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Urological Emergencies at the Pr Bocar Sidy SALL University Hospital in Kati: Epidemiological, Clinical, Etiological and Therapeutic Aspects

Received: 21 May 2026     Accepted: 1 June 2026     Published: 18 June 2026
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Abstract

Objective: To study the epidemiological, clinical, etiological and therapeutic aspects of urological emergencies at the Urology Department of the Pr Bocar Sidy Sall University Hospital in Kati. Materials and Methods: This was a prospective descriptive study conducted from January 1, 2022, to December 31, 2024, a period of 36 months. It included all patients presenting with a urological emergency seen in consultation at the emergency department and patients hospitalized in other departments. Results: We recorded 502 patients with a urological emergency, representing 5.70% of the study population. The most represented age group was 60 years and older, at 57.4%. The male-to-female ratio was 5.97. Complete inability to urinate was the most frequent reason for consultation, accounting for 45.2% of cases. Bladder distension was present in 40.6% of patients. Acute urinary retention was the most frequent type of emergency, accounting for 45.6%. Benign prostatic hyperplasia was the most common etiology, at 32.1%, followed by bladder tumors at 27.9% and prostate cancer at 10.4%. Transurethral catheterization was the most frequent non-surgical emergency procedure, performed in 50.3% of cases. The most frequent surgical procedure was suprapubic catheterization, performed in 78 patients (45.88%), followed by double-J stent placement in 40 patients (23.53%). Transurethral resection of the prostate was the most common etiological treatment, performed in 43.53% of cases. The length of hospital stay was 2 to 3 days in 24.7% of cases. Conclusion: The most frequent urological emergency in the urology department of the Pr Bocar Sidy Sall University Hospital in Kati was urinary retention.

Published in International Journal of Clinical Urology (Volume 10, Issue 1)
DOI 10.11648/j.ijcu.20261001.29
Page(s) 107-113
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Urological Emergencies, Epidemiology, Clinical Presentation, Treatment

1. Introduction
Urological emergencies encompass pathologies of the male urogenital and female urinary systems that threaten functional and/or vital prognosis if not managed promptly and appropriately. Urological emergencies represent a significant portion of urological practice . These emergencies are numerous and diverse, ranging from urinary retention to urogenital infections, including acute scrotal swelling and urogenital trauma . The risks are generally caused by an obstructive, tumoral, infectious, or traumatic process affecting the urogenital system. Patients must receive rapid relief, and sometimes etiological investigation is performed on an outpatient basis after the acute episode has subsided . The objective was to study the epidemiological, clinical, etiological and therapeutic aspects of urological emergencies in the urology department of the Pr Bocar Sidy Sall University Hospital in Kati.
2. Patients and Methods
2.1. Study Setting
This was a retrospective descriptive study of urological emergencies. The study was conducted in the urology department of the Pr Bocar Sidy Sall University Hospital Center in Kati. Samples were collected and information gathered from selected subjects. The study took place from January 1, 2022, to December 31, 2024, a period of three years.
2.2. Study Population and Inclusion Criteria
The study population included all patients seen during urological consultations and hospitalized in the urology department during the study period. Our study sample was exhaustive (all patients hospitalized in the department and seen in outpatient consultations during the study period for urological emergencies). Our study included all patients presenting with one or more clinical manifestations related to urological emergencies seen in consultations, emergency departments, and hospitalized in other departments (all clinical situations involving the urological system requiring emergency intervention).
2.3. Data Collection and Analysis
Data were collected using a survey form from: patient records; consultation registers; hospitalization registers; and operating room registers. The variables studied were sociodemographic data, clinical data, paraclinical data, and treatments. Analysis, word processing, and graphs were performed using Word 2016 and Excel 2016, respectively. Data were entered and analyzed using IBM SPSS version 25.0. We obtained informed consent from patients using individual forms while maintaining anonymity.
3. Results
We recorded 502 patients with urological emergencies, representing 5.70% of cases. The most represented age group was 60 years and older, with 288 cases (57.4%) (Table 1). Males were the most represented sex, accounting for 85.7% of cases. The male-to-female ratio was 5.97. Complete inability to urinate was the most frequent reason for consultation, with 227 cases (45.2%) (Table 2). Bladder distension was present in 204 patients, or 40.6% of patients (Table 3). Acute urinary retention was the most common type of emergency, with 229 cases (45.6%) (Table 4). The most frequently isolated pathogen was E. coli, with 157 cases (44.8%) (Table 5). Benign prostatic hyperplasia was the most common etiology (32.1%), followed by bladder tumor (27.9%) and prostate cancer (161, 10.4%) (Table 6). Transurethral catheterization was the most frequent non-surgical emergency procedure (50.3%). The most frequent surgical procedure was suprapubic catheterization, performed in 78 patients (45.88%), followed by double-J stent placement in 40 patients (23.53%) (Table 7). Transurethral resection of the prostate was the most common etiological treatment (111, 43.53%) (Table 8). The length of hospital stay was 2 to 3 days in the majority of cases (124, 24.7%) (Table 9). Death was observed in 14 patients, or 4.38%.
3.1. Sociodemographic Characteristics
Table 1. Distribution of patients by age group.

Age group

Effective

Percentage

04-20

38

07.6

21-40

79

15.7

41-60

97

19.3

60 and more

288

57.4

Total

502

100

The most represented age group was 60 years and more, at 57.4%.
3.2. Clinical Aspects
Table 2. Distribution of patients according to reason for consultation.

Reason for consultation

Effective

Percentage

Complete inability to urinate

227

45.2

Clotted hematuria

170

33.9

Lower back pain + Fever

28

5.6

Penile swelling

15

3.0

Dysuria

13

2.6

Prolonged erection

10

2.0

Testicular pain

8

1.6

Right lower back pain

7

1,4

Pelvic pain and pollakiuria

7

1.4

Lumboabdominal pain + hematuria

5

1.0

Painful and foul-smelling scrotal swelling

4

0.8

Bilateral lower back pain

4

0.8

Other

4

0.8

Total

502

100

The most common reason for consultation was the complete inability to urinate, accounting for 45.2% of cases.
Other: fever or altered general condition (1), genital and perineal wounds (1), left lumbar pain (1), and oliguria/anuria with bilateral lumbar pain (1).
Table 3. Distribution of patients according to physical signs.

Physical signs

Effective

Percentage

Bladder distension

204

40.6

Pelvic pain

167

33.3

Lumbar pain

30

06.0

Bladder distension + urethrorrhagia

24

04.8

Positive Giordano's sign

13

02.6

Bladder distension + overflow incontinence

12

02.4

Painful and prolonged erection

9

01.8

Tunica albuginea defect

8

01.6

Large painful scrotum

8

01.6

Pelvic pain

7

01.4

Swelling of the foreskin and glans

7

01.4

Scrotal and perineal skin necrosis

5

01.0

Hemodynamic instability

4

00.8

Hematuria + lumbar pain

2

00.4

Anuria

1

00.2

Macroscopic hematuria

1

00.2

Total

502

100

Bladder distension was the most represented physical sign, at 40.6%.
Table 4. Distribution of patients according to the type of emergency.

Type of emergency

Effective

Percentage

Acute urinary retention

229

45.6

Hematuria

167

33.3

Renal colic

36

7.2

Chronic urinary retention

11

2.2

Priapism

10

2.0

Penile fracture

8

1.6

Kidney trauma

8

1.6

Acute cystitis

7

1.4

Acute pyelonephritis

7

1.4

Paraphimosis

7

1.4

Gangrene of the external genitalia

5

1.0

Scrotal trauma

4

0.8

Spermatic cord torsion

3

0.6

Total

502

100

Acute bladder urinary retention was the most represented type of emergency, accounting for 45.6%.
3.3. Paraclinical Aspects
Table 5. Distribution of patients according to the germ identified in the urine culture.

Germ identified in the urine culture

Effective

Percentage

Escherichia coli

157

44.8

Klebsiella pneumonia

104

29.7

Staphylococcus aureus

55

15.7

Pseudomonas aeruginosa

22

6.3

Enterobacter cloacae

7

0.2

Enterococcus faecalis

5

0.1

Total

350

100

The most frequently found germ was E. coli, at 44.8%.
3.4. Etiological Aspects
Table 6. Distribution of patients according to the etiologies of urological emergencies.

Etiologies of urological emergencies

Effective

Percentage

Benign prostatic hyperplasia

161

32.1

Bladder tumor

140

27.9

Prostate cancer

52

10.4

Urinary stones

28

5.6

Urethral trauma

21

4.2

Ureteral stricture

17

3.4

Urethral stricture

13

2.6

Bacterial infection

12

2.4

Obstructive renal failure

11

2.2

Sickle cell disease

10

2.0

Penile fracture

8

1.6

Iatrogenic urethral trauma

7

1.4

Urinary schistosomiasis

6

1.2

Scrotal trauma

6

1.2

Pelvic trauma

4

0.8

Kidney trauma

3

0.6

Sperm cord torsion

3

0.6

Total

502

100

Benign prostatic hyperplasia was the most represented etiology, accounting for 32.1%.
3.5. Therapeutic Aspects
Table 7. Distribution of patients according to emergency surgical procedures (n=170).

Emergency surgical procedures

Effective

Percentage

Suprapubic cystocatheterization

78

45,9

Endoscopic JJ stenting

40

23,5

Transurethral resection of the bladder for hemostasis

15

08,8

Puncture of the corpora cavernosa

10

05,9

Albuginorraphy

7

04,1

Orchiectomy

6

03,5

Perinoscrotal debridement

4

02,3

Posthectomy

4

02,3

Nephrectomy

3

01,8

Contralateral orchiectomy and orchidopexy

2

01,2

Detorsion and bilateral orchidopexy

1

00,6

Total

170

100,0

The most represented surgical procedure was suprapubic cystocatheterization, accounting for 45.9%.
Table 8. Distribution of patients according to etiological treatment.

Etiological treatment

Effective

Percentage

Transurethral resection of the prostate (TURP)

111

43.5

TURP + intraurethral ureteroscopy (IUR)

40

15.7

TURP + orchiectomy

40

15.7

Flexible laser ureteroscopy

24

9.4

Endoscopic internal urethrotomy

15

5.9

Urethroplasty

8

3.1

Albuginorraphy

7

2.8

Antibiotic therapy

7

2.8

Ureterovesical reimplantation

6

2.4

Orchidectomy

6

2.4

Semi-rigid laser ureteroscopy

5

2.0

Necrosectomy

4

1.6

Posthectomy

4

1.6

Repeated JJ stenting

4

1.6

Transurethral resection of the bladder

3

1.2

Nephrectomy

3

1.2

Pyeloplasty

3

1.2

Contralateral orchiectomy and orchidopexy

2

0.9

Other

3

1.2

Total

255

100

Transurethral resection of the prostate was the most common etiological treatment, accounting for 43.53% of cases. Other treatments included: hematoma drainage (1), albuginorrhaphy + urethroplasty (1), and bilateral detorsion + orchidopexy (1).
Table 9. Distribution of patients according to length of hospital stay.

Length of hospital stay

Effective

Percentage

Less than 1 day

36

07.2

1 to 2 Days

59

11.8

2 to 3 Days

124

24.7

4 to 5 Days

93

18.5

5 to 10 Days

117

23.3

10 to 15 Days

66

13.1

15 to 20 Days

3

0.6

20 to 30 Days

4

0.8

Total

502

100

The length of hospital stay was 2 to 3 days in the majority of cases, i.e. 24.7%.
4. Discussion
Our study revealed that urological emergencies constitute 5.70% of patients seen in the urology department. Admission in an emergency setting is the usual way in which urological pathologies are discovered in hospitals in Africa. Although urological emergencies are less frequent than emergencies in other medical disciplines, they represent a significant portion of the activity in an emergency department . In Guinea, in Conakry, urological emergencies accounted for 22% of admissions to the urology department . In our study, we grouped patients by age and found a peak in the 60+ age range (57.4%), with extremes ranging from 4 to 92 years. Urological emergencies are statistically linked to age, comparable to that reported by Gnakouri et al. . Gnakouri et al. at the Cocody University Hospital in Côte d'Ivoire , and Bori M. et al. in Benin reported cases in the following age groups: 60-75 and 60-74, respectively. This increase in the age group (60 years and over) could be explained by the fact that prostatic diseases, which are generally responsible for acute urinary retention, begin after the age of 60.
Male sex represented 85.7% and females 14.3%, with a sex ratio of 5.97. Several similar studies confirm the male predominance of urological emergencies . These results are attributed to the frequency of urethro-prostatic diseases. Complete inability to urinate was the most frequent reason for consultation, accounting for 45.2%. This result is close to that of Epoupa Ngalle et al. in Douala (45.05%) and Tfeil YO et al. in Nouakchott , and lower than that of Diabaté et al. (66.13%) . Conversely, our study is higher than those of Boissier et al. in Marseille and Atkins O. in Atlanta , which were 20% and 8.5%, respectively. This difference in frequency is explained by the fact that in Western countries, patients consult at an early stage of urethro-prostatic diseases, while in Africa, patients consult at a late stage, hence the acute urinary retention. Acute bladder urinary retention was the most represented, at 45.6%. This result is lower than those of Okeke in Nigeria with 59.6%, of B. Fall et al in Dakar with 53%, close to those of in Douala with 45.05%, and higher than those of Owon’Abessolo et al with 29.9%, and Mondet et al and Emamanuel Chartier-Kastler in France, who noted that acute bladder urinary retention was the second most common condition after lower back pain, accounting for 22% of cases. E. E. coli was the most prevalent isolated organism at 31.3%, followed by Klebsiella pneumoniae at 20.7%. Benign prostatic hyperplasia was the most common etiology at 32.1%, followed by bladder tumor at 27.9%.
In the study by Gnabro and al. , urological emergencies were dominated by urinary retention complicating prostate tumors, and their emergency management relied on bladder catheterization . This is a common situation in men, with the main etiologies being prostate tumors and urinary retention. These two pathologies are also the main causes of acute urinary retention in the vast majority of studies . The predominance of bladder catheterization was also found in most authors' reports on urological emergencies . Although a simple procedure, transurethral catheterization proved valuable in relieving the bladder outlet obstruction. Therefore, proficiency in inserting a bladder catheter is crucial. In other words, it must be inserted under strict aseptic conditions to avoid infectious complications. Maintaining a closed system throughout the catheterization, without disconnecting the catheter from the collection bag, is recommended. Use a large-bore (≥ 18 Fr) angled catheter in men and a double-lumen catheter in cases of hematuria . When choosing the type and size of catheter, it is preferable to avoid small-bore catheters initially and use an 18 or 20 Fr Foley catheter.
Suprapubic catheterization was performed in 78 patients and was the most common emergency surgical procedure, followed by the insertion of an endoscopic double-J stent in 40 patients and transurethral resection of the bladder for hemostasis in 15 patients, representing 45.9%, 23.5%, and 8.8%, respectively. In the study by Gnabro et al. , based on a series of 563 urological emergencies, males predominated, with a mean age of 55.58 years. Urinary emergencies accounted for 47.42% of the reasons for consultation. Bladder catheterization and suprapubic urinary drainage constituted the main emergency therapeutic procedures . In the study by Ndiaye M et al. , urological emergencies were mainly due to hematuria and urinary retention.
In our study, benign prostatic hyperplasia (BPH) was the most prevalent etiology (32.1%), followed by bladder tumors (27.9%), prostate cancer (10.4%), and urinary stones (5.6%). Most etiological treatments were planned. Transurethral resection of the prostate (TURP) was the most common (22.1%), followed by flexible laser ureteroscopy (4.8%) and endoscopic internal urethrotomy (3%). Furthermore, most patients had advanced-stage bladder tumors, making radical endoscopic resection of the prostate (EOR) impossible. Patients lost to follow-up and those who refused surgery and opted for palliative treatment accounted for 41.2%.
5. Conclusion
Urological emergencies occupy a significant place in our daily practice. Acute urinary retention was the most frequent urological emergency, primarily caused by benign prostatic hyperplasia, hematuria, and renal colic. The adult male population was the most represented, suggesting the increased occurrence of urethro-prostatic diseases in men over sixty. The higher frequency of these urological emergencies is due to delayed consultation by individuals with urological diseases.
Abbreviations

BSS

Bocar Sidy Sall

UCBE

Urine Cytobacteriological Examination

RVUG

Retrograde Voiding Urethrography

AUSP

Urinary Tract Without Preparation

Uro-TDM

Uro-CT Scan

TURP

Transurethral Resection of the Prostate

UIE

Endoscopic Internal Urethrotomy

Author Contributions
Amadou Kassogue: Conceptualization, Project administration, Supervision, Validation, Visualization, Writing – re–view & editing
Saydou Tolo: Data curation, Formal Analysis, Methodology, Resources, Software
Idrissa Sissoko: Formal Analysis, Writing – original draft
Daouda Sangare: Writing – original draft
Boubacar Traore: Data curation, Formal Analysis, Resources, Software
Hamed Sylla: Data curation, Formal Analysis, Resources, Software
Issa Coulibaly: Formal Analysis
Moussa Salifou Diallo: Writing – original draft
Mamadou Lamine Diakite: Project administration, Supervision
Conflicts of Interest
The authors declare no conflicts of interest.
References
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  • APA Style

    Kassogue, A., Tolo, S., Sissoko, I., Sangare, D., Traore, B., et al. (2026). Urological Emergencies at the Pr Bocar Sidy SALL University Hospital in Kati: Epidemiological, Clinical, Etiological and Therapeutic Aspects. International Journal of Clinical Urology, 10(1), 107-113. https://doi.org/10.11648/j.ijcu.20261001.29

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    ACS Style

    Kassogue, A.; Tolo, S.; Sissoko, I.; Sangare, D.; Traore, B., et al. Urological Emergencies at the Pr Bocar Sidy SALL University Hospital in Kati: Epidemiological, Clinical, Etiological and Therapeutic Aspects. Int. J. Clin. Urol. 2026, 10(1), 107-113. doi: 10.11648/j.ijcu.20261001.29

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    AMA Style

    Kassogue A, Tolo S, Sissoko I, Sangare D, Traore B, et al. Urological Emergencies at the Pr Bocar Sidy SALL University Hospital in Kati: Epidemiological, Clinical, Etiological and Therapeutic Aspects. Int J Clin Urol. 2026;10(1):107-113. doi: 10.11648/j.ijcu.20261001.29

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  • @article{10.11648/j.ijcu.20261001.29,
      author = {Amadou Kassogue and Saydou Tolo and Idrissa Sissoko and Daouda Sangare and Boubacar Traore and Hamed Sylla and Issa Coulibaly and Moussa Salifou Diallo and Mamadou Lamine Diakite},
      title = {Urological Emergencies at the Pr Bocar Sidy SALL University Hospital in Kati: Epidemiological, Clinical, Etiological and Therapeutic Aspects},
      journal = {International Journal of Clinical Urology},
      volume = {10},
      number = {1},
      pages = {107-113},
      doi = {10.11648/j.ijcu.20261001.29},
      url = {https://doi.org/10.11648/j.ijcu.20261001.29},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20261001.29},
      abstract = {Objective: To study the epidemiological, clinical, etiological and therapeutic aspects of urological emergencies at the Urology Department of the Pr Bocar Sidy Sall University Hospital in Kati. Materials and Methods: This was a prospective descriptive study conducted from January 1, 2022, to December 31, 2024, a period of 36 months. It included all patients presenting with a urological emergency seen in consultation at the emergency department and patients hospitalized in other departments. Results: We recorded 502 patients with a urological emergency, representing 5.70% of the study population. The most represented age group was 60 years and older, at 57.4%. The male-to-female ratio was 5.97. Complete inability to urinate was the most frequent reason for consultation, accounting for 45.2% of cases. Bladder distension was present in 40.6% of patients. Acute urinary retention was the most frequent type of emergency, accounting for 45.6%. Benign prostatic hyperplasia was the most common etiology, at 32.1%, followed by bladder tumors at 27.9% and prostate cancer at 10.4%. Transurethral catheterization was the most frequent non-surgical emergency procedure, performed in 50.3% of cases. The most frequent surgical procedure was suprapubic catheterization, performed in 78 patients (45.88%), followed by double-J stent placement in 40 patients (23.53%). Transurethral resection of the prostate was the most common etiological treatment, performed in 43.53% of cases. The length of hospital stay was 2 to 3 days in 24.7% of cases. Conclusion: The most frequent urological emergency in the urology department of the Pr Bocar Sidy Sall University Hospital in Kati was urinary retention.},
     year = {2026}
    }
    

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  • TY  - JOUR
    T1  - Urological Emergencies at the Pr Bocar Sidy SALL University Hospital in Kati: Epidemiological, Clinical, Etiological and Therapeutic Aspects
    AU  - Amadou Kassogue
    AU  - Saydou Tolo
    AU  - Idrissa Sissoko
    AU  - Daouda Sangare
    AU  - Boubacar Traore
    AU  - Hamed Sylla
    AU  - Issa Coulibaly
    AU  - Moussa Salifou Diallo
    AU  - Mamadou Lamine Diakite
    Y1  - 2026/06/18
    PY  - 2026
    N1  - https://doi.org/10.11648/j.ijcu.20261001.29
    DO  - 10.11648/j.ijcu.20261001.29
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 107
    EP  - 113
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20261001.29
    AB  - Objective: To study the epidemiological, clinical, etiological and therapeutic aspects of urological emergencies at the Urology Department of the Pr Bocar Sidy Sall University Hospital in Kati. Materials and Methods: This was a prospective descriptive study conducted from January 1, 2022, to December 31, 2024, a period of 36 months. It included all patients presenting with a urological emergency seen in consultation at the emergency department and patients hospitalized in other departments. Results: We recorded 502 patients with a urological emergency, representing 5.70% of the study population. The most represented age group was 60 years and older, at 57.4%. The male-to-female ratio was 5.97. Complete inability to urinate was the most frequent reason for consultation, accounting for 45.2% of cases. Bladder distension was present in 40.6% of patients. Acute urinary retention was the most frequent type of emergency, accounting for 45.6%. Benign prostatic hyperplasia was the most common etiology, at 32.1%, followed by bladder tumors at 27.9% and prostate cancer at 10.4%. Transurethral catheterization was the most frequent non-surgical emergency procedure, performed in 50.3% of cases. The most frequent surgical procedure was suprapubic catheterization, performed in 78 patients (45.88%), followed by double-J stent placement in 40 patients (23.53%). Transurethral resection of the prostate was the most common etiological treatment, performed in 43.53% of cases. The length of hospital stay was 2 to 3 days in 24.7% of cases. Conclusion: The most frequent urological emergency in the urology department of the Pr Bocar Sidy Sall University Hospital in Kati was urinary retention.
    VL  - 10
    IS  - 1
    ER  - 

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  • Urology Department, Kati University Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, Kati University Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, Kati University Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, Kati University Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, Kati University Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, Kati University Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, Kati University Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, Kati University Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, Point G University Hospital, Bamako, Mali

  • Abstract
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    1. 1. Introduction
    2. 2. Patients and Methods
    3. 3. Results
    4. 4. Discussion
    5. 5. Conclusion
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