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Bouya, P.A., Odzébé, A.W.S., Otiobanda, F.G., Itoua, C., Mahoungou-Guimbi, K., Banga, M.R., Andzin, M., Ondongo-Atipo, M., Ondzel, S. and Avala, P. (2011) Les complications urologiques de la chirurgie gynécologique. Progrès en urologie, 21, 875-878.
https://doi.org/10.1016/j.purol.2011.03.008

has been cited by the following article:

  • TITLE: Management of Urological Lesions Secondary to Obstetrical Gyneco Surgery in the Urology Department of the Gabriel Toure University Hospital Centre

    AUTHORS: Amadou Berthé, Mamadou Tidiane Coulibaly, Adama Toutou Diallo, Moumine Zié Diarra, Ibrahim Yattara, Zanafon Outtara, Amidou Domegué Ouattara, Thièrno Madane Diop

    KEYWORDS: Urologic Lesions, Gyneco-Obstetrical Surgery

    JOURNAL NAME: Surgical Science, Vol.9 No.7, July 12, 2018

    ABSTRACT: Summarizes: The objective of this work was to study the clinical, diagnostic, therapeutic and evolutionary aspects of urological lesions secondary to gynaeco-obstetrical surgery in the urology department of the Gabriel Touré University Hospital. Material and method: It was a transversal and retrospective study carried out in the urology department of the Gabriel Touré University Hospital Centre in Bamako over 8 years. It focused on the files of 25 patients operated on for a urological lesion secondary to gynaeco-obstetrical surgery. Sociodemographic, epidemiological, diagnostic, therapeutic and evolutionary parameters were analysed. Results: Urologic lesions secondary to gynaeco-obstetrical surgery were found in 0.72% of urologically operated patients. The mean age of the patients was 39 ± 10.4 years (extremes: 18 and 60 years). The average time to diagnosis was 121, 88 ± 15 days (extremes: 0 and 365 days). Clinical signs were: oligo anuria (16%), urine leakage (52%), lumbar pain (24%). The diagnosis was made by the methylene blue test in 56% of patients, by the uro-scanner (20%) and by intravenous urography (16%). In 8% of patients, the diagnosis was made during surgery. The surgical interventions involved were: hysterectomy (48%), cesarean section (40%), genital prolapse cure (8%), ovarian cystectomy (4%). Lesions were dominated by vaginal vesico fistulas (48%) followed by ureterovaginal fistulas (20%), ureteral ligatures (16%). Treatment consisted of ureterovesical reimplantation according to Lich Gregory with ureteral intubation (36%), fistulography (48%). Healing was achieved in 92% of patients. Conclusion: Hysterectomy for cervical malignancy and cesarean section are the main etiologies of urological lesions secondary to gynaeco-obstetrical surgery. Open surgery is the only alternative for the management of these lesions in our context. Controlling anatomy is the main preventive measure.