Publications Scientifiques

[ Article ] Retrospective View of Two Years of Colposcopy Practice in a Gynecologic Clinic in Cotonou

Date de soumission: 19-02-2018
Année de Publication: 2017
Entité/Laboratoire Unité de Gynécologie Obstétrique
Document type : Article
Discipline(s) : Médécine de la reproduction ( Gynécologie, Andrologie, obstétique)
Titre Retrospective View of Two Years of Colposcopy Practice in a Gynecologic Clinic in Cotonou
Auteurs TOGNIFODE Véronique [1], DENAKPO Justin Lewis [2], ABOUBAKAR MOUFALILOU [3], OGOUDJOBI OGOURINDÉ MATHIEU [5], LOKOSSOU Mègnissè Sèna H. S. [6], TONATO BAGNAN Josiane Angeline [7], PERRIN RENÉ-XAVIER [8],
Journal: Open Journal of Obstetrics and Gynecology
Catégorie Journal: Internationale
Impact factor: 6
Volume Journal: 7
DOI: 10.4236/ojog.2017.72024
Resume Objective : To analyse the colposcopy results at the Gynaecological Clinic of Houéyiho. Patients and methods : Retrospective, descriptive and analytical studies were conducted by the Clinic of Houeyiho in Cotonou from January 2013 to December 2015. Results : 440 women were received in colposcopy including 251 (57%) referred by health workers for VIA (Visual Inspection with Acétique Acid)/VILI (Visual Inspection with Lugol’s Iodine) abnormalities, forty-seven (47) for abnormal smears (10.7%), thirty-eight (38) for metrorrhagia (8.6%). 10% of cases were mainly concerned with post-therapeutic monitoring (six colposcopies of the vagina fundus after hysterectomy for cervical cancer and four after conization). The average age of patients is 41 years within plus or minus 5 years. Forty (40) cases of Grade 1 Atypical Transformation, twenty-nine (29) cases of Grade 2 Atypical Transformation including two (2) cases of leukoplakia (1 post-conization for CINIII, 1 in a HIV+ patient), ten (10) cases of Grade 1 Atypical Transformation/Grade 2 Atypical Transformation association were recorded. A colposcopy biopsy was performed in 95 patients meaning 21.6% of patients. Five biopsies were realized for a cervical neoplasia suspicion and were sent to Pasteur Cerba laboratory in France for the sake of efficiency and rapidity of results. In Grade 1 Atypical Transformation, 66.6% of CIN1 and condylomata plana were noted. Nevertheless, a case of mucinous adenocarcinoma with metaplasia has been discovered in a TAG1 with a 23-year old patient. In Grade 2 Atypical Transformation, the histology reveals 44.4% of CIN 1, 40.7% of severe dysplasia and 11.1% of carcinomas. Conclusion: The colposcopy may be a good screening method with a good colpo-histology agreement in Cotonou. But it’s relatively expensive (20.000 CFA francs) and the reduced number of colposcopists restricts its use in Benin.
Mots clés Colposcopy, Cervical Smear, Precancerous Lesions, Histology, Benin
Pages 226 - 234
Fichier (PDF)

Publications par entité

  • Centre de Formation et de Recherche en matière de Population (CEFORP) (15)
  • Centre Interfacultaire de Formation et de Recherche en Environnement pour le Développement Durable (CIFRED) (18)
  • Chaire Internationale en Physique Mathématique et Applications (CIPMA-Chaire UNESCO) (16)
  • Ecole Nationale d'Administration et de Magistrature (ENAM) (47)
  • Ecole Nationle d'Economie Appliquée et de Management (81)
  • Ecole Normale Supérieure (24)
  • Ecole Polytechnique d'Abomey-Calavi (EPAC) (876)
  • Faculté de droit et de Science Politique (FADESP) (57)
  • Faculté des Lettres et Sciences Humaines (FLASH) (888)
  • Faculté des Sciences Agronomiques (1429)
  • Faculté des Sciences de la Santé (FSS) (1743)
  • Faculté des Sciences Economiques et de Gestion (FASEG) (143)
  • Faculté des Sciences et Techniques (FAST) (786)
  • Faculté des Sciences Humaines et Sociales (FASHS) (19)
  • Institut de Formation et de Recherche en Informatique (IFRI) (72)
  • Institut de Mathématiques et de Sciences Physiques (IMSP) (72)
  • Institut National de l'Eau (INE) (13)
  • INSTITUT NATIONAL DE LA JEUNESSE DE L’EDUCATION PHYSIQUE ET SPORT(INJEPS) (192)
  • Institut National des Métiers d'Art d'Archéologie et de la Culture (INMAAC) (4)
  • Institut National Médico Sanitaire ( INMeS) (0)
  • Institut Régional de Santé Publique (IRSP) (51)

Publications par sexe

  • Femme( 994 )
  • Homme (