TITLE:
Vaginal Bleeding in the Nonpregnant Patient Received in Emergency at Yalgado Ouedraogo University Hospital of Ouagadougou, Burkina Faso
AUTHORS:
Yobi Alexis Sawadogo, Boubakar Toure, Issa Ouedraogo, Sibraogo Kiemtore, Dantola Paul Kain, Adama Ouattara, Hyacinthe Zamane, Ali Ouedraogo, Blandine Thieba
KEYWORDS:
Metrorrhagia, Gynecology, Aetiology, Treatment, Ouagadougou
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.10,
August
24,
2018
ABSTRACT: Objective: To describe the epidemiological, clinical and therapeutic aspects of
cases of vaginal bleeding in the nonpregnant patient
received in emergency at Yalgado OUEDRAOGO University Hospital. Materials
and Methods: It was a retrospective and descriptive study that involved the
clinical records of 326 patients collected from January 01, 2009 to
December 31, 2013. Results: The average age of
women was 47 years old with extremes at 12 and 82 years old. Women of
childbearing age accounted for 61.6% and postmenopausal women 18.7%. 70.7% of
women were pauciparous or nulliparous. Menorrhagia and pelvic pain were
the main signs associated. This symptomatology required hospitalization in
85.2% of cases. The main aetiologies were uterine myomas 49.69%, cervical cancer
23% and functional metrorrhagia 11.04%. Progestin was the most used drug in
67.1% of cases. Total abdominal hysterectomy and abdominal myomectomy were the
most commonly used surgical methods with 22.3%, 44.4% of cases. Eleven death
cases were observed. Conclusion: Gynecological metrorrhagia is more
common in women of childbearing age than in menopausal women. The main causes
are fibroma, cervical cancer and functional metrorrhagia.