Symptoms due to their diversity and variability are the most common reasons for consultation. The grouping of these symptoms into entities could guide explorations and facilitate clinicians' diagnosis: leucorrhoea, pelvic pain, disorders of the cycle and genital hemorrhages, sexual disorders, urinary and rectal disorders, symptoms of breast fertility. To better target the diagnosis of common pathology, we have undertaken a study to determine the reasons for consultation in gynecology at CHU GABRIEL TOURE in Bamako. It consisted of a systematic collection of information on patients who had consulted the gynecology department from 1 January 2008 to 31 December 2009. It was found that women in periods of genital activity (15 to 49 years) constituted 86.3% 'sample. They were housewives in 58.5% of the cases and the average age of the consultants was 32.29 years with extremes of 1 to 96 years. Pregnancy desire was 16.3%; Pelvic pain 11.6% and vulvovaginal pruritus 8.9%. Vaginitis was the most commonly observed diagnosis with 15.9% followed by secondary infertility with 11.1% and uterine fibroids 8.1%. In (25%) one in four women under 15 years old, a recent hymenal perforation has been found. Elsewhere in the 15-49 age group, the diagnoses were vaginitis, secondary sterility, with 17.4% and 12.8%, respectively. After menopause cervix cancer was frequently observed with 37.0% of cases. The pathologies frequently observed were: primary sterility (21.1%) in nulligest; Secondary sterility (27.6%) in primiparae; Vaginitis (16.9%) in multigest and cervix cancer (26.4%) in large multigesta. Vaginitis has been the pathology frequently observed in all occupational categories.
Granulosa tumours of the ovary are quite rare. We report an observation and review of the literature on its clinical, therapeutic and prognostic features.
Aims: this study aimed at contributing to the improvement of the quality of the practice of the AMTPC and the prevention of the occurrence of postpartum hemorrhages that we carried out in the delivery room of the commune VI of the district of Bamako. Patients and Methods: This was a cross-sectional study, on 407 parturients and 30 agents in charge of assisted deliveries. Results: Among these birth attendants surveyed, 7 (23%) had no training in AMTPC. The number of gestures required for the correct practice of the AMTPC for a parturient was estimated at 34 divided into 5 stages, only the closing stage was correctly done (94.1%) with a score higher than normal (80 %). The scores for the correct practice of the 4 other stages were insufficient: preparation (58.2%), delivery (62.4%), uterine massages (19.7%), examination of the genital canal (30%) are below the national standard (80%). Conclusion: The practice of the AMTPC is systematic in the delivery room of the referral health center of Commune VI. However, the quality of the AMTPC remains insufficient in the delivery room since among the five stages evaluated, only that of the fence was correctly practiced.
Introduction: Female infertility is a frequent reason for consultation and is therefore a real public health problem. The objective is to study the contribution of HSG in the etiological research of this infertility. Materials and Method: This is a bicentric study carried out in the Medical Imaging Department of the Pr Bocar Sidy SALL University Hospital and at the "Amitié" Medical Clinic (CMA) of Kati over a period of two years (from 01 January 2020 to 31 December 2021). The examinations were largely performed by radiologists in the first part of the cycle, after menstruation and outside of any infectious context. The variables studied were sociodemographic, clinical and radiographic data. The readings of the images were made by the radiologists. The GE PRESTILIX 1600X remote-controlled table was used for examinations in each centre. Results: At the end of our study, we collected 421 files: 223 cases at the CHU and 198 at the CMA. These examinations were requested by gynecologists in 70% of cases, the average age of our patients was 31.4 years and the 25-34 years age group was in the majority (50.4%). The most recovered clinical information was sterility with 40.6% (21.4% for secondary sterility and 19.2% for primary sterility) and desire for children (17.6%). Examinations were done by radiologists (47%) and medical assistants (40%). The result was normal in 58% of cases and pathological in 42% of cases; Among the pathologies, tubal abnormality was the majority (71.2%) dominated by tubal obstruction in 59.5% of cases, followed by hydrosalpinx in 35.7% of cases. Uterine pathologies were dominated by myomas (25.5%) followed by uterine synechia (21.6%). Conclusion: Female infertility is common, affecting young women. The HSG allowed us to detect certain lesions, largely tubal and uterine abnormalities. It is the examination of choice in the search for tubal abnormality in our country.
Introduction: Ectopic pregnancy is the implantation and development of the egg outside the uterine cavity. The epidemiological and therapeutic profiles of ectopic pregnancy differ from one country to another and from one health facility to another. This study, which is a first at the University Hospital PrBocarSidySall of Kati, aims to study ectopic pregnancy in the context of our daily practice. Methods and Patients : Our study was retrospective, cross-sectional and descriptive. It took place from January 2014 to December 2019 in the obstetrics gynecology department of theUniversity Hospital PrBocarSidySall of Kati. The data were collected using a survey form and obtained from the patients medical record, the hospitalization register, the delivery register and the registers of surgical reports. Data were analyzed with SPSS version 20.0 software. Results: A total of 99 records were collected during the study period, representing a frequency of 0.53% of emergency visits and 1.88% of deliveries. A history of genital infection was found in 78% of cases. In our series, women with low parity were more numerous with 77.8% of cases. We found more right-sided and ruptured Ectopic pregnancies. The treatment was surgical in 92.2% of cases and the procedure performed was essentially a total salpingectomy. Conclusion : The improvement of the technical platform of our health care facilities and preventive measures against the risk factors of the Ectopic pregnancy could reduce the burden of this pathology.
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