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Management of Urinary Trauma in the Urology Department of the Ignace Deen National Hospital in Conakry

Received: 9 March 2023     Accepted: 28 March 2023     Published: 17 May 2023
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Abstract

Objective: to highlight the epidemiological, lesional and therapeutic aspects of urinary trauma in the urology department of the Ignace Deen National Hospital in Conakry. Material and methods: this was a retrospective study that took place over a period of 5 years, during which we collected all cases of urinary trauma in the urology department of the Ignace Deen National Hospital in Conakry. The variables studied were socio-demographic, anatomical-clinical and therapeutic. Results: we collected 75 cases of urinary trauma, representing 15.5% of abdomino-pelvic trauma admitted to hospital during the study period. The average age of patients was 29 years old with extremes of 8 and 66 years. Men were the most affected with a gender ratio of 25. Road traffic accidents were the most frequent etiologies. The consultation time was less than 24 hours in 92% of cases. Trauma involved the urethra in 80% of cases, the bladder (10.7%) and the kidney (9.3%). The mechanism of trauma to the urethra was dominated by astride falls on the perineum in 52% of cases. Posterior urethra ruptures were associated with pelvic trauma in 20/25 cases and bladder trauma in 5/8 cases. The treatment was carried out according to the type of lesion. Conclusion: urinary trauma is not uncommon in our practice. They are the prerogative of young men in full activity. They are dominated by urethral ruptures, followed by trauma to the kidney and bladder. Treatment should be as conservative as possible in closed kidney trauma and peritoneal ruptures of the bladder.

Published in International Journal of Clinical Urology (Volume 7, Issue 1)
DOI 10.11648/j.ijcu.20230701.16
Page(s) 23-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Trauma, Urinary, Epidemiology, Diagnosis, Treatment

References
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[5] Kambou T, Ouattara A, Zare C, Ouattara AM, Pare AK, Sanon BG. Urogenital trauma: epidemiologic profile and aspects of the lesion at the Souro Sanon University Teaching Hospital of Bobo-Dioulasso (Burkina Faso). Uro’Andro, 2014; 1 (2) 83-90.
[6] Dieudonné Moningo M, Gracia Kashitu M, Matthieu Loposso N, Donatien Tshitala B, Justin Bossa N, Pablo N. et col. Epidemiological and evolutionary profile of the male urogenital system traumas at the Kinshasa University Hospital. Ann. Afr. Med. 2018, 11 (3): 2900-2905.
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[9] Paparel P, N’Diaye A, Laumon B. The epidemiology of trauma of the genitourinary system after traffic accidents: analysis of a register of over 43,000 victims. BJU Int 2006; 97: 338-41.
[10] Long JA.: Posterior and anterior urethral trauma: diagnosis and treatment. EMC – Urologie 2017; 10 (2): 1-11 [Article 18-330-A-11].
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    Diallo Thierno Mamadou Oury, Bah Mamadou Bissiriou, Diallo Alimou, Bah Mamadou Diawo, Amougou Boris, et al. (2023). Management of Urinary Trauma in the Urology Department of the Ignace Deen National Hospital in Conakry. International Journal of Clinical Urology, 7(1), 23-28. https://doi.org/10.11648/j.ijcu.20230701.16

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    ACS Style

    Diallo Thierno Mamadou Oury; Bah Mamadou Bissiriou; Diallo Alimou; Bah Mamadou Diawo; Amougou Boris, et al. Management of Urinary Trauma in the Urology Department of the Ignace Deen National Hospital in Conakry. Int. J. Clin. Urol. 2023, 7(1), 23-28. doi: 10.11648/j.ijcu.20230701.16

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    AMA Style

    Diallo Thierno Mamadou Oury, Bah Mamadou Bissiriou, Diallo Alimou, Bah Mamadou Diawo, Amougou Boris, et al. Management of Urinary Trauma in the Urology Department of the Ignace Deen National Hospital in Conakry. Int J Clin Urol. 2023;7(1):23-28. doi: 10.11648/j.ijcu.20230701.16

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  • @article{10.11648/j.ijcu.20230701.16,
      author = {Diallo Thierno Mamadou Oury and Bah Mamadou Bissiriou and Diallo Alimou and Bah Mamadou Diawo and Amougou Boris and Kanté Daouda and Cissé Demba and Diallo Thierno Oumar and Keita Youssouf and Gnammi Lahoumbo Ricardo and Diallo Abdoulaye Bobo and Bah Oumar Raphiou},
      title = {Management of Urinary Trauma in the Urology Department of the Ignace Deen National Hospital in Conakry},
      journal = {International Journal of Clinical Urology},
      volume = {7},
      number = {1},
      pages = {23-28},
      doi = {10.11648/j.ijcu.20230701.16},
      url = {https://doi.org/10.11648/j.ijcu.20230701.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20230701.16},
      abstract = {Objective: to highlight the epidemiological, lesional and therapeutic aspects of urinary trauma in the urology department of the Ignace Deen National Hospital in Conakry. Material and methods: this was a retrospective study that took place over a period of 5 years, during which we collected all cases of urinary trauma in the urology department of the Ignace Deen National Hospital in Conakry. The variables studied were socio-demographic, anatomical-clinical and therapeutic. Results: we collected 75 cases of urinary trauma, representing 15.5% of abdomino-pelvic trauma admitted to hospital during the study period. The average age of patients was 29 years old with extremes of 8 and 66 years. Men were the most affected with a gender ratio of 25. Road traffic accidents were the most frequent etiologies. The consultation time was less than 24 hours in 92% of cases. Trauma involved the urethra in 80% of cases, the bladder (10.7%) and the kidney (9.3%). The mechanism of trauma to the urethra was dominated by astride falls on the perineum in 52% of cases. Posterior urethra ruptures were associated with pelvic trauma in 20/25 cases and bladder trauma in 5/8 cases. The treatment was carried out according to the type of lesion. Conclusion: urinary trauma is not uncommon in our practice. They are the prerogative of young men in full activity. They are dominated by urethral ruptures, followed by trauma to the kidney and bladder. Treatment should be as conservative as possible in closed kidney trauma and peritoneal ruptures of the bladder.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Management of Urinary Trauma in the Urology Department of the Ignace Deen National Hospital in Conakry
    AU  - Diallo Thierno Mamadou Oury
    AU  - Bah Mamadou Bissiriou
    AU  - Diallo Alimou
    AU  - Bah Mamadou Diawo
    AU  - Amougou Boris
    AU  - Kanté Daouda
    AU  - Cissé Demba
    AU  - Diallo Thierno Oumar
    AU  - Keita Youssouf
    AU  - Gnammi Lahoumbo Ricardo
    AU  - Diallo Abdoulaye Bobo
    AU  - Bah Oumar Raphiou
    Y1  - 2023/05/17
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijcu.20230701.16
    DO  - 10.11648/j.ijcu.20230701.16
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 23
    EP  - 28
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20230701.16
    AB  - Objective: to highlight the epidemiological, lesional and therapeutic aspects of urinary trauma in the urology department of the Ignace Deen National Hospital in Conakry. Material and methods: this was a retrospective study that took place over a period of 5 years, during which we collected all cases of urinary trauma in the urology department of the Ignace Deen National Hospital in Conakry. The variables studied were socio-demographic, anatomical-clinical and therapeutic. Results: we collected 75 cases of urinary trauma, representing 15.5% of abdomino-pelvic trauma admitted to hospital during the study period. The average age of patients was 29 years old with extremes of 8 and 66 years. Men were the most affected with a gender ratio of 25. Road traffic accidents were the most frequent etiologies. The consultation time was less than 24 hours in 92% of cases. Trauma involved the urethra in 80% of cases, the bladder (10.7%) and the kidney (9.3%). The mechanism of trauma to the urethra was dominated by astride falls on the perineum in 52% of cases. Posterior urethra ruptures were associated with pelvic trauma in 20/25 cases and bladder trauma in 5/8 cases. The treatment was carried out according to the type of lesion. Conclusion: urinary trauma is not uncommon in our practice. They are the prerogative of young men in full activity. They are dominated by urethral ruptures, followed by trauma to the kidney and bladder. Treatment should be as conservative as possible in closed kidney trauma and peritoneal ruptures of the bladder.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

  • Urology Department, Ignace Deen National Hospital, Conakry, Guinea

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