Complications urologiques de la chirurgie pelvienne au CHU Aristide Le Dantec de Dakar

Kpatcha, Tchilabalo Matchonna; Tengué, K; Anoukoum, T; Botcho, Gnimdou; Sikpa, Komi Hola; Fall, Papa Ahmed; Diao, Bo; Diagne, B.A.

doi:10.1016/j.afju.2014.04.007

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…Over the years, the time taken to diagnose iatrogenic ureteral injury is variable. For instance, according to Kpatcha in Senegal (2014) [5], the average time to diagnosis was 68 ± 12.6 days. Bouya [4] in Congo (2011) and Ouattara in Burkina Faso (2021)[8]similarly found an average time to diagnosis of 15 days, with ranges oscillating from 0 to 350 days and 1 to 180 days respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Although not common, iatrogenic causes include mainly radical abdominal hysterectomy, colectomy and caesarean section with a high rate of lesions involving the distal segment of the ureter [1,2]. In the last decade, with the development of minimally invasive surgery, several studies have reported an increase in the frequency of iatrogenic lesions of the ureter during laparoscopic procedures [1,3].However, previous studies in sub-Saharan Africa, where open surgery is still largely practised, have found a high rate of iatrogenic ureteral injury (IUI) [4][5][6]. The diagnosis of ureteral injury remains a challenge for the surgeon.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and treatment of iatrogenic lesions of the ureter in patients undergoing pelvic surgery in Yaoundé, a 10-year multi-institutional review

Mbouche,

Mbassi,

Ngwa

et al. 2024

Preprint

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Background Most ureteral lesions are iatrogenic, secondary to operative trauma. Iatrogenic ureteral lesions result from abdominopelvic surgery. The challenge is to diagnose them as early as possible so as to provide appropriate ureteral reconstruction early. The aim of this study was to summarize the etiologies, clinical features and general management of iatrogenic ureteral injury in a resource limited context of a low-income country. Patients and methods We carried out a multicentric study and reviewed all patients with iatrogenic ureteral lesions in three referral hospitals in Yaoundé, Cameroon, over a ten-year period. Results Overall, we recorded 52 cases of iatrogenic ureteral injuries out of 19053 pelvic surgeries performed during the study period, giving a rate of 0.27%. We finally included 38 cases. The average number of iatrogenic ureter lesions per year was 3.45 cases. The mean age was 46 ± 10.7 years, all female. Hysterectomy was responsible for 29 (76.3%) of the ureteral injuries. The majority, 34 of the 38 (89.47%) cases, were diagnosed post-operatively. The most frequent symptoms were flank pain and vaginal urine leakage in 18 (47.4%) and 13 (34.2%) cases respectively. The most common imaging procedure was ultrasound showing dilation of the right ureter in 21 (55.2%) cases. Ureteral injuries were found to be located mostly at the right distal segment and the mid ureter with a frequency of 30 (78%) and 8 (22%) respectively. All the patients underwent open surgical treatment including ureteroneocystostomy, uretero-ureterostomy, Boari flap reconstructions and nephrectomy. We found that 74% (n = 28) of participants had a favorable outcome and 26.3% (n = 10) developed postoperative complications. Conclusion In our setting, iatrogenic ureteral lesions are not uncommon in women undergoing pelvic surgery. In the absence of a high index of suspicion, diagnosis is delayed. Abdominal pelvic ultrasound usually shows the affected side. Ureteroneocystomy is commonly performed, with both minor and major complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Diagnosis and treatment of iatrogenic lesions of the ureter in patients undergoing pelvic surgery in Yaoundé, a 10-year multi-institutional review

Mbouche,

Mbassi,

Ngwa

et al. 2024

Preprint

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“…Kirakoya et al in Ouagadougou, Bouya et al in Brazzaville and Kpatcha et al in Dakar reported a mean age of 36.4 years, 37 years and 34.2 years in their respective series. [9][10][11] In fact, it is during the premenopausal period, during their thirties that most women underwent hysterectomy for benign diseases like fibroma or uterine prolapse; thus increasing their risk of ureteric injury. 12 The mean timing of diagnosis was 15 days ranging from 1 to 180 days.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Ureteral Injuries Associated with Gynecological and Surgical Procedures: Our Experience About 18 Cases and Literature Review

Ouattara

Paré

Kaboré³

et al. 2021

RRU

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Aim: To describe the epidemiological aspects, etiology and outcome of iatrogenic ureteral injury repair at the urology division of Souro Teaching Hospital of Bobo Dioulasso (Burkina-Faso). Patients and Methods: This was a retrospective descriptive study of consecutive patients with iatrogenic ureteric injuries who were referred and managed in the urology division of Souro Sanou Teaching Hospital (Bobo-Dioulasso) from January 2012 to December 2017. Variables studied were age, the time at the diagnosis, the causative event, the method of repair, and the outcome of the management. Results: The mean age was 37.72±3.5 years coming from the rural population in most cases. The mean time at the diagnosis was 15 days. The injuries were due to gynecologic surgeries with hysterectomy (66%) and caesarian section (33%). Ureteric reimplantation with antireflux system was performed in seventeen patients. The rate of treatment success was 94% and the postoperative course was uneventful for all the patients. Conclusion: Iatrogenic ureteric lesions at the department of urology of Sanou Sourou teaching hospital of Bobo Dioulasso were mainly caused by gynecologic and obstetric surgeries like hysterectomy and caesarian section.

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“…The main interventions providing urological lesions in our series (hysterectomy: 48%, cesarean section: 40%) were superimposed on those identified in some sub-Saharan studies. In Senegal Kpatcha, T. M. T. et al reported in a study of 29 cases of urological complications secondary to pelvic surgery that cesarean section and hysterectomy were the main procedures providing urological lesions [6].…”

Section: Discussionmentioning

confidence: 99%

Management of Urological Lesions Secondary to Obstetrical Gyneco Surgery in the Urology Department of the Gabriel Toure University Hospital Centre

Berthé¹,

Coulibaly²,

Diallo³

et al. 2018

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Summarizes: The objective of this work was to study the clinical, diagnostic, therapeutic and evolutionary aspects of urological lesions secondary to gynaeco-obstetrical surgery in the urology department of the Gabriel Touré University Hospital. Material and method: It was a transversal and retrospective study carried out in the urology department of the Gabriel Touré University Hospital Centre in Bamako over 8 years. It focused on the files of 25 patients operated on for a urological lesion secondary to gynaeco-obstetrical surgery. Sociodemographic, epidemiological, diagnostic, therapeutic and evolutionary parameters were analysed. Results: Urologic lesions secondary to gynaeco-obstetrical surgery were found in 0.72% of urologically operated patients. The mean age of the patients was 39 ± 10.4 years (extremes: 18 and 60 years). The average time to diagnosis was 121, 88 ± 15 days (extremes: 0 and 365 days). Clinical signs were: oligo anuria (16%), urine leakage (52%), lumbar pain (24%). The diagnosis was made by the methylene blue test in 56% of patients, by the uro-scanner (20%) and by intravenous urography (16%). In 8% of patients, the diagnosis was made during surgery. The surgical interventions involved were: hysterectomy (48%), cesarean section (40%), genital prolapse cure (8%), ovarian cystectomy (4%). Lesions were dominated by vaginal vesico fistulas (48%) followed by ureterovaginal fistulas (20%), ureteral ligatures (16%). Treatment consisted of ureterovesical reimplantation according to Lich Gregory with ureteral intubation (36%), fistulography (48%). Healing was achieved in 92% of patients. Conclusion: Hysterectomy for cervical malignancy and cesarean section are the

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Complications urologiques de la chirurgie pelvienne au CHU Aristide Le Dantec de Dakar

Cited by 7 publications

References 6 publications

Diagnosis and treatment of iatrogenic lesions of the ureter in patients undergoing pelvic surgery in Yaoundé, a 10-year multi-institutional review

Diagnosis and treatment of iatrogenic lesions of the ureter in patients undergoing pelvic surgery in Yaoundé, a 10-year multi-institutional review

Iatrogenic Ureteral Injuries Associated with Gynecological and Surgical Procedures: Our Experience About 18 Cases and Literature Review

Management of Urological Lesions Secondary to Obstetrical Gyneco Surgery in the Urology Department of the Gabriel Toure University Hospital Centre

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