Author(s)

Mèdessè Véronique Tognifode^1*, Justin Lewis Denakpo², Moufalilou Aboubakar², Luc Brun³, Mathieu Ogoudjobi¹, Symphorose Lokossou¹, Angeline Tonato Bagnan², René Xavier Perrin²

¹University-Affiliated Hospital of the Department of Ouémé-Plateau (CHUD-OP), Porto Novo, Benin.
²University-Affiliated Hospital for Children and Mothers (CHU-MEL), Cotonou, Benin.
³Anatomopathology Unit of the University-Affiliated Hospital of the Department of BORGOU (CHUD/B), Parakou, Benin.

Objective: To analyse the colposcopy results at the Gynaecological Clinic of Houéyiho. Patients and methods: Retrospective, descriptive and analytical studies were conducted by the Clinic of Houeyiho in Cotonou from January 2013 to December 2015. Results: 440 women were received in colposcopy including 251 (57%) referred by health workers for VIA (Visual Inspection with Acétique Acid)/VILI (Visual Inspection with Lugol’s Iodine) abnormalities, forty-seven (47) for abnormal smears (10.7%), thirty-eight (38) for metrorrhagia (8.6%). 10% of cases were mainly concerned with post-therapeutic monitoring (six colposcopies of the vagina fundus after hysterectomy for cervical cancer and four after conization). The average age of patients is 41 years within plus or minus 5 years. Forty (40) cases of Grade 1 Atypical Transformation, twenty-nine (29) cases of Grade 2 Atypical Transformation including two (2) cases of leukoplakia (1 post-conization for CINIII, 1 in a HIV+ patient), ten (10) cases of Grade 1 Atypical Transformation/Grade 2 Atypical Transformation association were recorded. A colposcopy biopsy was performed in 95 patients meaning 21.6% of patients. Five biopsies were realized for a cervical neoplasia suspicion and were sent to Pasteur Cerba laboratory in France for the sake of efficiency and rapidity of results. In Grade 1 Atypical Transformation, 66.6% of CIN1 and condylomata plana were noted. Nevertheless, a case of mucinous adenocarcinoma with metaplasia has been discovered in a TAG1 with a 23-year old patient. In Grade 2 Atypical Transformation, the histology reveals 44.4% of CIN 1, 40.7% of severe dysplasia and 11.1% of carcinomas. Conclusion: The colposcopy may be a good screening method with a good colpo-histology agreement in Cotonou. But it’s relatively expensive (20.000 CFA francs) and the reduced number of colposcopists restricts its use in Benin.

Colposcopy, Cervical Smear, Precancerous Lesions, Histology, Benin

Tognifode, M. , Denakpo, J. , Aboubakar, M. , Brun, L. , Ogoudjobi, M. , Lokossou, S. , Bagnan, A. and Perrin, R. (2017) Retrospective View of Two Years of Colposcopy Practice in a Gynecologic Clinic in Cotonou. Open Journal of Obstetrics and Gynecology, 7, 226-234. doi: 10.4236/ojog.2017.72024.