Aspect évolutif des lésions anatomo-cliniques des fistules urogénitales (FUG) dans le service d’urologie du CHU de Cocody de 1990 à 2011

Konan, P. G.; Dékou, A; Gowe, E.; Vodi, C.; Fofana, A.; Kramo, N.; Diomande, F.; Nigué, L.; Ouegnin, G. A.; Manzan, K.

doi:10.1016/j.purol.2015.03.002

Cited by 9 publications

(8 citation statements)

References 11 publications

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“…This distribution could be explained by the clinical condition of the patients dominated by urinary retentions. By agreeing with some authors in their conclusions, we can therefore justify the involvement of TURP as the technique of choice in the management of lower urinary tract disorders with obstructive syndromes [9][10][11]. The low risk associated with this technique also gives it a privileged status and here the importance of endoscopy in the management of obstructive disorders.…”

Section: A) Discussion Of the Results Of The Survey With Patientssupporting

confidence: 63%

Study of the Prevalence and the Incidence of the Prostate Cancer in the North-Cameroon: Means and Costs of Management

Pabame

Kamdje

Tagne

et al. 2021

J. Can. Res. Updates

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Introduction: The high mortality rate of prostate cancer in Cameroon, its high incidence, its prevalence, the lack of epidemiological data for the north which for the case is the poorest area of the country led us to conduct this study with for the purpose of presenting the epidemiological, clinical and para-clinical aspects, the cost and means of management with a view to setting up adequate management policies. Patients and Methods: We conducted a cross-sectional analytical study in the city of Ngaoundéré for a period of 5months. The data were obtained after a survey of patients and collection of results from the pathology registry of the Islamic clinic of Adamawa three months before the start of our study. Results: The prevalence and incidence of prostate cancer were 28.7% and 24.32%, respectively. The average age of prostate cancer patients was 66.5 years. Gleason scores were less than 6 in 44.44% of cases. Risk factors related to familial cancer cases were difficult to determine. The symptoms were dominated in patients by urinary retention associated with polyuria, dysuria and pollakiuria. The means and costs of care were scalable depending on the difficulty of achieving the technique.Conclusion: Prostate cancer remains a real health problem in the north because of its incidence and high prevalence and requires the implementation of a government policy of care.

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Section: A) Discussion Of the Results Of The Survey With Patientssupporting

confidence: 63%

Study of the Prevalence and the Incidence of the Prostate Cancer in the North-Cameroon: Means and Costs of Management

Pabame

Kamdje

Tagne

et al. 2021

J. Can. Res. Updates

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“…Regarding the types of fistula, ureterovaginal fistulas are the most common anatomo-clinical aspect with a rate of 36.9%. This rate is higher than those of Sanda G [6] in Niger in 2016 and Konan P [12] in Côte d'Ivoire in 2015, who found a rate of 22.5% and 11.43% respectively. This difference could be explained by the fact that the study focused solely on upper urogenital fistulas, unlike some authors who have conducted their studies on urogenital fistula globally, where certain anatomo-clinical types predominate over ureterovaginal fistulas.…”

Section: Discussionmentioning

confidence: 57%

Upper Tract Treatment of Urogenital Fistulas at the National Fistula Treatment Center (CNTF)

Mahamat,

Valentin,

Haroun

et al. 2024

OJU

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Introduction: Urogenital fistula is the existence of an abnormal pathway between a urinary organ and a genital organ. It is a public health problem because of its frequency and social aspect. The aim of this study was to analyse the management of urogenital fistulas by the upper route at the National Fistula Treatment Centre in N'Djamena. Material and Methods: This was a 10-year retrospective descriptive and analytical study from May 2011 to April 2021. The records of all patients who had received fistula treatment during this period were identified and analysed. Results: During the study period 2369 patients were managed for cure of urogenital fistula including 84 by the upper route, i.e. 3.5%. The mean age was 28.5 ± 8.13 years. Loss of urine was the most common reason for consultation (71.4%). Primigravida were represented in 50% (n = 42). The average gestational age was 3.2 ± 2.8 with extremes of 0 to 9 pregnancies. Obstetric aetiology was the most common (92.8%). Ureterovaginal fistulas were the most common anatomoclinical type (36.9%). Uretero-vesical reimplantation was the main surgical procedure (41.7%). Late postoperative follow-up was successful in 85.7% of cases. Conclusion: Urogenital fistulas are common in our practice. The only way to combat this scourge is through prevention through information, education and communication.

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“…In a cohort of 170 urogenital fistulas collected in Burkina Faso by Kaboré et al [ 17 ], 8.2% were vesico-uterine. This frequency was 14.29% in a series of 140 urogenital fistulas reported by Konan et al [ 18 ] in Abidjan (Côte d’Ivoire). Currently, due to the continuing increase in cesarean section rates worldwide [ 19 ] and in the DRC in particular [ 20 ], the frequency of obstetric vesico-uterine (OVUF) is likely to increase.…”

Section: Discussionmentioning

confidence: 90%

Obstetric vesico-uterine fistula in nine reference hospitals in the Democratic Republic of the Congo: epidemiological, clinical, and therapeutic aspects

Paluku,

Furaha,

Bartels

et al. 2024

BMC Women's Health

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Introduction With global cesarean section rates rising, there’s concern about increase in obstetric vesico-uterine fistula (OVUF). Very little is known about this anatomoclinical entity of obstetric fistula in Africa in general and in DRC in particular. Our purpose was to describe the epidemiological, clinical, and therapeutic aspects of OVUF in the Democratic Republic of the Congo (DRC). Methods This was a descriptive cross-sectional study. Data were collected from patients who presented with OVUF across seven provinces of the DRC (North Kivu, Haut-Uélé, Kasai Central, Kwilu, Maniema, Nord-Ubangi and Sankuru) from January 2017 to December 2022. Study variables were epidemiological, clinical, and therapeutic features. Results Of 1,267 patients presenting with obstetric fistulas, 355 (28.0%) had OVUF. The mean age was 32.9 ± 11.6 years, 80.6% of patients (286/355) lived in rural areas, and the majority had a low level of education (40% no formal education, 30.1% primary school, 28.7% secondary school). In total, 64.8% of patients were primiparous (230/355) and in all (100%) cases, OVUF was caused iatrogenically during cesarean delivery. Majority (76.3%) of patients laboured for one day or less (mean duration 1.0 ± 0.5 days) before giving birth, and the fetus died in 58.3% of cases. In 35.8% of cases, the fistula had lasted more than 10 years (mean age 10.1 ± 10.0 years) before repair. A proportion of 88.2% (n = 313) of OVUF was isolated while 11.3% (n = 40) was associated with a uretero-vaginal fistula. In 82.8% (n = 294) of cases the OVUF was single. The average fistula size was 2.4 ± 1.0 cm (range: 0.5 and 5.5 cm) and 274 (77.2%) fistulas measured between 1.5 and 3 cm, with 14.9% (n = 53) of them larger than 3 cm. Fibrosis was present in 65.1% of cases, cervical involvement was absent in 97.7% and post-operative complications were absent in 94.4%. In all cases, the OVUF was surgically repaired abdominally with a success rate of 97.5% (346/355). Conclusion The proportion of OVUF is relatively high in the DRC. Most affected patients were young, under-educated, primiparous women living in rural areas. Cesarean section was the sole identified cause of OVUF which was isolated, single, without fibrosis, in majority of cases. Abdominal repair of OVUF was very effective, with good results in almost all cases. Teaching young doctors working mainly in remote areas how to perform safe cesarean section is needed to reduce incidence of OVUF in DRC.

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Aspect évolutif des lésions anatomo-cliniques des fistules urogénitales (FUG) dans le service d’urologie du CHU de Cocody de 1990 à 2011

Cited by 9 publications

References 11 publications

Study of the Prevalence and the Incidence of the Prostate Cancer in the North-Cameroon: Means and Costs of Management

Study of the Prevalence and the Incidence of the Prostate Cancer in the North-Cameroon: Means and Costs of Management

Upper Tract Treatment of Urogenital Fistulas at the National Fistula Treatment Center (CNTF)

Obstetric vesico-uterine fistula in nine reference hospitals in the Democratic Republic of the Congo: epidemiological, clinical, and therapeutic aspects

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