Hypertrophie bénigne de la prostate (HBP) géante: Aspects épidémiologiques, cliniques et thérapeutiques Giant Benign prostatic hypertrophy (BPH): Epidemiological, clinical and therapeutic aspects

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Objective: To study the epidemiological, diagnostic and therapeutic profile of kidney tumors in adults over the past five years. Patients and methods: This was a retrospective, descriptive and analytical Study from the 1 st of January 2014 to 31 st of December 2018. All patients aged 18 years or older hospitalized, followed or operated in the service for a kidney tumor were included in the serie. The parameters studied were: epidemiological, clinical and paraclinical aspects, TNM stage (2017), treatment, histological type, evolution and survival. The calculation of survival rate was done with SPSS IBM statistics 24. Results: sixty-seven patients were included. The average annual incidence was 13. The average age of the patients was 49.6±15.6 years. The sex-ratio was 1.2. Hypertension, smoking and obesity were the main risk factors found. The average size of the tumor was 7.7±4.40 cm. The left kidney location was more frequent. Thirteen patients (20%) had a localized tumor in the kidney, twenty patients (31%) had locally advanced cancer and thirty two patients (49%) had metastasized cancer. Forty-seven patients (70%) had surgical treatment, including five patients with an anti-angiogenic adjuvant therapy. Twelve (17.9%) patients had an antiangiogenic therapy only. Clear cell carcinoma was the most common histology type. The overall survival (OS) rate for cancer patients at 2 years was 22% for surgical treatment, 8% for medical treatment. Conclusion: this work reveals that adult kidney cancer affects young adult and is discovered at advanced stages without any significant change in the epidemiological and clinical profile of these cancers during the two decades.

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Objective: To describe the clinical aspects of urethral strictures managed internal endoscopic urethrotomy (IEU) and to evaluate the outcomes and factors on success rate. Patients and methods:This is a retrospective, descriptive, analytical and monocentric 2-year study of patient records with an IEU indicated for urethral stricture. The parameters studied were: age, history of endo-urethral maneuvers, clinical symptomatology,etiologies, strictures characteristics and outcomes. The outcomes were appreciated by the quality of the voiding jet and the outcomes of the control rétrograde urethrocystography.. Results:Sixty patients were included. The mean age was 50±19.3 years old. An history endo-urethral was found in 38.3% of patients. The mean of consultation time was 20.7±30.7 months. Dysuria was the most common reason for consultation. The most common etiologies were those of infectious and iatrogenic. The bulbar seat was predominant. The mean of length was 0.9±0.5cm. After the mean delay of 14.5 ± 6.9 months, the overall success rate was 60%. Per and postoperative complications were dominated by retention of urine. The outcomes showed that there was no significant correlation between age, previous treatment, etiology, seat, length, number of strictures, and outcome. Conclusion:The IEU gives a good results if the indication is well posed. Seat, length, single or multiple character, etiology and history of endo-urethral maneuvers do not affect the outcomes.

Aim: To report the epidemiological and diagnostic aspects and evaluate the management of urological emergency in a university hospital. Patients and method: We conducted a single-center retrospective descriptive study over the period January 2015 to December 2017. We collected medical records of patients with urological emergency referred by the urology care team in our center. Results: Three hundred patients were identified over a period of 36 months. The mean age of the patients was 47.8±22.9 years (2 years -92 years). The sex-ratio was 10.5. The most common emergency was haematuria (25.6%) and urinary retention (21.6%). Urogenital infections were noted in 19% of patients mostly scrotal cellulitis (10%) and acute pyelonephritis (3.6%). The number of emergency hospitalization was 230 (76.7%). We performed 143 emergency surgical procedures (47.6%). The overall mortality rate was 1%. Conclusion: Urological emergency were dominated in our context by hematuria and urinary retention occurring most often in young adults. However, infectious and lithiasic diseases remain common conditions.

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