1. [Urological complications of gynecologic surgery].
- Author
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Bouya PA, Odzébé AW, Otiobanda FG, Itoua C, Mahoungou-Guimbi K, Banga MR, Andzin M, Ondongo-Atipo M, Ondzel S, and Avala P
- Subjects
- Adolescent, Adult, Aged, Congo epidemiology, Cross-Sectional Studies, Female, Fistula epidemiology, Fistula surgery, Genital Diseases, Female diagnosis, Genital Diseases, Female epidemiology, Hematuria etiology, Hospitals, University, Humans, Middle Aged, Nephrectomy, Retrospective Studies, Risk Factors, Treatment Outcome, Ureter injuries, Ureteral Diseases etiology, Urinary Bladder injuries, Urinary Bladder Fistula etiology, Urinary Incontinence epidemiology, Urinary Incontinence surgery, Urologic Surgical Procedures, Uterine Diseases etiology, Vesicovaginal Fistula etiology, Fistula etiology, Genital Diseases, Female etiology, Genital Diseases, Female surgery, Gynecologic Surgical Procedures adverse effects, Inpatients statistics & numerical data, Urinary Incontinence etiology
- Abstract
Objective: To analyze the epidemiological, anatomoclinical, surgical and evolutionary aspects of the urological complications of gynecological surgery., Material and Methods: It was about a retrospective survey, concerning 81 patients hospitalized in the department of urology of the university hospital, Brazzaville from 2000 to 2008 for urological complications of the gynecological surgery. The epidemiological, diagnostic, surgical and evolutionary parameters have been analyzed., Results: The urological complication of the gynecological surgery has been recovered in 3% of patients hospitalized in urology. The middle age was 37±14.52 years (17 and 74 years). The median was about 36 years. The middle delay of diagnosis was 15 days (0 and 350 days). The revealing clinical signs were: the oligoanuria (n=12), the urinary incontinence (n=57), the lumbar pain (n=9) and the cyclic hematuria (n=2). The surgical interventions in reason were: the Caesarean (n=50), the hysterectomy for fibroma (n=26), the myomectomy (n=3) and the hysterectomy for cancer (n=2). Anatomical lesion were 55 (67.9%) vesicovaginal fistulas, 12 (14.8%) ureteral ligatures, eight (10%) uretero-vaginal fistulas, three (3.7%) vesico-uterine fistulas, two (2.4%) wounds ureteral and one (1.2%) vaginal vesico-fistulas and uretero-vaginal fistulas. The treatment consisted in one termino-terminal ureterorraphia, 20 uretero-vesical reimplantation, 57 cures of vesico-vaginal fistulas and one nephrectomy. The recovery was obtained at 96% of the ureteral lesions and 90% of the vesico-vaginal fistulas., Conclusion: The lesions of the ureteral and the bladder were often met during the gynecological surgery. The treatment requires knowledge of the anatomy of pelvis., (Copyright © 2011 Elsevier Masson SAS. All rights reserved.)
- Published
- 2011
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