Les complications urologiques de la chirurgie gynécologique

Bouya, P. A.; Odzébé, A.W.S.; Otiobanda, Fabrice; Itoua, Clautaire; Mahoungou-Guimbi, K.; Banga, M.R.; Andzin, M.; Ondongo-Atipo, M; Ondzel, S; Avala, P. P.

doi:10.1016/j.purol.2011.03.008

Cited by 21 publications

(25 citation statements)

References 7 publications

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“…Bouya et al [1] have reported 3% of urologic complications following gynaecological and obstetric surgeries over 9 years. 81 complications were reported in Congo [1] and 16 in Conakry [7] over there study period. The mean age of the patients in our study is 41 years.…”

Section: Discussionmentioning

confidence: 99%

“…The difficult matrimonial status (divorced person, widow, either separated unmarried) was also a factor limiting in 48.8. This may be due to the lack of experience on the site of some of the operators [1] and lack of surgical skill [9]. In the academic hospitals, these complications were not negligible.…”

Section: Discussionmentioning

confidence: 99%

“…The urologic complications following gynaecological and obstetrical surgery are more frequent in the developing countries [1]. The needs to reduce maternal and neonatal mortality rate in these countries push the government to train more surgeons, many of which are young and unskilled.…”

Section: Introductionmentioning

confidence: 99%

“…The needs to reduce maternal and neonatal mortality rate in these countries push the government to train more surgeons, many of which are young and unskilled. They often lack the knowledge of the anatomic relationship between the urinary and the genital tracts [1] [2]. This leads to an increase in number of patients referred to our services for treatment of complications following gynaecological or obstetric surgeries.…”

Section: Introductionmentioning

confidence: 99%

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Urologic Complications after Gynaecologic and Obstetric Surgery at the Urology-Andrology Teaching Clinic of Teaching Hospital of Cotonou

Pascal¹,

Avakoudjo²,

Naméoua³

et al. 2014

OJU

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Objective: To study the epidemiology and current trend in the management of urologic complications following obstetric and gynaecologic surgeries at CUUA University hospital of Cotonou. Patients and Methods: It was a retrospective study of patients referred with urologic complications following obstetric and gynaecological surgeries. The study took place at the Teaching Clinic of Urology Andrology at CNHU of Cotonou between April 1, 2008 and March 31, 2013. Results: Fortyone patients were studied. They represented 3.5% of people hospitalized at CUUA throughout the study period. The average age was 41 years swith range of 20 and 57 years. Twenty-one (51.2%) of them were married. Thirty patients (73.2%) were referred from a non-academichospital, while 7 patients (17.1%) were referred from academic hospital. Caesarean section was the primary gyneco-logical surgery in 22 cases (53.7%) and hysterectomy in 19 cases (46.3%). Clinically, the pre-dominant symptoms were leakage of urine throughout the vagina and obstructive anuria with or without back pain. We found 31 cases of VVF, 5 cases of bilateral ligation of the ureters, 3 cases of unilateral ligation of the ureter, 1 ureteralinjury and 1 uretero-vaginal fistula. These complications were diagnosed postoperatively in 95.1% of cases. Surgeries done included VVF repair in 31 cases (75.6%), unilateral ureteral reimplantation in 4 cases (9.8%), removal of ligation of the ureters in 3 cases (7.3%), bilateral ureteral reimplantation for 2 cases (4.9%) and end-to-end anastomosisin 1 case (2.4%). The postoperative period was uneventful in 29 cases and we observed 7 cases of surgical site infection. The overall success rate was 87.8%. Conclusion: Urological complications following gynecologic surgeries managed at the urologic department of teaching hospital of Coto-nou had an even higher incidence. Early diagnosis especially during the * Corresponding author. H. P. Pascal et al. 122operative procedure would save the patients' serious complications and open surgery due to the lack of endo-urological facilities. The most important factor in prevention is good knowledge of pelvicanatomy and good knowledge of the surgical techniques of caesarean operation section and trans-abdominal hysterectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Urologic Complications after Gynaecologic and Obstetric Surgery at the Urology-Andrology Teaching Clinic of Teaching Hospital of Cotonou

Pascal¹,

Avakoudjo²,

Naméoua³

et al. 2014

OJU

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“…Bouya, et al [26] were found vesico-vaginal fistula and vesico-uterine fistula. Oitchayomi, et al [27] advised to do voiding cystogram and urethrogram for any macroscopic hematuria and pelvis broken.…”

Section: Discussionmentioning

confidence: 95%

Genitourinary Emergencies at University Hospital in Cotonou: About 437 Patients

Jg¹,

Natchagandé²,

Fky³

et al. 2017

Med Surg Urol

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Purpose: To describe genitourinary emergencies at the university hospital in cotonou Material and Methods: This was retrospective descriptive study covering a period of 6 years running January 1, 2011 to January 1, 2017. All patients aged at least 15 years regardless of the sex were involved. We did not involve in this study, patients under aged 15 years old who have supported by the Pediatric surgery department. All departments were concerned by the study: Emergency department, surgery, traumatology, medicine cardiology, nephrology, internal medicine, haematology, rheumatology, neurology, reanimation and gynecology departments. The following items were studied: age, sex, complaints, etiologies and emergencies kinds. Results:The average age of patients was 51.4 years old (15 years' old-100 years old). Genitourinary emergencies were accounted for 5.4%. A male predominance was noted in 88.6% against 11.4% women. The sex ratio was 7.7. The 55% patients were referred against 45% were admitted. Over 6 year's period on the study, 46 cases of genitourinary emergencies opinion were done in eleven departments Anesthesia-reanimation department predominance was noted in 32.61%. In emergency department we were seen 391 patients for genitourinary emergencies. The discovery circumstances were urine complete retention in 45.49% with 43.40% of non-traumatic urine complete retention against 2.09% urine complete retention for traumatic urinary tract following up by genitourinary trauma in 19.8%. Conclusion:Genitourinary emergencies are different group of pathologies or symptoms.

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Fistulae and Sinuses

Jones¹,

Aboumarzouk²

2019

Blandy's Urology

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Les complications urologiques de la chirurgie gynécologique

Cited by 21 publications

References 7 publications

Urologic Complications after Gynaecologic and Obstetric Surgery at the Urology-Andrology Teaching Clinic of Teaching Hospital of Cotonou

Urologic Complications after Gynaecologic and Obstetric Surgery at the Urology-Andrology Teaching Clinic of Teaching Hospital of Cotonou

Genitourinary Emergencies at University Hospital in Cotonou: About 437 Patients

Fistulae and Sinuses

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