[The treatment of bladder exstrophy at the University Hospital Center in Treichville (Abidjan)]. / Le traitement de l'exstrophie vésicale au CHU de Treichville (Abidjan).

The care and follow-up of children with bladder exstrophy is still a major problem in West Africa. From 1986 to 1994, we saw 17 cases of bladder exstrophy predominantly in females. We performed 13 successful bladder closures and two ureterosigmoidostomies. The high mortality was due to lack of adequate intensive care structures.

[Experiences in the treatment of hypospadias at the University Hospital Center in Treichville (Abidjan)]. / Expérience du traitement de l'hypospadias au CHU de Treichville (Abidjan).

From 1984 to 1994, 105 children with hypospadias were seen. Only 52 of them were treated. Hypospadias was distal (glandular subglandular or subcoronal hypospadias) in 38.4% of cases and involved the penile distal shaft or penile midshaft in 38.4% and posterior hypospadias in 23% of cases. Meatotomy with circumcision was performed in 70% of cases of distal hypospadias. The best results were obtained with distal penile shaft hypospadias by Mathieu's method. The fistula rate was high (17.3%). 2-or-3-stage treatment of posterior hypospadias is now performed in one stage using Duckett's or Duplay's method. The results of these methods are discussed.

[Pygomelus. An African surgical case report]. / La pygomélie. A propos d'un cas african opéré.

Pygomelus is a malformation characterized by the presence of one or more extra-extremities in the pelvic region. This article describes a case of pygomelus involving a child in Cote d'Ivoire. It is the tenth operated case to be reported in the literature. The malformation consisted of a well developed third lower extremity attached to the right iliac crest, without a rudimentary pelvis, and of a poorly developed upper extremity attached to the subpubic region. The two extra-extremities were removed surgically without complications. Pygomelus is an uncommon malformation whose nosologic limits are unclear since it is comparable to lower extremity duplication and dipygus. According to the authors pygomelus is a more appropriate term than caudal duplication which is widely used in English-speaking physicians.

[Valves of the posterior urethra in newborns, infants and children. Apropos of a series of 60 cases]. / Les valves de l'urètre postérieur chez le nouveau-né, le nourrisson et l'enfant. A propos d'une série de 60 cas.

The authors report their experience with posterior valves of the urethra in children. Sixty patients were seen from 1982 to 1991. The problems of diagnosis and therapy of particular importance in poor countries are emphasized.