Author(s)

Ouattara Adama^1*, Kaboré Francois Xavier Gueswendé¹, Sib Sansan Rodrigue², Millogo/Traoré Françoise Danielle¹, Ouedraogo Issa², Touré Boubakar¹, Ouédraogo Ali¹, Ouédraogo Marie Charlemagne¹, Thieba/Bonane Blandine¹

¹Gynecologist Obstetrician at the University Teaching Hospital of Ouagadougou, Ouagadougou, Burkina Faso.
²Gynecologist Obstetrician at the Regional Hospital of Ouahigouya, Ouahigouya, Burkina Faso.

Objective: To describe the indications and the prognosis of the hysterectomy operation in the obstetrics and gynecology department at the UTH-YO, Ouagadougou, Burkina Faso. Methodology: It has been a descriptive cross-sectional study over a period of 18 months from 1 January 2014 to 30 June 2015 in the obstetrics and gynecology department of the UTH-YO. The variables studied were demographics, clinical and prognostic aspects. Results: During the study period, we recorded 128 cases of hysterectomies including 20 obstetric causes (15.62%) and 108 gynecological cases (84.38%). The incidence of hysterectomy was 3 per 1000 births. Gynecological indications were dominated by uterine fibroids (47.3%), genital prolapse (20.4%), cervical dysplasia (9.3%) and functional bleeding (7.4%). Obstetric indications were dominated by uterine ruptures (60%), the postpartum haemorrhage (15%). The prognosis of obstetric indications was marked by 5 cases of bladder lesions or a morbidity rate of 3.9% and 4 deaths that to say a fatality rate of 3.1%. Conclusion: The prognosis of hysterectomies should be improved with further training of health workers in surgical techniques, the adoption of strategies to reduce maternal mortality and community awareness in attendance at health facilities.

Hysterectomy, Indications, Prognosis, Ouagadougou

Adama, O. , Gueswendé, K. , Rodrigue, S. , Danielle, M. , Issa, O. , Boubakar, T. , Ali, O. , Charlemagne, O. and Blandine, T. (2017) Indications and Prognosis of the Hysterectomy Operation in the Obstetrics and Gynecology Department at the University Teaching Hospital of Ouagadougou (UTH-YO), Burkina Faso. Open Journal of Obstetrics and Gynecology, 7, 1239-1246. doi: 10.4236/ojog.2017.713126.