Les complications urologiques de la chirurgie gynécologique. À propos de 16 cas

Diallo, Mamadou Bobo; Diallo, Abdoulaye; Sow, K.B; Guirassy, S; Diallo, I

doi:10.1016/s0003-4401(01)00034-1

Cited by 4 publications

(3 citation statements)

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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: 89%

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: 89%

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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“…Au CHU de Brazzaville, elles ont représenté 81 patientes hospitalisées en neuf ans. Diallo [4] en Guinée Conakry a rapporté 16 cas pendant la même durée. Dans une série plus importante, El-Tabey a rapporté 120 traumatismes urologiques en 18 ans [5].…”

Section: Discussionunclassified

“…Dans la série de Diallo [4], 80 % des patientes avaient un âge compris entre 18 et 47 ans. L'âge avancé dans notre travail pouvait s'expliquer par le long délai de prise en charge, la pratique fréquente des hystérectomies pour pathologie bénigne, qui se faisait en général chez des sujets âgés.…”

Section: Discussionunclassified