Author(s)

Alimou Diallo¹, Karifa Oulare², Alpha Oumar Barry², Thierno Oumar Diallo², Daouda Kanté², Ibrahima Bah², Abdoulaye Bobo Diallo², Oumar Raphiou Bah²

¹Department of Urology, Sino-Guinean Friendship Hospital, Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
²Department of Urology, National Ignace Deen Hospital, Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.

Context and Objective: Groin hernia is a common pathology in visceral surgery (2nd rank after appendicitis), which affects approximately 4.6% of the African population. Restoring the normal anatomy of the groin region is one of the most benign interventions. However, uro-andrological complications are possible. This study aimed to contribute to the improvement of the management of urogenital complications of groin hernia surgery. Patients and Method: We carried out a prospective study of descriptive type with a duration of 6 months from 1 August 2021 to 31 January 2022. The data were collected using a pre-established survey sheet. The study covered several sites (public hospitals and private clinics) in Guinea. Results: The urogenital complications of the surgery of the hernia of the groin represented 15.22% or 14 cases out of 92 patients. The average age was 37.00 years with extremes of 20-69 years. Polygamists occupied the first place. The reason for consultation was dominated by decreased testicular volume (42.86%), followed by a desire to conceive (21.43%). Unilateral testicular atrophy represented 63.64%, bilateral 27.27%. We performed a left orchidectomy in one patient and a cystorraphy in another simple operative follow-up. The other cases consisting of testicular atrophy, due to lack of a suitable technical platform, did not benefit from any specific therapeutic treatment. Conclusion: Urogenital complications of groin hernia surgery are relatively common. Testicular atrophy was the main clinical complication. The left orchidectomy and cystorraphy were the therapeutic procedures performed.

Hernia of the Groin, Herniorraphy, Testicular Atrophy, Orchidectomy, Cystorraphy

Diallo, A. , Oulare, K. , Barry, A. , Diallo, T. , Kanté, D. , Bah, I. , Diallo, A. and Bah, O. (2024) Urogenital Complications of Groin Hernia Surgery: A Multicentre Study in Guinea. Open Journal of Urology, 14, 173-178. doi: 10.4236/oju.2024.143017.