Indications de l’abord vaginal en chirurgie urologique: à propos de 30 cas

Conclusion La chirurgie urologique par voie vaginale est majoritairement pratiquée dans notre institution pour les PGU ; elle est avantageuse en matière de coût, de morbidité et de convalescence. Mais la question de l’usage de matériel prothétique qui se pose dans certains cas et dans certains pays fait que cette chirurgie sans prothèse a encore des années devant elle. Objectives To report the epidemiological features of patients operated by vaginal route, the patients’ pathologies and management. Patients and methods From November 2005 to November 2010 in the department of Urology of the regional hospital center of Louga, all the patients who have been operated by vaginal route for genito-urinary disease were included in this study. All data were obtained by review of medical records and registers. Results The study included 30 patients; one patient had two operations. The mean age was 42.17 years (range 20–70 years), SD 15.06. The mean parity was 4.06 (range 1–10). We noted 22 cases of external genito-urinary prolapse, 6 cases of vesico-vaginal fistula, one case of peri-urethral metastasis of gestational trophoblastic disease, one case of urethral diverticulum with calculi. The different constituents of genito-urinary prolapse were: cystoceles (21 cases, 11 of which were isolated), hysteroceles (11 cases) and rectoceles (3 cases). Three cases of genito-urinary prolapse were associated with stress urinary incontinence. All patients were treated without...
Source: African Journal of Urology - Category: Global & Universal Source Type: research