EAS Publisher | Urological Emergencies: Epidemiological Profile and Limitations of Health Care in Rural Guinea

Urological Emergencies: Epidemiological Profile and Limitations of Health Care in Rural Guinea

DOI : https://doi.org/10.36349/easjms.2023.v05i09.002

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The aim of our study was to report the epidemiological and clinical characteristics and the therapeutic limits of these emergencies in a regional urology unit in Guinea. This was a prospective descriptive study lasting six (6) months from 1 January to 30 June 2021. The proportion of urological emergencies in relation to urological pathologies was 31% of cases, i.e. 104 patients out of 232. The average age of our patients was 43.81 years, with extremes of 1 and 90 years. These emergencies were dominated by bladder retention (75%; n=78), followed by urogenital trauma (7.69%; n=8) and hematuria (6.73%; n=7). The main diagnostic hypotheses for bladder ́urine retention were prostatic tumours (76.924%; n=60), urethral strictures (19.23%, n=15), and posterior urethral valves (3.84%; n=3). Infectious pathologies were dominated by gangrene of the external genitalia (2.88%, n=3). Emergency management of our patients was dominated by urethral catheterisation in 53.98% (n=61) followed by medical procedures sometimes associated with catheterisation and bladder irrigation (6.20%; n=7).

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