Urogenital Trauma: Epidemiological and Diagnostic Aspects at the Borgou University and Departmental Hospital Center (Benin)

Abstract

Objective: To study the epidemiological and diagnostic aspects of urogenital trauma at the Borgou University and Departmental Hospital Center. Material and Methods: This was a descriptive cross-sectional study that took place over a period of 4 years and 4 months (52 months) from January 1 st 2017 to April 30 th 2021. All cases of urogenital trauma treated in the General surgery department during the period were collected. Patient records, hospitalization registers and operating reports were used to collect information. Data entry was done using Epi data 3.1 software, French version. The analysis was performed using MedCalc software (version 19.4.1. Mariakerke, Belgium), and Epi info software version 7. Results: In 52 months, 75 cases of urogenital trauma were collected. The prevalence of urogenital trauma was 1.1% of admissions with an annual incidence of 17.3 cases. The modal age class was [20; 40], i.e. 49.3%. Males accounted for 76.0% (n = 57) of cases. Urethral and kidney injuries were found in 33.3% and 21.3%, respectively. The external genitalia was involved in 24.0%. Road traffic accidents occupied the first place with 62.6%. Kidney lesions were revealed by lumbar pain in 62.5% (n = 10) and post traumatic hematuria in 25% (n = 4) of cases. Most of the patients (n = 8, i.e. 50%) were classified as grade I according to the AAST classification.Conclusion: Urogenital trauma is common in our environment and can be life-threatening. Knowledge of their epidemiology will allow for prevention and good management.

Urological Emergencies at Kara Teaching Hospital (Togo): Epidemiological, Clinical and Therapeutic Profile

“…Traumatic urethral injuries, often occurred in the context of a road accident, with pelvic fractures. Sambo [11] in Benin had also found that urethral trauma was the most common urogenital trauma. The patient noted acute retention of urine due to urethral rupture, requiring the placement of a suprapubic cystostomy.…”