Introduction les urgences en urologie sont des situations urologiques critiques qui nécessitent une intervention rapide par un professionnel de santé qualifié en urologie. Cette étude a été menée dans le but de ressortir le profil des urgences urologiques reçues dans deux hôpitaux universitaires de la ville de Douala en appréciant leurs prises en charge en urgence. Méthodes il s´agit d´une étude rétrospective portant sur les urgences urologiques dans deux hôpitaux de références de la ville de Douala que sont les hôpitaux Laquintinie et Général de Douala. Les dossiers ont été colligés durant une période de 5 ans (1 er janvier 2016 au 31 décembre 2020). Nous avons inclu toutes les consultations effectuées en urgence et reçues par le service des urgences ainsi que toutes les données cliniques et thérapeutiques venant du registre de garde durant la période d´étude. Nous avons exclu de notre étude toutes les urgences (consultations reçues pendant la période d´étude, non relevées dans le registre des urgences). Résultats nous avons étudié 364 patients, l´âge moyen des patients était de 43 ± 8,34 ans. Quatre vingt-douze virgule cinquante huit pourcent (92,58%) (n=337) des patients étaient des hommes. Les principales urgences urologiques reçues étaient la rétention d´urine vésicale (45,05%, n=164), la colique néphrétique (15,33%, n=56) et l´hématurie (13,18%, n=48). Les principales étiologies des rétentions d´urine vésicale étaient les tumeurs prostatiques, la colique néphrétique était principalement d´origine lithiasique (96,45%, n=159) et l´hématurie était d´origine tumorale chez 68,75% (n=33) des patients. Sur le plan thérapeutique, les gestes effectués en urgence étaient le sondage vésical (39,01%, n=142), le traitement médical était associé à une surveillance (27,47%, n=100) et la cystostomie sus pubienne (10,71%, n=39). Conclusion les rétentions aiguës d´urines vésicales sur tumeurs prostatiques constituent l´urgence urologique la plus fréquente dans les hôpitaux universitaires de la ville de Douala. Cela implique une prise en charge précoce et optimale des tumeurs prostatiques.
Background: Male infertility has diverse aetiologies and contribute to more than 50% of infertility, but workup required for the diagnosis are not always available in low-income settings. Methods: We aimed to describe clinical and paraclinical profile of male infertility in low-and middle-income setting. This was a retrospective cross-sectional study in two urology referral hospitals, including consenting male partners of infertile couples. Sociodemographic, clinical and paraclinical (including semen analysis, ultrasound results and hormonal level) data were collected from patient's records and interview. Qualitative and quantitative variables were described with corresponding statistics. Results: Overall 137 participants were included in this study with a mean age of 35.4±7.3 years. Erectile dysfunction (35%), and testicular pain (27.7%) were the most common symptoms. The most frequent abnormalities were asthenospermia, oligospermia, azoospermia and necrospermia found in 69.3%, 59.9%, 21.2% and 19.7% of subjects respectively. Normal value of testosterone, luteinizing hormone, Follicle Stimulating Hormone and prolactin values were found in more than half of participants on ultrasound analysis, varicocele was present in 58.9% of subjects and testicular hypotrophy in 45.8%. Conclusion: Seminal and ultrasound abnormalities are common in male with infertility in our context. Sexual Transmitting Infection and varicocele seems to be predominant aetiologies. Further research should be carried out to investigate on the different aetiologies of fertility in men for better management.
Introduction: Twisting of the spermatic cord is part of urological emergencies. It can occur at any age with a predilection for children and adolescents. There is no literature on spermatic cord torsion in octogenarians, probably due to its rarity. The majority of recent studies show spermatic cord torsion in patients under 55 years of age. This is why we present a case of spermatic cord torsion in an 80 years old subject. Case Presentation: We present a case of torsion of the spermatic cord in an 80-year-old subject. The diagnosis was made on anamnestic and clinical grounds. The patient presented with scrotal pain, unilateral, of sudden onset, violent intensity without urinary signs with an ascended testicle. The urine dipstick was unremarkable. Management was done surgically and as an emergency. The postoperative course was satisfactory. Conclusion: Spermatic cord torsion in octogenarians is exceptional and should be suspected in the first instance in the presence of any sudden onset, severe testicular pain without urinary signs with an ascended testicle and a negative urine dipstick.
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