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[Urological complications of gynecologic surgery].
- Source :
-
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [Prog Urol] 2011 Nov; Vol. 21 (12), pp. 875-8. Date of Electronic Publication: 2011 May 07. - Publication Year :
- 2011
-
Abstract
- Objective: To analyze the epidemiological, anatomoclinical, surgical and evolutionary aspects of the urological complications of gynecological surgery.<br />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.<br />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.<br />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.<br /> (Copyright © 2011 Elsevier Masson SAS. All rights reserved.)
- 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
Subjects
Details
- Language :
- French
- ISSN :
- 1166-7087
- Volume :
- 21
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
- Publication Type :
- Academic Journal
- Accession number :
- 22035914
- Full Text :
- https://doi.org/10.1016/j.purol.2011.03.008