 86%, respectively. Family past history of prostate cancer were found in 24% of cases. Twenty-three patients (43%) had a total serum PSA ≥ 100 ng/ml. Adenocarcinoma was the main histological type. Grades 1 and 4 were the most frequent. Thirty-three patients (66%) had a Gleasonscore betwen [2]-[6]. Forty-four patients (88%) had locally advanced and metastatic desease. The D’Amico score was identified in six patients but 3 and 2 patients were low risk and intermediate riskrespectively. Finally, 1 patient was high risk. Conclusion: Prostate cancer remains elderly man cancer. It was discovered in locally advanced and metastatic desease in this series. This diagnosis was late in the majority of cases.
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.
Spermiological Profile of Patients with Varicocele in Cotonou  [PDF]
Dodji Magloire I. Yevi, Hamid Fagbemi, Jean Sossa, Michel Micha?l Agounkpe, Gilles Natchagande, Josué D. G. Avakoudjo, Prince Pascal Hounnasso
Open Journal of Urology (OJU) , 2017, DOI: 10.4236/oju.2017.72006
Abstract: Objective: To evaluate the effects of varicocele on sperm characteristics, on testicles and its responsibility in male fertility. Patients and Methods: The study took place in the National University Teaching Hospital Hubert Koutoukou Maga of Cotonou. It was a prospective study, from December 2015 to July 2016, which concerned 45 patients affected by the varicocele and seen for infertility. The duration of the infertility was 12 months or more, according to the definition. The studied parameters were the age, the profession, the deadline of the infertility, the type and the rank of the varicocele, the data of the ultrasound and the spermogram. Results: The average age of our patients was 35 years with a range of 20 and 56 years. The average duration of infertility was 3 years and 5 months. The pattern of consultation was a desire of paternity in 71.1% of cases. The testicular hypotrophy was found in 93.3% of cases at the right side and in 97.8% at the left side. The varicocele was bilateral at 82.2% of cases. The most frequent sperm abnormality was the oligoasthenoteratozoospermia found in 31.1% of cases. Conclusion: The varicocele is a male subject pathology. Its consequences on fertility are bad as well as on the volume and the capacity of the testicles to play its endocrine and exocrine function. The better choice is to start the treatment just when it is found in a man. The surgery seems to be the best solution to that important social problem.
Evaluation of the Management Results of Uretero-Pelvic Junction Abnormalities  [PDF]
Prince Pascal Hounnasso, Josué Dejinnin Georges Avakoudjo, Fouad Kolawalé Yde Soumanou, Ghislain Honvozo Djidjoho, Micha?l Michel Agounkpe, Gilles Natchagande, Olivier Dandjlessa, Magloire Dodji Yevi, madou Téoulé Traore, Djamal Jacquet, Viyome Edoe Sewa, Sosthène Ouedraogo
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.59026
Abstract: Objectives: To evaluate therapeutic and prognosis of Uretero-pelvic junction abnomalities. Methods: This article was retrospective and descriptive, covering a period of six months, running from January 1st to December 31st, 2013 and conducted?to evaluate therapeutic and prognosis of Uretero-pelvic junction abnormalities. Included criteria were all patients whose diagnosis was abnormalities of the uretero-pelvic junction and had been confirmed after para clinical explorations. The stricture of the junction after a first kidney surgery did not include. The Creatinine level has considered high from 15 mg/l. Results: The median age was 35 years old. Age groups (30 - 40) years old have predominated in 36.2%. A male predominance had been noted in 62.3% versus 37.7% women. The most affected occupation was the officials in 37.7% of cases. The main reason for consultation was lumbar pain in 97.1%. The high creatinine level has observed in 19 patients (27.5%). Sixty-one patients (88.41%) have been operated. An abstention has been observed in 7 patients (10.14%) and one patient died before the surgical issue in renal failure. The early post-operative course has been uneventful in 78.7% (48 cases) and complicated in 21.3% (21 cases). Conclusions: Open surgery tends to disappear at the expense of the endopyelotomy and laparoscopy which gives best results. However, it is still relevant.
Drug Resistance Mutations and Genetic Diversity in Patients Treated for HIV Type 1 Infection in Rural Care Centers in Togo  [PDF]
Anoumou Dagnra, Abla Konou, Mounerou Salou, Pascal Kodah, Damobé Kombate, Prince David
Open Journal of Medical Microbiology (OJMM) , 2016, DOI: 10.4236/ojmm.2016.63015
Abstract: Introduction: Access to antiretroviral treatment (ART) in resource-limited countries has increased signif-icantly but scaling up ART into rural areas is more recent and information on treatment outcome in rural areas is still very limited. We reported here virological outcome and drug resistance in ART in rural settings in Togo. Methods: HIV-1 infected adults (≥18 years) and infants were enrolled in routine medical visit at 12 on first-line ART in three HIV care centers. Epidemiological and demographic information and data on ART history were collected. Viral load (VL) was determined and genotypic drug resistance testing was performed on all samples with viral load above 1000 copies/ml. Results: 102 adult patients and 27 infants were consecutively enrolled. Virological failure was observed in 28 (21.5%) patients. For 25/28 patients, sequencing was successful and drug resistance mutations were observed in 23 (92%) of them. The global prevalence of drug resistance in the study population was thus at least 17.8% (23/129), with 7 (6.9%) patients infected with HIV strains that are resistant to two of the three first-line antiretroviral (ARVs) drugs and 9 (8.3%) to all three first-line ARVs. As expected, the observed drug resistance mutations were mainly associated with the drugs used in first line regimens, zidovudine, lamivudine and effavirenz/nevirapine but several patients accumulated high numbers of mutations and developed also cross-resistance to abacavir, didanosine or the new non-nucleoside reverse transcriptase inhibitor drugs, like etravirine and rilpivirine. Conclusion: The observations on ART treatment outcome from ART clinics in rural areas are the same as observed in previous observations in Lomé, the capital city. Although access to viral load will improve treatment outcome, better programme management and implementation of actions to improve factors as patient adherence, drugs stock-outs and lost to follow-up are also essential.
Intestinal Stoma Prolapse and Surgical Treatments of This Condition in Children: A Systematic Review and a Retrospective Study  [PDF]
Prince Johnson
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.79057
Abstract: Background: An intestinal stoma is a surgical opening of the intestine, mostly sutured to the anterior abdominal wall. Stoma prolapse is one of the common complications of stoma. A significant number of stoma prolapse patients require surgical correction. Aim: The first part of this thesis is a literature review of intestinal stoma prolapse and its surgical treatments. The second part is an evaluation of the effect of surgical treatments of this condition on children at OUS-R. Methods: LiteratureA literature search was performed. Fifty-seven English-language studies were selected. Methods: Patients evaluation: Design, Setting, and ParticipantsA retrospective review of pediatric patients (<13 years) surgically treated for intestinal stoma prolapse at OUS-R. Results: LiteratureIncidence of intestinal stoma prolapse for children varies from 8.1% to 25.6%. Many proposed surgical repair procedures for stoma prolapse are available and vary from being ineffective to 100% effective. Results: Patients evaluation at OUS-RFrom 2001 to 2013, 14 of the 304 children with stoma (4.6%), experienced stoma prolapse. Nine stoma prolapse were surgically corrected: Median age at stoma formation for the 9 patients was 1.7 years. Surgical procedures and success rate: Median 2, range 1 - 9 operations/person; varies from being ineffective to 50% effective. Conclusion: Limited data suggests stoma prolapse repair is a surgical challenge. Thus, preferably when possible, closure of the stoma would be most suitable. Incidence of stoma prolapse in our series of pediatric patients at Oslo University Hospital is lower than most published incidence in the pediatric medical literature.
Center of Mass Compensation during Gait in Hip Arthroplasty Patients: Comparison between Large Diameter Head Total Hip Arthroplasty and Hip Resurfacing
Vicky Bouffard,Julie Nantel,Marc Therrien,Pascal-André Vendittoli,Martin Lavigne,Fran?ois Prince
Rehabilitation Research and Practice , 2011, DOI: 10.1155/2011/586412
Abstract: Objective. To compare center of mass (COM) compensation in the frontal and sagittal plane during gait in patients with large diameter head total hip arthroplasty (LDH-THA) and hip resurfacing (HR). Design. Observational study. Setting. Outpatient biomechanical laboratory. Participants. Two groups of 12 patients with LDH-THA and HR recruited from a larger randomized study and 11 healthy controls. Interventions. Not applicable. Main Outcome Measures. To compare the distance between the hip prosthetic joint center (HPJC) and the COM. The ratio ( ) and the variability ( ) were compared between groups. Hip flexor, abductor, and adductor muscle strength was also correlated between groups while radiographic measurements were correlated with the outcome measures. Results. In the frontal plane, HR shows less variability than healthy controls at push-off and toe-off and is correlated with the muscle strength ratios ( ) at heel contact, maximal weight acceptance, and mid stance. In the sagittal plane, LDH-THA has a higher than healthy controls at push-off, and is significantly correlated with . Conclusions. One year after surgery, both groups of patients, LDH-THA and HR, demonstrate minor compensations at some specific instant of the gait cycle, in both frontal and sagittal planes. However, their locomotion pattern is similar to the healthy controls. 1. Introduction Hip arthroplasty has become a standard procedure [1–3] to improve quality of life [4], restore physical capacities, relieve patients from pain [5, 6], and provide better hip function [5, 7] and stability [8]. Since younger patients are now more frequently affected by osteoarthritis (OA) [9], expectations of outcome after hip arthroplasty have changed. Indeed, patients not only want to get back to their daily living activities but also wish to return to a high level of physical activity [10], as soon as possible. The techniques available to treat the young patients with advanced OA, include, among others, total hip arthroplasty (THA) and hip resurfacing (HR). During THA procedure, a stem is inserted in the femoral canal while the femoral head and neck are resected and replaced by a femoral head of 28?mm diameter, articulating with a cup inserted in the acetabulum cavity (Figure 1(a)). Over the years, THA has proved its worthiness and is now recognized as an effective, reproducible and frequently used therapeutic option [11–13]. As for HR technique, the femoral head and acetabulum are shaped and covered with implants, using a large diameter femoral head size. This technique preserved more bone and became
Cognitive Constructivist Theory of Multimedia: Designing Teacher-Made Interactive Digital  [PDF]
Prince Hycy Bull
Creative Education (CE) , 2013, DOI: 10.4236/ce.2013.49088
Abstract: This paper discusses how educators could use the cognitive constructivist theory of multimedia (CCTM) to design interactive digital learning materials using Camtasia and Audacity. Camtasia allows educators to create videos that motivate students, inform parents and enhance learning. It allows educators to record live presentations or lectures and provide students with a file to review. Audacity is a free cross-platform audio editor and recorder for Windows, Mac OS X, GNU/Linux and other operating systems. CCTM advocates for the design of instruction using pictures, videos, audios and words that tap into the prior experiences of the learner, promote active learning, collaboration, personal autonomy, personal growth and alternative assessment that is aligned with multiple intelligences of learners as espoused by Gardener (1993) which are Linguistics, Logico-mathematics, Spatial, Musical, Bodily-kinesthetic, Interpersonal, Intrapersonal and Naturalist. Camtasia and Audacity promote use of CCTM because of their capabilities to construct knowledge through words, pictures, animations, videos and audio. Case studies show that use of teacher-made files could significantly impact students’ learning. Use of teacher-made interactive digital learning materials could revolutionize educational presentations and enhance e-learning delivery. CCMT produced by dynamic presentations creates a balance between the learners’ prior verbal and visual experiences, sensory repository, multiple intelligences and learning styles to construct new knowledge.
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