Arterial priapism in dengue: A case report and literature review.

Arterial priapism, rare and often traumatic, is generally associated with cavernous arterial lesions. We report an unprecedented case in a 17-year-old adolescent, occurring spontaneously after severe dengue, expanding the understanding of this pathology. No similar association has been previously documented in the literature. The patient was successfully treated with conservative measures, and erections returned to normal. Dengue, by causing vascular leaks, could be a rare trigger for arterial priapism. Further studies are needed to elucidate these mechanisms and potential clinical implications.

Iatrogenic Ureteral Injuries Associated with Gynecological and Surgical Procedures: Our Experience About 18 Cases and Literature Review.

AIM: To describe the epidemiological aspects, etiology and outcome of iatrogenic ureteral injury repair at the urology division of Souro Teaching Hospital of Bobo Dioulasso (Burkina-Faso). PATIENTS AND METHODS: This was a retrospective descriptive study of consecutive patients with iatrogenic ureteric injuries who were referred and managed in the urology division of Souro Sanou Teaching Hospital (Bobo-Dioulasso) from January 2012 to December 2017. Variables studied were age, the time at the diagnosis, the causative event, the method of repair, and the outcome of the management. RESULTS: The mean age was 37.72±3.5 years coming from the rural population in most cases. The mean time at the diagnosis was 15 days. The injuries were due to gynecologic surgeries with hysterectomy (66%) and caesarian section (33%). Ureteric reimplantation with anti-reflux system was performed in seventeen patients. The rate of treatment success was 94% and the postoperative course was uneventful for all the patients. CONCLUSION: Iatrogenic ureteric lesions at the department of urology of Sanou Sourou teaching hospital of Bobo Dioulasso were mainly caused by gynecologic and obstetric surgeries like hysterectomy and caesarian section.

Adult Granulosa Cell Tumor of the Testis: A case report and review of the literature.

Adult Granulosa Cell Tumor of the Testis (AGCTT) is a rare sex-cord stromal tumor. About 73 cases have been previously reported in the literature. We report a case of AGCTT in a 64 years old male, located in the left testis. We performed left radical inguinal orchiectomy. A sagittal section of orchiectomy specimen showed a solid yellowish-white mass measuring 1cm of long axis. On microscopic examination, we noted a well-limited tumor proliferation of solid architecture. The proliferation was made up of cells with scant cytoplasm and incised oval nuclei in a fibrous stroma. Rare Call-Exner bodies were noted.

Characteristics of Obstetric and Iatrogenic Urogenital Fistulas in Burkina Faso: A Cross-Sectional Study.

OBJECTIVE: To compare the sociodemographic, clinical, and therapeutic characteristics of obstetric urogenital fistulas (OF) and iatrogenic urogenital fistulas (IF) treated in seven centers in Burkina Faso. Material and Methods. We carried out a cross-sectional study over a seven years' period (January 1, 2010 to December 31, 2016). We considered as iatrogenic all urogenital fistulas (UGF) occurred after elective caesarean section, gynecologic surgery (hysterectomy, myomectomy, and prolapse repair), or induced abortion. UGF following vaginal delivery after prolonged labor without obstetric maneuvers or caesarean section were considered as obstetric. UGF caused by other mechanisms (emergency caesarian section, congenital, and traumatic) were excluded from this study. The statistical analysis was carried out using version 14 of the STATA software. A logistic regression model was used to compare the two groups. RESULTS: 310 cases of UGF were included. IF accounted for 25.8% (n = 80) versus 74.2% (n = 230) for OF. The median age was 35 years for IF and 35.38 years for OF. The vesicovaginal fistulas were predominant (74.5%) in the two groups. All circumferential fistulas were found in the OF group. OF were frequently associated with residence in rural areas (OR = 1.8; CI = [1.05-3.1]), low level of education (OR = 5.4; CI = [2.3-12.9]), and a height under 158 cm (OR = 3.4 CI = [1.7-6.6]). Vaginal sclerosis was less common among IF (OR = 2.2; CI = [1-4.6]). The failure of surgical treatment after 3 months was more associated with OF (OR = 4.7; CI = [1.1-20.5]). CONCLUSION: OF were the most common, frequently affecting short women living in rural area and with low level of schooling. Fistulas were also more severe in the OF group. IF gave better results after surgical repair.

Predictive factors for orchiectomy in adult's spermatic cord torsion: a case-control study.

BACKGROUND: Spermatic cord torsion (SCT) is a surgical emergency. Any delay in diagnosis or treatment may compromise the vital and functional prognosis of the testicle. The orchiectomy rate remains very high in the literature; it can even reach 50 % in certain series. Several factors have been reported in the literature as being significantly correlated with the risk of orchiectomy: duration of symptoms, the number of turns, the younger ages, etc. The objective of this study has been to analyse the predictive factors of orchiectomy in adult SCT in our context. RESULTS: During the study period, 74 cases of SCT were included. Orchidopexy was performed in 43.2 % (32/74) versus orchiectomy in 56.8 % (42/74) of cases. The patients' median age was 22 years (interquartile range (IQR) = 18-26.75 years). The duration of symptoms (p = 0.009), the previous medical management (p < 0.001), performing a scrotal ultrasonography (p = 0.004) were statistically significant at univariate analysis. On multivariate analysis only the previous medical management was statistically significant (p = 0.017). CONCLUSIONS: The orchiectomy rate was very high in our cohort. The previous medical management was the only significant predictive factor of orchiectomy on multivariate analysis. Our findings demonstrated that the delay in diagnosis is the determining factor in testicular loss in our context.

RéSUMé: CONTEXTE: La torsion du cordon spermatique est une urgence chirurgicale. Tout retard dans le diagnostic ou le traitement peut compromettre le pronostic vital et fonctionnel du testicule. Le taux d'orchidectomie reste très élevé dans la littérature;il peut même atteindre 50 % dans certaines séries. Plusieurs facteurs ont été rapportés dans la littérature comme étant significativement corrélés au risque d'orchidectomie. L'objectif de cette étude était d'analyser les facteurs prédictifs d'orchidectomie dans la torsion du cordon spermatique de l'adulte dans notre contexte. RéSULTATS: Durant la période d'étude 74 patients ont été inclus. Une orchidopexie a été réalisée dans 43,2 % (32/74) des cas et une orchidectomie dans 56,8 %(42/74) des cas. L'âge médian des patients était de 22 ans (écart interquartile=18-26,75 ans). La durée des symptômes (p = 0,009), la prise en charge médicale antérieure(p<0,001), la réalisation d'une échographie des bourses (p = 0,004) étaient significativement corrélées au risque d'orchidectomie à l'analyse univariée. A l'analyse multivariée, seule la prise en charge médicale antérieure était significativement corrélée au risque d'orchidectomie (p=0.017). CONCLUSION: Le taux d'orchidectomie était très élevé dans notre cohorte. La prise en charge médicale antérieure était le seul facteur prédictif significatif de l'orchidectomie à l'analyse multivariée. Nos résultats ont montré que le retard diagnostic est le facteur déterminant de la perte testiculaire dans notre contexte. MOTS CLéS: Torsion du cordon spermatique, Orchidectomie, Orchidopexie, Facteurs prédictifs, Urgence chirurgicale.

Primary malignant melanoma of the urethra in women: About a case.

Primary malignant melanoma of the urethra in women is a rare tumor with a poor prognosis. We report the case of a 48-year-old patient who consulted for a mass in the urethral meatus associated with symptoms of the lower urinary tract. The result of the biopsy of the mass revealed a malignant melanoma confirmed by immunohistochemistry. The extension workup was negative. She had a total cystectomy with lymph node dissection done. The one-year follow-up was without particularity.

International continence society white paper regarding female genital mutilation/cutting.

Female genital mutilation/cutting (FGM/C)-also known as Female Genital Cutting or Mutilation-is defined as the partial or total removal of the female external genitalia for non-therapeutic reasons. This White Paper, prepared under the auspices of the International Continence Society (ICS), is intended by the ICS as a statement promoting the abandonment of this practice. The ICS also supports the respectful and evidence-based care or treatment of women and girls already affected by FGM/C, in keeping with the World Health Organization (WHO) Guidelines on the Management of Health Complications from Female Genital Mutilation. Our members specialize in pelvic floor disorders from perspectives within a range of specialties; we encounter and treat women living with FGM/C and its consequences-particularly incontinence, infections, voiding dysfunction, sexual dysfunction, chronic pelvic pain, and obstetric trauma. Understanding the ethical, sociocultural, medical and surgical factors surrounding FGM/C is central to caring for women and girls with a history of FGM/C. The ICS voices herein state strong opposition to FGM/C. We encourage members to apply their skills to improve prevention strategies and the management of those affected.

Knowledge and awareness of prostate cancer among the general public in Burkina Faso.

The lack of awareness about prostate cancer and other prostate-related issues has been identified as a cause of low survival and higher mortality rates among black men. The aim of this study is to assess the knowledge of prostate cancer (PCa) among men in the general public, in the main city of Burkina Faso (Ouagadougou). The targeted population was black African men aged 25 years and older, with no history of PCa. Six hundred men who provided informed consent were invited to participate in a PCa knowledge questionnaire through face-to-face interviews. The questionnaire was composed of multiple-choice items designed to ascertain participant's characteristics (age, profession, and level of education) and knowledge of prostate and PCa (risk factors, diagnosis tests, and curative treatments). The average age of men was 42 (min 25, max 80), and 63% reported primary school or less. Sixty-two percent admitted they did not know the terms prostate and prostate cancer. Only two respondents (0.3%) cited race as a risk factor, when 90 (15%) perceived too much sexual activity as a risk factor. A majority of respondents (70.3%, n = 422) stated that they were unaware of any diagnosis tests for PCa. The level of education was strongly correlated with PCa knowledge (p < 0.001). Men in the city of Ouagadougou have poor knowledge of PCa. Educational interventions should target the entire populations to improve self-informed decision about early diagnostic possibilities of PCa.