Objective: To study the epidemiology and current trend in the management of urologic complications following obstetric and gynaecologic surgeries at CUUA University hospital of Cotonou. Patients and Methods: It was a retrospective study of patients referred with urologic complications following obstetric and gynaecological surgeries. The study took place at the Teaching Clinic of Urology Andrology at CNHU of Cotonou between April 1, 2008 and March 31, 2013. Results: Fortyone patients were studied. They represented 3.5% of people hospitalized at CUUA throughout the study period. The average age was 41 years swith range of 20 and 57 years. Twenty-one (51.2%) of them were married. Thirty patients (73.2%) were referred from a non-academichospital, while 7 patients (17.1%) were referred from academic hospital. Caesarean section was the primary gyneco-logical surgery in 22 cases (53.7%) and hysterectomy in 19 cases (46.3%). Clinically, the pre-dominant symptoms were leakage of urine throughout the vagina and obstructive anuria with or without back pain. We found 31 cases of VVF, 5 cases of bilateral ligation of the ureters, 3 cases of unilateral ligation of the ureter, 1 ureteralinjury and 1 uretero-vaginal fistula. These complications were diagnosed postoperatively in 95.1% of cases. Surgeries done included VVF repair in 31 cases (75.6%), unilateral ureteral reimplantation in 4 cases (9.8%), removal of ligation of the ureters in 3 cases (7.3%), bilateral ureteral reimplantation for 2 cases (4.9%) and end-to-end anastomosisin 1 case (2.4%). The postoperative period was uneventful in 29 cases and we observed 7 cases of surgical site infection. The overall success rate was 87.8%. Conclusion: Urological complications following gynecologic surgeries managed at the urologic department of teaching hospital of Coto-nou had an even higher incidence. Early diagnosis especially during the * Corresponding author. H. P. Pascal et al. 122operative procedure would save the patients' serious complications and open surgery due to the lack of endo-urological facilities. The most important factor in prevention is good knowledge of pelvicanatomy and good knowledge of the surgical techniques of caesarean operation section and trans-abdominal hysterectomy.

Introduction: Erectile dysfunction (ED) is defined as the persistent inability to achieve the necessary degree of erection for sexual activity. It is a common disease which can significantly affect the quality of life of sufferer and their partners. The purpose of this study is to give an overview of the magnitude of this medical condition in Benin society. Material and Method: It was a multicenter cross-sectional descriptive and analytical study conducted over a period of one month from 1 st to 30 th June 2015. A questionnaire was prepared for this purpose. Outcomes: The average age in this series is 48.32 with extremes ranging from 18 to 95 years. These patients were predominantly public servants. All our patients (100% of the study population) responded to the single question of John. B. Mckinlay. The global ED prevalence was 52.6%. The multivariate analysis helped to identify a correlation with several factors associated with ED. These factors included: age, occupation, lifestyle, etc. 41.91% of patients with ED and/or other sexual disorders declared "not at all acceptable" to continue living with these disorders. The patients benefitted from different treatments including IPDE-5 and traditional treatment in respectively 32.8% and 40.1% of cases. Conclusion: ED is a condition in its own which has an impact on the patients' quality of life. Its discovery may lead to the diagnosis of cardiovascular, hormonal or neurological diseases.

Objectives: Premature ejaculation is the most common sexual disorder whose definition is still very controversial. The purpose of this study is to assess its incidence, social impact and support in our population. Methodology: It was a descriptive and cross-cutting study which took place in CNHU HKM and Ménontin district hospital over a period of one month from 15 th May to 15th June 2016. Outcomes: 42.2% of the study population are faced with premature ejaculation. The average age of premature ejaculators was 39.0 years ± 13.5. The average intravaginal ejaculation latency time (IELT) among premature ejaculators was 7.8 min ± 8.4 against 11.95 min ± 8.9 for non-premature ejaculators. 74.9% of respondents' partners were satisfied with the intravaginal ejaculation latency time of their spouse. Only 28.1% of premature ejaculators resorted to treatment at least once to improve their intravaginal ejaculation latency time. Conclusion: Premature ejaculation is a cross-cutting issue in the population but the absence of consensus on its parameters prevents a satisfactory research.

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