TITLE:
Clinical and Therapeutic Aspects of Genital Prolapse at Hôpital du Mali about 100 Cases
AUTHORS:
Mamadou Bakary Coulibaly, Mody Abdoulaye Camara, Alassane Traoré, Mamadou Keïta, Bourama Kané, Abdramane Togo, Issa Ongoiba, Kalba Tembiné, Amadou Sidibé, Baba Fané, Ibrahima Tégueté, Youssouf Traoré
KEYWORDS:
Genital Prolapse, Therapeutic Attitudes, Hôpital du Mali
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.1,
January
31,
2023
ABSTRACT: To study the epidemio-clinical aspects, and the therapeutic attitudes of
genital prolapse (GP) in the gynecology department of Hôpital du Mali (HDM). This is a descriptive retro-prospective study over
five (5) years from January 2015 to December 2019, conducted in the gynecology
department of HDM. We had collected 100 cases of GP out of 989 surgeries, with
a frequency of 9.89%. The age group of 60 years and over accounted for 33% of
our patients, with a mean age of 50 years. Multiparous were the most affected
(89%). The notion of obstructed labor was observed in 52% of patients. The most
found reason for consultation was the feeling of lump in a vagina, with 65%.
Grade III according to BADEN-WALKER classification system (BWCS) concerned 72%
of our patients. Triple perineal surgery and hysterectomy involved 56% of our
patients. Spinal anesthesia was performed in 96% of cases. Per and postoperative
complications were dominated by urinary retention in 4% and by infection of the
surgical site in 2%. The average hospital stay was 3.2 days. We recorded 88% of
satisfied patients after the intervention. No deaths were recorded during the
study. The management of genital prolapse remains essentially surgical; it
requires a semiological analysis and a mastery of the surgical technique.