Les urgences urologiques au centre hospitalier de louga, senegal: aspects epidemiologiques et evaluation de la prise en charge

Conclusion Les urgences urologiques les plus fréquentes dans notre institution sont les rétentions d’urine. Elles sont l’apanage des hommes au-delà de la sixième décade. Les gestes les plus couramment pratiqués au cours de la prise en charge sont le cathétérisme urétral et le cathétérisme vésical sus-pubien. Objectives To present the epidemiological features and to evaluate management of urological emergencies at a district hospital in African countries in the south of Sahara. Patients and methods This retrospective study included all urological emergencies admitted between June 1st, 2010 and December 31, 2013 at the emergency department and the department of urology of the regional hospital of Louga, Senegal. Results There were 505 cases of urological emergencies. They represented 15.80% of the urological consultations and 6.52% of all emergencies admitted at the department of the emergencies. Men represented 97.62% of all the cases. The mean age of patients was 59±38 years (range one month and 98 years). Patients of 61 years old and more added up 61.38% of the cases. The urinary retentions were the most frequent emergencies (66.13%). They were primarily caused by prostatic tumors and urethral stenosis. Infectious and traumatic urological emergencies were estimated respectively at 19,80% and 3,36%. In emergency, ten patients refused the treatment, 495 patients accepted. The managements were: installation of a urethral catheter (n=255), extraction of ur...
Source: African Journal of Urology - Category: Global & Universal Source Type: research