Quel suivi après traitement chirurgical d’une lésion de haut grade du col utérin ?

Mergui, J.-L.; Lévèque, Jean

doi:10.1016/j.gyobfe.2008.02.011

Cited by 11 publications

(1 citation statement)

References 81 publications

(85 reference statements)

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“…12 Some authors consider gestiture as a cofactor linked to uncontrolled sexual activity or unplanned maternity. 13 This is consistent with our work, where the percentage of positive HPV tests was higher in multigestational and multiparous women. Our study…”

Section: Sociodemographic Factorssupporting

confidence: 93%

Profile of patients with HPV infection at the regional hospital of Saint-Louis, Senegal

Thiam,

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Objectives of current study was to define the sociodemographic characteristics of patients, to determine the frequency of HPV infection at the CHRSL and to describe factors associated with HPV infection. Methods: This was a prospective cross-sectional study conducted in the gynecology-obstetrics department of the Saint Louis Regional Hospital Center from November 11, 2019 to November 11, 2021, a period of 24 months. We studied sociodemographic, clinical and test results characteristics. Samples were taken from patients in the gynaecological position using a dedicated kit (cytobrush and tube). Viral research was carried out using the Atila Biosystems device for amplification and detection of viral DNA. This test genotypes HPV 16, 18 and 45, and detects 12 other HR HPVs (31, 33, 35, 39, 51, 52, 56, 58, 59, 66 and 68) simultaneously using three probes labelled with different fluorophores. Analysis was performed using Epi-Info software and Excel 2010. Results: The study population comprised 128 patients. The mean age of the patients was 41.95 years, with extremes of 23 and 70 years. They were married (92.97%) and housewives (46.88%). Almost all patients (77.34%) were genitally active. The average age at marriage was 21.78 years, and polygamous households predominated (53.91%). The average age at first intercourse was 20.05 years. The average age at first pregnancy was 21.78. Over (57.81%) of patients had at least two partners. Incense was used in 97.66% of cases. The viral HPV test was positive in (38.28%) of patients. High-risk papillomaviruses were the most common, at 63.27%. Colposcopy was performed in 17.19%; normal and satisfactory in (63.64%) of patients, with 22.27% of cervical biopsies, and histology showed one CIN2 and two CIN3. Therapeutically, one thermoablation and two hysterectomies were performed. Conclusions: HPV viral typing in primary screening for cervical cancer offers opportunities and remains realistic and feasible in less developed countries such as Senegal, despite modest resources.

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Section: Sociodemographic Factorssupporting

confidence: 93%