TITLE:
Suprapubic Cystostomy at Urological Emergency Unit of CHU-YO, Ouagadougou, Burkina Faso: Indications, Technique and Complications
AUTHORS:
Barnabé Zango, Fasnéwindé A. Kaboré, Moussa Kaboré, Brahima Kirakoya, Bienvenue D. Ky, Boukary Kabré, Clôtaire Alexis Marie Kiemdiba Donega Yameogo, Adama Ouattara, Timothée Kambou
KEYWORDS:
Cystostomy, Acute Urinary Retention, Complications
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.4,
April
22,
2016
ABSTRACT: Introduction: Cystostomy allows under certain circumstances
deriving the urine. This is the most performed surgery in uro-andrological
emergencies. Complications can occur. We aim to analyze the indications,
technical aspects and complications of suprapubic cystostomies in the
urological emergency unit at CHU-YO. Patients and Methods: Between October 2013
and May 2014 we conducted a prospective study of all patients who underwent
suprapubic cystostomy. Results: 86 cases of cystostomy were noted or 77.5% of
surgical procedures performed in uro-andrological emergency. All patients were
male. The average age of patients was 52.5 years. The AUR represented 88.4% of
indications. The prostate tumor represented 65.8% of the etiologies of AUR. The
cystostomy was performed under local anesthesia in 87.2% of cases. Peritoneal
gap was noted in 5.8%, parietal suppuration in 12.8%. A death by generalized
acute peritonitis was noted in one case. Conclusion: Suprapubic cystostomy
presents a non-negligible morbidity and mortality and must be mastered.