Publications by authors named "Bounoual Mohammed"

6 Publications

  • Page 1 of 1

[Unusual intraurethral foreign body in a schizophrenic adolescent: about a case].

Pan Afr Med J 2018 3;31:217. Epub 2018 Dec 3.

Service d'Urologie, Centre Hospitalier Universitaire Hassan II de Fès, Maroc.

Self- insertion of foreign body is a common practice for self-injure or erotic purpose in patients with chronic psychosis. The diagnosis is sometimes difficult if it is reported late or if the patient does not cooperate; hence the interest of complementary imaging assessment. Treatment was based on two steps: the extraction of the foreign body by endoscopy or open surgery and psychiatric treatment of the mental illness. We report the uncommon case of a 16-year old schizophrenic adolescent who had introduced a needle into the urethra 2 years before. Diagnosis was based on retrograde and mictional uretrocystography. The needle was removed with endoscopy as well as with technical artifices, without using open surgery despite the length of time the incident had occurred. The patient underwent complementary psychiatric treatment.
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http://dx.doi.org/10.11604/pamj.2018.31.217.15773DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691322PMC
September 2019

[Urinary incontinence revealing vescicouterine fistula: about a case].

Pan Afr Med J 2018 14;31:32. Epub 2018 Sep 14.

Service d'Urologie, CHU Hassan II, Fès, Maroc.

Vescicouterine fistula (VUF) is a rare lesion accounting for only 4% of all urogenital fistulas. It is most often secondary to cesarean section and forms a connection between the bladder and the uterus. We report the case of a young patient with VUF secondary to cesarean section. This study aims to investigate the clinical and therapeutic features of this disorder.
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http://dx.doi.org/10.11604/pamj.2018.31.32.15595DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430854PMC
April 2019

Applicability and outcome of laparoscopic adrenalectomy for large tumours.

Pan Afr Med J 2018 11;31:23. Epub 2018 Sep 11.

Department of Visceral and Endocrine Surgery, Hassan II University Hospital, Fez, Morocco.

Laparoscopic adrenalectomy has been shown to be as safe and effective as conventional open surgery for small and benign adrenal lesions. With increasing experience with laparoscopic adrenalectomy, this approach has become the procedure of choice for the majority of patients requiring adrenalectomy. In our department, from 2011 to 2016, a total of 28 patients with 31 adrenal tumours underwent laparoscopic adrenalectomy regardless of tumour size. Our policy in the department is to exclude adrenal tumours that are potentially malignant or metastatic adrenal tumours for laparoscopic resection. In this a retrospective study, we divided patients into two groups according to tumour size: < 5 or ≥ 5 cm, which was considered as the definition of large adrenal tumours. We compared demographic data and per- and postoperative outcomes. There was no statistical difference between the two groups for per-operative complications (16,6% vs 18,75% , P = 0.71), postoperative complications (16,6% vs 18,75% , P = 0.71), postoperative length of hospital stay (5 vs 8 days P = 0.40), mortality (0% vs 0%) or oncologic outcomes: recurrence and metastasis (8.3% vs 6.25% P = 0.70). The only statistical difference was the operating time, at a mean (SD) 194 (60) vs 237 (71) min (P = 0.039) and the conversion rate (0% vs 12.5% P < 0.01). Laparoscopic adrenalectomy can be done for all patients with adrenal tumours regardless of tumour size, even it needs more time for large tumour but appears to be safe and feasible when performed by experienced surgeons.
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http://dx.doi.org/10.11604/pamj.2018.31.23.15153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430842PMC
April 2019

[Bladder exstrophy with adenocarcinoma in an adult patient: a case report].

Pan Afr Med J 2018 3;29:197. Epub 2018 Apr 3.

Service d'Urologie, CHU Hassan II de Fès, Maroc.

Bladder exstrophy is rare malformation pathology with an incidence of about 1 in 50,000 newborns. Not treated in time exposes to two main complications: kidney failure and bladder plaque cancer with a risk up to 200 times normal, which usually occurs around the fourth and fifth decade. In 95% it is adenocarcinoma and 5% squamous cell carcinoma. We present a rare case of adenocarcinoma developed on a bladder exstrophy in a 61-year-old patient who underwent an excision of the bladder plate carrying the whole tumor mass with a non-continent urinary diversion type bricker.
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http://dx.doi.org/10.11604/pamj.2018.29.197.15291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061861PMC
August 2018

Cause rare d’insuffisance rénale aigue: géant calcul de vessie chez une jeune femme: A rare cause of acute renal failure: giant urinary bladder stone in a young woman.

Pan Afr Med J 2018 3;29. Epub 2018 Jan 3.

Service d'Urologie, Centre Hospitalier Universitaire Hassan II de Fès, Maroc.

Giant urinary bladder stone is defined as a stone with a weight higher than 100 g. It is rare in women, accounting for approximately 2%. Its occurrence in the urinary bladder does not exceed 5% of the whole of the urinary tract. In women, the occurrence of urinary bladder stone is often secondary to a predisposing factor including intravesical foreign body, neurogenic bladder, repeated urinary infections, a history of surgery treating stress urinary incontinence. Therefore, there are some patients with a bladder stones without any obvious cause, such as primary idiopathic stone. We here report the case of a 31-year old patient with giant urinary bladder stone affecting the superior part of the urinary tract causing acute renal failure. The patient initially underwent bilateral nephrostomies to drain the superior part of the urinary tract; then giant urinary bladder stone was removed by open cystolithotomy. Etiological assessment didn't show any obvious cause.
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http://dx.doi.org/10.11604/pamj.2018.29.4.14308DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889517PMC
May 2018

Bilateral ureteral obstruction revealing a benign prostatic hypertrophy: a case report and review of the literature.

J Med Case Rep 2014 Feb 11;8:42. Epub 2014 Feb 11.

Department of Urology, University Hospital Center Hassan II, Fez, Morocco.

Introduction: Prostatic hyperplasia is the most frequent tumor in men older than 50 years of age. Bilateral hydronephrosis secondary to benign prostatic hypertrophy is a rare condition most often due to vesicoureteral reflux. Herein we report a case of a patient with bilateral hydronephrosis with distal ureter obstruction caused by detrusor hypertrophy due to prostatic hyperplasia, our analysis of the clinical data and a review of the relevant published literature.

Case Presentation: We report a case of a 65-year-old Berber man with clinically significant storage, bladder-emptying symptoms and bilateral low back pain with renal biologic failure and bilateral ureterohydronephrosis, distal ureteral stenosis, detrusor hypertrophy and prostate hyperplasia without significant post-void residual urine volume visualized by abdominal sonography. The patient underwent bilateral JJ stent insertion with transurethral resection of the prostate. The patient was discharged 3 days after surgery without any obvious complications. At his 3-month follow-up examination, the JJ stent was removed and the patient had comfortable urination without renal failure.

Conclusion: This is an extremely rare condition that has important diagnostic considerations because of the possibility of comorbid severe obstructive uropathy and chronic renal failure.
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http://dx.doi.org/10.1186/1752-1947-8-42DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930078PMC
February 2014
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