Author(s)

Abdoulaye Bobo Diallo^1*, Telly Sy², Thierno Mamadou Oury Diallo¹, Alpha Boubacar Bah³, Aboubacar Touré³, Mamadou Diawo Bah¹, Mamadou Bobo Diallo¹

¹Service d’Urologie-Andrologie, CHU de Conakry, Conakry, Guinée.
²Service de Gynécologie-Obstétrique, CHU de Conakry, Conakry, Guinée.
³Service de Chirurgie Générale, CHU de Conakry, Conakry, Guinée.

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.

Lesions, Bladder, Ureter, Treatment, Surgery

Diallo, A. , Sy, T. , Oury Diallo, T. , Bah, A. , Touré, A. , Bah, M. and Diallo, M. (2015) Surgical Treatment of Urological Complications of Gynecological and Obstetric Surgeries at the University Hospital of Conakry Guinea. Open Journal of Urology, 5, 231-237. doi: 10.4236/oju.2015.512037.