| Peer-Reviewed

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
Views:       Downloads:
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
[1] Morey A. F., Brandes S., Dugi D. D., Armstrong J. H., Breyer B. N., Broghammer J. A., Erickson B. A., Holzbeierlein J., Hudak S. J., Pruitt J. H., Reston J. T., Santucci R. A., Smith T. G. and Wessells H.: Urotrauma: AUA Guideline. J Urol, 2014, 192: 327-335.
[2] Perrin A., Grilo N., Meuwly J. Y., Jichlinski P., Valerio M. Management of urogenital trauma. Rev Med Suisse 2016; 12 : 2072-6.
[3] Herney A, María F, Alejandra S, Luis J.: Clinical management of renal injuries at University Hospital of El Vale. Actas urol esp. 2009; 33: 881-7.
[4] Dekou A, Konan PG, Kouame B, Vodi C, Ouegnin GA, Kouame N et coll. Genito-urinary trauma: epidemiologic and clinical aspects. Afr J Urol. 2008; 14 (2): 105-13.
[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.
[7] Eke N.: Urogenital Tract Trauma in Port Harcourt. Acta Chirurgica Belgica, (2001) 101 (5): 240-242.
[8] Diallo AB, Bah I, Diallo TMO, Bah OR, Amougou B, Bah MD, Guirassy S, Diallo MB. The profile of urological emergencies at the University Hospital of Conakry, Guinea. Prog Urol. 2010; 3 (20): 214-218.
[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].
[11] Bah I., Diallo A. B., Camara T., Bah M. L., Diallo T. M. O., Amougou B., Kouyaté K., Diallo M. B.: Urinary complications of pelvic trauma: anatomoclinical and therapeutic aspects at the University Hospital of Conakry, Guinea. Androl. (2009) 19: 203-208.
[12] Oitchayomi A, Doerfler A.: Management of bladder trauma. EMC - Urologie 2016; 9 (2): 1-6 [Article 18-214-A-10].
[13] Pereira BM, De Campos CC, Calderan TRA, Reis LO, Fraga GP: Bladder injuries after external trauma: 20 years experience report in a population-based cross-sectional view. World J Urol (2013) 31: 913-917.
[14] Hartanto V. H., Nitti V. W.: Recent advances in management of female lower urinary tract trauma. Curr Opin Urol 2003; 13 (4): 279-84.
[15] Descotes J. L., Hubert J.: Contribution of imaging in bladder trauma. Prog Urol (2003), 13, 1145-1148.
[16] Corriere J. N., Sandler C. M.: Bladder rupture from external trauma: diagnosis and management. World J Urol 1999; 17 (2): 84-9.
[17] Peyronnet B, Mathieu R, Couapel JP, Verhoest G, Bensalah K.: Blunt trauma to the kidney and ureter. EMC - Urologie 2012; 5 (4): 1-10 [Article 18-159-A-10].
[18] Wah TM, Spencer JA.: The role of CT in the management of adult urinary tract trauma. Clin Radiol 2001; 56: 268-77.
[19] Santucci RA, Wessells H, Bartsch G, Descotes J, Heyns CF, McAninch JW, et al.: Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee. BJU Int 2004; 93: 937-54.
[20] Meng MV, Brandes SB, McAninch JW. Renal trauma: indications and techniques for surgical exploration. World J Urol 1999; 17: 71-7.
[21] Hammer CC, Santucci RA.: Effect of an institutional policy of nonoperative treatment of grades I to IV renal injuries. J Urol 2003; 169: 1751-3.
[22] Altman AL, Haas C, Dinchman KH, Spirnak JP.: Selective nonoperative management of blunt grade 5 renal injury. J Urol 2000; 164: 27-30.
[23] Siram SM, Gerald SZ, Greene WR, Hughes K, Oyetunji TA, Chrouser K, et al. Ureteral trauma: patterns and mechanisms of injury of an uncommon condition. Am J Surg 2010; 199: 566-70.
[24] Kanté D, Diallo TMO, Bah EM, Bah MD, Donamou J, Barry M II, Gnammi LR, Bah I, Diallo AB, Sy T, Bah OR, Diallo MB: Urological complications of gynecological and obstetrical surgery at the University Hospital of Conakry, Guinea. Annales de la SOGGO, 2018, 31 (13): 79-84.
Cite This Article
  • APA Style

    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

    Copy | Download

    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

    Copy | Download

    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

    Copy | Download

  • @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}
    }
    

    Copy | Download

  • 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  - 

    Copy | Download

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

  • Sections