| Titre |
Urologic Complications after Gynaecologic and Obstetric Surgery at the Urology-Andrology Teaching Clinic of Teaching Hospital of Cotonou |
| Auteurs |
HOUNNASSO PRINCE PASCAL [1],
AVAKOUDJO JOSUÉ DEJINNIN GEORGES [2],
BABADI Naméoua [3],
PARE A. [4],
OUATTARA A. [5],
VODOUNOU A. [6],
AGOUNKPE M. M. [7],
|
| Journal: |
Open Journal of urology |
| Catégorie Journal: |
Internationale |
| Impact factor: |
0 |
| Volume Journal: |
4 |
| DOI: |
10.4236/oju.2014.410021 |
| Resume |
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 year 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 gynecological
surgery in 22 cases (53.7%) and hysterectomy in 19 cases (46.3%). Clinically, the predominant
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 Cotonou
had an even higher incidence. Early diagnosis especially during the operative 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. |
| Mots clés |
Urological Complications, Gynaecological and Obstetrical Surgery, Cotonou |
| Pages |
121 - 125 |
| Fichier |
 (PDF) |