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Objective: To present the epidemiological, clinical and therapeutic features of the urological emergencies in Senegal, West Africa., Material and Methods: The authors conducted a 20 months retrospective study that analyzed the epidemiological, clinical and therapeutic features of all urological emergencies admitted to the urology department of the university teaching hospital Aristide-Le-Dantec (Dakar)., Results: There were 1237 urological emergencies. The mean age of the patients was 58.8 years (range one month-94 years). The sex ratio (M/F) was 20.32. These patients had an age equal to or higher than 60 years in 50.7% of the cases. The most frequent illness was urinary retention (53%) and genitor-urinary system infectious, which represented as a whole 16.4% of the cases. The gangrenes of male external genitalia (Fournier's gangrene) accounted for 4.1% of the cases and the priapism 1.3%. In emergency, 331 surgical operations were performed. The most performed procedures were the installation of a suprapubic catheter (59.8%) and debridement of a gangrene of male external genitalia (15.4%)., Conclusion: The most frequent urological emergency in our country was the acute urinary retention. Some serious illness like gangrene of male external genitalia (Fournier's gangrene) and priapism are not rare there.

Aim: To dress biologic and histopathologic aspects of the prostatic cancer in urologic hospital center about a set of digital transrectal guided biopsies., Methodology: It is a prospective study realized between January 2002 and March 2002 (26 months) studying patients with positive prostatic biopsy., Results: Seventy two cases of prostatic cancer were noticed. Mean age of these patients was 69,9 years (54-91 years). Mean rate Total PSA was 134,8 ng/ml (6-2500 ng/ml). Repartition according Gleason score has revealed that only 35% of tumors were well differentiated. The study of correlation between Total PSA rate and Gleason grade has revealed that up to 10 ng/ml Total PSA rate, only 33% of patients had a Gleason grade between 2 and 4 (well differentiated tumor)., Conclusion: Actual biologic and histopathologic profile of prostatic cancer lays emphasis on later management.

The susceptibility to antibiotics of 144 strains of Ureaplasma urealyticum and 34 strains of Mycoplasma hominis isolated in Dakar, Senegal, was determinated by MIC determination in a medium. Doxycyclin and minocyclin are active on more than 90% of the strains of U. urealyticum, and more than 80% of M. hominis strains. Over 93% of U. urealyticum strains are susceptible to all the macrolids and apparented tested (erythromycin, pristinamycin, josamycin), but the activity of lincomycin, pristinamycin and josamycin on M. hominis was found only for 70% of the strains. Fluoroquinolones, once adequately studied, could turn out to be a useful alternative in therapeutics.