Clinical presentation and epidemiology of female genital tuberculosis in eastern Sudan

Ali, AbdelAziem A.; Abdallah, Tajeldin M.

doi:10.1016/j.ijgo.2012.04.005

Cited by 23 publications

(25 citation statements)

References 18 publications

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“…In Eastern Sudan, the prevalence of dyspareunia was 48.0%. 7 In Sudan postpartum dyspareunia is a common problem with a great social impact, but still women find it difficult to explore to their physician. The common mode of delivery in the country is vaginal with episiotomy, decircumcision and re-infibulation; these are in general associated with dyspareunia.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors of postpartum dyspareunia at three months post- delivery in Sudanese women

Alkareem

Ounsa

Mohamed

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Postpartum dyspareunia affects many women following childbirth: however, the extent of the problem is difficult to estimate. The objectives of the current study were to determine the prevalence of postpartum dyspareunia and to estimate its risk factors.Methods: This is a cross-sectional study conducted at the National Ribat University Hospital, Sudan. The study was carried out on women attended the refer clinics of obstetrics and gynecology and pediatrics departments in the hospital. The sample size was calculated as 380. The data were collected by a pre-tested questionnaire along with a clinical examination of the vulva and vagina after obtaining the ethical approval. The SPSS was used to analyze the data.Results: The prevalence of postpartum dyspareunia in women attended the National Ribat University hospital was 42.6 %. Regarding age, 8 (61.5%) of women less than 20 years of age experienced dyspareunia, 102 (46.4%) and 52 (35.4%) of women whose age was 20-29 years; and more than 29 years experienced the condition. One hundred forty (51.7%) of women who delivered by normal vaginal delivery developed postpartum dyspareunia. Eight (72.7%), 8 (12.5%) and 6 (17.6%) of women delivered by Operative vaginal, Elective C/S and Emergency C/S developed postpartum dyspareunia respectively. One hundred forty-eight (62.4%), 153 (51.3%) women who had decircumcision and episiotomy in last delivery had postpartum dyspareunia respectively. Forty-six (93.3%), fifty-three (86.9%) and 60 (87%) women who had infected episiotomy, scar tissue at episiotomy and tight interoitus developed the condition respectively.Conclusions: The prevalence of postpartum dyspareunia in women attended the National Ribat University hospital was 42.6 %. Regarding age, 8 (61.5%) of women less than 20 years of age experienced dyspareunia, 102 (46.4%) and 52 (35.4%) of women whose age was 20-29 years; and more than 29 years experienced the condition. One hundred forty (51.7%) of women who delivered by normal vaginal delivery developed postpartum dyspareunia. Eight (72.7%), 8 (12.5%) and 6 (17.6%) of women delivered by Operative vaginal, Elective C/S and Emergency C/S developed postpartum dyspareunia respectively. One hundred forty-eight (62.4%), 153 (51.3%) women who had decircumcision and episiotomy in last delivery had postpartum dyspareunia respectively. Forty-six (93.3%), fifty-three (86.9%) and 60 (87%) women who had infected episiotomy, scar tissue at episiotomy and tight interoitus developed the condition respectively.

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Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors of postpartum dyspareunia at three months post- delivery in Sudanese women

Alkareem

Ounsa

Mohamed

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…We recently observed that 26 of patients with TB in the same study area had EPTB [8] . In spite of this, there is little published data regarding EPTB [9] . Investigating the incidence rate and the factors associated with the occurrence of EPTB is fundamental to provide care givers and health planners with the basic data necessary for the preventive and treatment measures.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of extra pulmonary tuberculosis in Eastern Sudan

Abdallah

Toum

Bashir

et al. 2015

Asian Pacific Journal of Tropical Biomedicine

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A B S T R A C TObjective: To investigate the epidemiological factors associated with extra pulmonary tuberculosis (EPTB) in Kassala, Eastern Sudan. Methods: Patients infected with TB (pulmonary and extra-pulmonary) documented at the hospital were interviewed with a structured questionnaire used to gather sociodemographic information. The diagnosis of EPTB cases was based on presence of tuberculous granulomas in the histological samples, positive PCR to DNA of mycobacterium tuberculosis, radiological findings and fluid analysis suggestive of EPTB and clinical diagnosis with adequate response to anti-tuberculous therapy. Results: A total of 985 patients with TB were enrolled in the study, including 761 (77.3%) with PTB and 224 (22.7%) with EPTB. The mean age (SD) of patients with PTB and EPTB was 33.2 (15.4) and 34.7 (14.6) years respectively. The prevalence of EPTB was at (22.7%), with TB lymphadenitis 79 (35.3%), marking the frequent form of EPTB followed by peritoneal TB 27 (12.05%). While residence and occupation were not associated with EPTB, those with lower level of education (OR = 0.3; confidence intervals (CI) = 0.2-0.5; P < 0.001), female (OR = 8.7, CI = 4.9-15.1, P < 0.001), non vaccination (OR = 70.3, CI = 34.2-144.3, P < 0.001), and non smoker (OR = 0.1; CI = 0.06-0.20; P < 0.001), were associated with high prevalence of EPTB. Conclusions: Around one quarter of patients with TB in this study were more likely to have EPTB. Therefore, effective strategic plans regarding diagnostic procedures and control measures are needed to reduce the burden of the disease in Sudan.

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“…In present study, most cases belonged to 26-30yr age group and mostly were parous that is similar to other studies and mostly belonged to middle and lower socioeconomic group. 5,6,13,14 Mostly cases presented within 2yrs of onset of pain. Menstrual disturbances were present in 25 women out of 65 (38.46%) which is comparable to other studies.…”

Section: Discussionmentioning

confidence: 99%

“…developing countries. 5,6 GTB represents 15-20% of extrapulmonary tuberculosis. 7 GTB is mostly secondary infection acquired by hematogenous spread from an extagenital source such as pulmonary or abdominal tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

Role of AFB culture, histopathology and laparoscopy in female genital tuberculosis as a cause for chronic pelvic pain

Sharma¹,

Sharma²,

Bharadwaj³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: As Female genital tuberculosis is an important cause of significant morbidity presenting mainly as infertility and chronic pelvic pain so the study was proposed to estimate the prevalence of genital tuberculosis in women with idiopathic chronic pelvic pain by AFB culture, histopathology and laparoscopy.Methods: In this prospective study, we enrolled 65 women with idiopathic chronic pelvic pain. Diagnostic laparoscopy was done and Endometrial biopsy or menstrual blood was taken and sent for AFB culture and histopathological examination.Results: In this study, the prevalence of genital TB in women with CPP was 35.38% (24/65) of which23 had gross findings of genital TB and one had pelvic congestion with positive result in AFB culture. Laparoscopic findings were normal in 13 out of 65 women (20%) whereas these were abnormal in 52 women. Histological evidence of genital TB was reported in 12.5% (3/24) women. AFB culture reported positive in 16.66% (4/24) women.Conclusions: Genital tuberculosis is an important cause for idiopathic chronic pelvic pain mainly in developing countries. AFB culture of menstrual blood is a simple, noninvasive test that is useful many times especially in unmarried girls or those who are not willing for invasive tests. Laparoscopy is an excellent tool in diagnosis of genital TB as it allows direct visualization.

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Clinical presentation and epidemiology of female genital tuberculosis in eastern Sudan

Abstract: Clinical suspicion may facilitate and improve the detection of FGTB, with chronic pelvic pain identified as the predominant clinical presentation among women in eastern Sudan.

Cited by 23 publications

References 18 publications

Prevalence and risk factors of postpartum dyspareunia at three months post- delivery in Sudanese women

Prevalence and risk factors of postpartum dyspareunia at three months post- delivery in Sudanese women

Epidemiology of extra pulmonary tuberculosis in Eastern Sudan

Role of AFB culture, histopathology and laparoscopy in female genital tuberculosis as a cause for chronic pelvic pain

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