Author(s)

Mamadou Bakary Coulibaly^1*, Mody Abdoulaye Camara², Alassane Traoré¹, Mamadou Keïta³, Bourama Kané⁴, Abdramane Togo¹, Issa Ongoiba¹, Kalba Tembiné⁵, Amadou Sidibé⁵, Baba Fané⁶, Ibrahima Tégueté⁷, Youssouf Traoré⁷

¹Gynecology Department of Hôpital du Mali, Bamako, Mali.
²Medical Imaging Department of Hôpital du Mali, Bamako, Mali.
³Referral Health Center of Commune VI of the District of Bamako, Bamako, Mali.
⁴Pediatrics Department of Hôpital du Mali, Bamako, Mali.
⁵Anesthesia and Intensive Care Unit Hôpital du Mali, Bamako, Mali.
⁶Biomedical Department of Hôpital du Mali, Bamako, Mali.
⁷Department of Gynecology Obstetrics, UTH Gabriel Touré, Bamako, Mali.

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.

Genital Prolapse, Therapeutic Attitudes, Hôpital du Mali

Coulibaly, M. , Camara, M. , Traoré, A. , Keïta, M. , Kané, B. , Togo, A. , Ongoiba, I. , Tembiné, K. , Sidibé, A. , Fané, B. , Tégueté, I. and Traoré, Y. (2023) Clinical and Therapeutic Aspects of Genital Prolapse at Hôpital du Mali about 100 Cases. Open Journal of Obstetrics and Gynecology, 13, 121-132. doi: 10.4236/ojog.2023.131014.