TITLE:
Surgical Treatment of Urological Complications of Gynecological and Obstetric Surgeries at the University Hospital of Conakry Guinea
AUTHORS:
Abdoulaye Bobo Diallo, Telly Sy, Thierno Mamadou Oury Diallo, Alpha Boubacar Bah, Aboubacar Touré, Mamadou Diawo Bah, Mamadou Bobo Diallo
KEYWORDS:
Lesions, Bladder, Ureter, Treatment, Surgery
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.12,
December
18,
2015
ABSTRACT: Objective: To analyze the management of
urological complications of gynecologic and obstetric surgeries. Material and
Methods: We retrospectively studied 39 patients hospitalized in the Department
of Urology of the Conakry Teaching Hospital for urological complications of
gynecological surgery, during 9 years. The epidemiological, diagnostic,
surgical and outcome parameters have been analyzed. Results: The urological
complications of gynecologic surgery represent 0.29% of admissions in the
Department of Urology. The mean age was 31 years with extremes of 18 and 47
years. Etiological factors were dominated by caesarean section with 74.36% of
cases. The main lesions observed were vesico-vaginal and uretero-vaginal
fistulas respectively 43.6% and 41.2% of cases. The mean delay of diagnosis was
5 months (extreme: 7 days to 3 years). Urine leakage from the vagina was the
main symptom. The surgical treatment consisted in 17 surgeries for
vesico-vaginal fistulas, 16 surgeries for uretero-vesical reimplantation, 2
surgeries for termino terminal ureterorraphia, 2 surgeries for vesico-uterine
fistulas and 1 surgery for hysterectomy. Healing was obtained in all ureteral
injuries and we noted two cases of failure in vesico-vaginal fistula.
Conclusion: urological complications of gynecologic surgery remain frequent.
They are dominated by the vesico-vaginal and uretero-vaginal fistulas and the
main etiology is caesarean section. The treatment is surgical in our context.