[Clinical and therapeutic aspects of pyelo-ureteral junction abnormalities at the University Hospital of Point G].

Autor: Tembely A; Département de Chirurgie, Service d'Urologie, CHU du Point G, Bamako, Mali., Kassogué A; Département de Chirurgie, Service d'Urologie, CHU du Point G, Bamako, Mali., Berthé H; Département de Chirurgie, Service d'Urologie, CHU du Point G, Bamako, Mali., Ouattara Z; Département de Chirurgie, Service d'Urologie, CHU Gabriel Touré, Bamako, Mali.
Jazyk: francouzština
Zdroj: The Pan African medical journal [Pan Afr Med J] 2016 Apr 28; Vol. 23, pp. 256. Date of Electronic Publication: 2016 Apr 28 (Print Publication: 2016).
DOI: 10.11604/pamj.2016.23.256.6950
Abstrakt: This study is meant to analyze the clinical and therapeutic aspects of abnormalities ureteropelvic junction. Cross-sectional and descriptive study on 35 cases of abnormalities of the AUPJ collected the Urology Department of the University Hospital of Point G for a period of 4 years (January 2010 to December 2014). Data were collected on the survey forms, medical records and records of the block. The socio-demographic, clinical and therapeutic data were entered into Microsoft Word 2007 and Excel 2007 and analyzed on SPSS 18.0. Between January 2010 and December 2014, 35 cases of AUPJ were collected. The average age was 29.3 years. The back pain was the most frequent reason for consultation or 40%. 20% of patients were consulting for the first time 10 years symptomatic evolution. Kidney destruction was observed in 28.6%. The association Ultrasound + IVU has established the diagnosis in 37.1%. A urinary tract infection was found in 60%. The gallstone complication was present in 17.1% of patients. 51.4% of patients received open pyeloplasty by Anderson Kuss. The anomaly of the ureteropelvic junction in our study was marked by a consultation with delay formidable complications. The open surgery has been the gold standard with satisfactory results. The endopyéloplasty, the treatment of laparoscopic minimally invasive joint surgeries are not available to us but to encourage and incorporate in the therapeutic arsenal.
Databáze: MEDLINE
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