[Priapism in children and adolescents with homozygous sickle cell disease in Brazzaville]. / Priapisme chez l'enfant et l'adolescent drépanocytaire homozygote à Brazzaville.

OBJECTIVE: To determine the prevalence of priapism, assess knowledge and appreciate its characteristics in childhood sickle cell disease. METHODOLOGY: A case-control study was conducted at the University Hospital of Brazzaville (Department of Pediatrics, Hematology and Clinical Urology). The cases consisted of 202 sickle cell anemia who are at least 5 years. Witnesses consisted of 112 children with sickle cell disease not of the same age from the same family as the previous. RESULTS: Priapism was found in 68 (34%) affected children, divided into 54 cases (79.4%) of chronic intermittent priapism and 14 cases (20.6%) of acute priapism. In the control group no cases were observed (p=0.001). Priapism was known by six (3%) patients in the group of children with sickle cell disease. In the control group, it was known by 25 (22.3%) children. It was seen in the group of sickle cell disease as any: 113 children (56%), a natural phenomenon that can occur in life: 57 children (28%), a complication of sickle cell disease: 26 children (13%). In the control group, it was considered a natural phenomenon that can occur in life: 60 children (53.6%), a complication of sickle cell disease: 52 children (46.4%). The average age of priapism occurred in the first episode was 10.4±9.5 years. CONCLUSION: The importance of the prevalence of priapism, and insufficient knowledge needed strengthening information, education and communication with children and their parents.

[Erectile dysfonction after stroke in Brazzaville]. / Dysfonction érectile après un accident vasculaire cérébral à Brazzaville.

INTRODUCTION: Erectile dysfunction is one of the disability post-stroke the least documented. However, it affects the quality of life, not only the patient but also the couple. OBJECTIVE: The purpose of this work was to study the characteristics of erectile dysfunction after stroke. METHOD: This is a cross-sectional descriptive and analytical data collection survey conducted from February to October 2011, having identified, 104 patients for follow-up post-stroke, seen in outpatient Neurology University Hospital of Brazzaville and in the functional rehabilitation centers. Among them 54 had erectile dysfunction. The parameters studied were: age, marital status, history, vascular risk factors, and the location of the hemiplegic, the etiology of stroke, modified Rankin score and NIHSS. The clinical features and laboratory, the international index of erectile dysfunction (IIEF-5) in its French version. SPSS 12 was used for recording and statistical analysis of data. Chi(2) test was used for comparisons. The significance level was P≤0.05. RESULTS: The frequency of erectile dysfunction after stroke was 51.92%, the average age was 56.32 years. The mean time to onset of erectile dysfunction after stroke was 5 months. The onset was progressive in 70,4%. The hypercholesterolemia was well correlated with the risk of erectile dysfunction (P=0.007) and its severity (P=0,01). Erectile dysfonction was moderate in 61.1% and almost bearable in half the cases. CONCLUSION: Erectile dysfunction post-stroke is common with an impact in the lives of the couple. High cholesterol is an independent risk factor of occurrence of post-stroke.

[Open surgery of the urinary tract calculi at the university hospital of Brazzaville: analysis of 68 cases]. / Chirurgie a Ciel Ouvert de la Lithiase Urinaire au CHU de Brazzaville : Analyse de 68 Cas.

AIMS: To report epidemiological, clinical, and outcome of surgical therapeutic aspect of urinary calculi in our department. PATIENTS AND METHODS: This survey, retrospective, has been achieved from june 2000 to may 2004. It concerned 68 patients carriers of the urinary calculi, confirmed radiologically and operated. RESULTS: The patients carriers of the urinary calculi represented 7,3%. There was 52 men (76,47%) an 16 women (23,53%).The average age of the patient was 52,13 years (extreme : 14 et 82 years). Symptoms at the diagnostic was : atypical abdominal pen (n=18), dysuria (n=15), hematuria (n=15), la pollakiuria (n=9), nephretic colic (n=15), urinary retention (n=26). The location of urinary calculi was vesical (n=47), renal (n=8), pyelic (n=12), ureteral (n=1). All our patients was operated. The operative continuations one summer simple in 58 cases, and complicate of pariatal suppuration in 7 cases. Mortality was of 3 cases. CONCLUSION: The urinary lithiasis is little frequent. The open surgery is the only surgical technique that is practiced in our context.

Les cancers de la prostate avant l'age de 50 ans

Notre objectif a ete d'analyser des facteurs epidemiologiques; diagnostiques et evolutifs du cancer de la prostate chez le sujet de moins de 50 ans. Ce travail a ete fait de maniere retrospective a partir de sis dossiers du Service; rassembles entre 1998 et 2007. Deux patients avaient 48 ans et quatre 49. Certains antecedents particuliers ont ete notes / hypercholesterolemie; hypertension arterielle; cancer de la prostate chez un frere et androgenotherapie prolonge pour infertilite. Deux des six patients ont diagnostiques lors d'un depistage tandis que quatre avaient presente des signes cliniques. Le toucher rectal a fait suspecter le diagnostic chez quatre patients. Le PSA variait de 8 a 170ng/ml. Tous stadifies T1 N0 M0 avaient beneficie d'une prostatectomie radicale alors que les quatre T3 Nx M1 ont ete traites par hormonotherapie. Les deux patients operes sont cliniquement stables alors que les quatre autres ont une maladie evolutive avec deux deces