Epidemiological and Diagnostic Aspects of Bladder Bilharziomas in the Urology Department of Idrissa Pouye General Hospital (HOGIP)

Autor:	Oumar Gaye, Serigne Magueye Gueye, Lamine Niang, Cherif Dial, Mouhamadou M. Mbodji, Issa Labou, Ngor Mack Thiam, Medina Ndoye, Khadidiatou Dansokho, Saint Charles Kouka, Youssef Bellamine, Ayun Cassell, Mohamed F Jalloh
Rok vydání:	2021
Předmět:	medicine.medical_specialty Article Subject Urology department Urology 030231 tropical medicine Schistosomiasis 03 medical and health sciences 0302 clinical medicine Metaplasia Epidemiology medicine 030212 general & internal medicine General hospital medicine.diagnostic_test business.industry General surgery Obstetrics and Gynecology Cystoscopy medicine.disease Diseases of the genitourinary system. Urology female genital diseases and pregnancy complications Praziquantel Dysplasia RC870-923 medicine.symptom business medicine.drug
Zdroj:	Advances in Urology, Vol 2021 (2021)
ISSN:	1687-6377 1687-6369
Popis:	Objective. The aim of our study is to assess the diagnostic aspects of bladder bilharzioma in the Urology Department of Idrissa Pouye General Hospital (Senegal). Materials and Methods. It is a descriptive study from January 2013 to December 2018. The patients included in the study were those who had anatomopathological examination of bladder biopsy that showed a schistosomiasis pseudotumor of the bladder. The variables studied were sociodemographic, clinical symptoms, imaging findings, histology, and treatment. The data have been saved and analyzed by the 2013 Excel software. Results. Thirteen patients were included in our study. The average age was 27 ± 12.1 years. Sex ratio was 1.6. The majority of the patients were from the northern part of Senegal. Hematuria was the main symptom for all the patients. Cystoscopy was performed for all the patients and showed 5 granulomas and 8 fibrocalcic polyps. A transurethral resection of the bladder was performed, and treatment with praziquantel (40 mg/kg of bodyweight) has been carried out. One patient presented precancerous lesions such as metaplasia and dysplasia of the bladder mucosa. After a median follow-up of 40 months (6–57 months), ten patients had a favorable clinical and endoscopic outcome. Conclusion. Granulomas and fibrocalcic polyps of the bladder mucosa are, respectively, confused with squamous cell carcinoma and bladder lithiasis in endemic areas of schistosomiasis. Good cystoscopy interpretation can provide the diagnosis of bladder bilharzioma and start the treatment.
Databáze:	OpenAIRE
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