[Urethral Prolapse Of The Girl In The Service Of Pediatric Surgery Of The Teaching Hospital Gabriel Touré].

Autor: Amadou I; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Coulibaly OM; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Traoré B; Service d'Urologie et d'Andrologie du CHU Gabriel Touré, Bamako, Mali., Coulibaly Y; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Coulibaly MT; Service d'Urologie et d'Andrologie du CHU Gabriel Touré, Bamako, Mali., Coulibaly Y; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Keita M; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Kamaté B; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Djire MK; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Doumbia A; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Maiga M; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Sogoba Y; Service de Neurochirurgie du CHU Gabriel Touré, Bamako, Mali., Dao M; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Traoré A; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Dembele A; Service de Pédiatrie du CHU Gabriel Touré, Bamako, Mali., Sidibé L; Service de Pédiatrie du CHU Gabriel Touré, Bamako, Mali., Diakité ML; Service d'urologie du CHU Point G, Bamako, Mali., Diaby S; Service de chirurgie pédiatrique du CHU Gabriel Touré, Bamako, Mali., Konaté M; Service de chirurgie générale du CHU Gabriel Touré, Bamako, Mali.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2019; Vol. 34 (4), pp. 15-17.
Abstrakt: Objectives: To describe the diagnostic and therapeutic aspects of urethral prolapse in girls in pediatric surgery.
Patients and Method: This was a 9-year retrospective study (January 2007 to December 2015) of girls aged 0-15 years with urethral prolapse and management in the department during the study period.
Results: In 9 years, 18 cases of prolapsewerediagnosed, or 2 cases / year. The averageagewas 8.9 ± 3.4 yearswithextremes of 6 years and 15 years. Of the 18 cases identified, 10 werereferred. Femalegenital mutilation wasfoundin 15 (83.3%) patients, rectal prolapsewasassociatedin 2 cases (11.1%) and a cough concept in 5 (27.8%) patients. The average consultation time was 11.6 ± 7.9 dayswithextremes of 1 and 21 days. Eleven (61.1%) patients werereceivedurgently, including 2 cases (11.1%) of strangulation. Prolapsewas in the form of a roundedswelling, centered by the urethralmeatus. The mass wasblackishin 2 cases (11.1%). Shewasbleeding and painfulin 11 (61.1%) cases. Thesesignswere absent in 5 cases (27.8%). Swellingwasassociatedwithsigns of urinarydysuria and / or urinaryblightin 10 (55.5%) girls. The diagnosiswasclinical in all patients. Treatmentconsisted of excision and suturing of the prolapsedmucosa in all patients with placement of an indwellingurinarycatheter. Immediatefollow-up was simple in 16 (88.9%) patients and 2 cases (11.1%) of surgical site infection.
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Databáze: MEDLINE
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