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Pattern of Ureteric Pathology Presenting to a Fistula Centre in Western Kenya
- Source :
- Advances in Urology, Vol 2018 (2018), Advances in Urology
- Publication Year :
- 2018
- Publisher :
- Hindawi Limited, 2018.
-
Abstract
- Background. Ureteric pathology arises from surgical misadventures, trauma, and congenital anomalies. Early detection and treatment is of the essence. Objectives. To determine the types/etiology and outcome of ureteric pathology presenting to Gynocare Fistula Centre, Eldoret, Kenya. Methods. Descriptive retrospective study that evaluated patients presenting with ureteric pathology at Gynocare between 1st January 2012 and 31st December 2016. We pulled out patient charts and extracted and analyzed relevant data using STATA 13E statistical software. Results. We analyzed 33 charts, and their age ranged from 10 to 58 years. Annual proportion for 2012, 2013, 2014, 2015, and 2016 was 2.5%, 2.8%, 1.2%, 1.4%, and 3.0% respectively among all the fistula patients treated in the hospital. All the patients presented with urinary incontinence, and 7 (21.2%) had flank pain. Iatrogenic injuries contributed 84.8% (28), and 3 (9.1%) were congenital while trauma and infection had 1 each. Of those resulting from surgical misadventures, 17 (60.7%) were from obstetric while 11 (39.2%) were from gynecological surgery. All the injuries were in the distal third of the ureter; 5 were bilateral; and 11 were left sided while 17 were right-sided. Repair and/or reimplantation was successful in 31 (93.93%) of the patients. Conclusion. Highest proportion of ureteric pathologies was accounted for by iatrogenic causes and surgical repair and/or reimplantation has a high success rate.
- Subjects :
- Pathology
medicine.medical_specialty
Article Subject
Urology
Fistula
medicine.medical_treatment
Urinary incontinence
030230 surgery
lcsh:RC870-923
Left sided
03 medical and health sciences
0302 clinical medicine
Ureter
medicine
030212 general & internal medicine
Gynecological surgery
Surgical repair
business.industry
Obstetrics and Gynecology
Retrospective cohort study
medicine.disease
lcsh:Diseases of the genitourinary system. Urology
medicine.anatomical_structure
Etiology
medicine.symptom
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 16876377 and 16876369
- Volume :
- 2018
- Database :
- OpenAIRE
- Journal :
- Advances in Urology
- Accession number :
- edsair.doi.dedup.....96f9901e1100b86d47d1cff0ce3298c6