Publications by authors named "Mensah A"

Obstetrical vesicovaginal fistulas are still very common in third world countries, due to the difficulties of medical care. With this series of 123 cases seen over 6 years, we analyze their epidemiological, pathological and therapeutical aspects. A simplified classification is proposed.

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Undescended testis is a common congenital abnormality. The main complications are infertility and venue of malignant testicular tumor. If early orchiopexy can prevent infertility, it remains a high risk of venue of a malignant tumor.

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The writers draw up the outcome of the medical management of infertiles couples at Dakar's teaching hospital over a period of 7 years (1983-1989). Restrictives factors (low rate incomes, social and psychological obstacles) make that médical management difficult. The responsibilities are shared among the couple with sex ratio of 1 man for 3 women.

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The authors report the first malignancy composed of interstitial testicular cells in a Senegalese man. Interesting features of this case include occurrence in a 58-year-old adult, short duration of the disease, development of metastases before discovery of the primary tumor, severity of pain, and absence of feminization.

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The authors present 3 cases of vesical tumours discovered during pregnancy, which, according to literature, very rarely happens. These women from the low socio-economic strata had many children and were seen at a late stage when diagnosis of vesical tumours is easily distinguished from haematuria, recurrent cysts and hypogastric tumours. The prognostic is bad, resulting most frequently in death due to kidney failure with purulent peritonitis from perforation of the tumour or its evolving towards the vertebral metastasis, and chronic suffering for the foetus.

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In teratomas with a choriocarcinomatous element, the association with surgery of sequential chemotherapy lasting at least two years would appear to represent an improvement. Definitive conclusions may only be drawn from the study of large series.

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Description of a case of ectopic pregnancy during the last 3 months with a living, malformed and underdeveloped neonate. Possible treatment is discussed: where as in our case there is a secondary ectopic pregnancy (i.e.

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