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Epidemiologic and Therapeutic Aspect of Urogenital Fistula Following Obstetric and gynecologic Surgeries Repaired at the Nkwen Baptist Hospital

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Open Journal of Obstetrics and Gynecology 2023年第3期13卷 427-443页

作者： William Ako Takang Mangoue Moubeariane Landry Ngwa Tangang Ebogo Titus Julius Sama Dohbit Faculty of Health Sciences University of Bamenda Bamenda Cameroon Cameroon Baptist Convention Health Services Nkwen Bamenda Cameroon Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon

Introduction: Urogenital fistula is an abnormal communication between the urinary and the genital systems. It may occur following vaginal deliveries or following pelvic surgeries. Data concerning urogenital fistula post-surgery is limited and we have noticed in recent years in Sub-Saharan Africa, an increase in the burden of iatrogenic urogenital fistula. Objective: The aim of this study was to assess the epidemiology, clinical profiles and therapeutic aspects of urogenital fistula following obstetric and gynaecologic surgeries repaired at the Nkwen Baptist Hospital Bamenda. Materials/Methods: This was a longitudinal descriptive study with a retrospective and prospective phase carried out at the Nkwen Baptist Hospital for 5 months. However the complete duration of the study was about 17 months. Data was collected using a pretested questionnaire containing socio-demographic information, clinical features, and therapeutic methods used. We used the statistical software SPSS (Social Package for Statistical Sciences) V 26.0 for data analysis. Results: The number of participants in the study was 40. The mean age was 43.5 years (+/- 13.3) ranging from 16 - 74 years. The prevalence of urogenital fistula post obstetric and gynecologic surgeries at the Nkwen Baptist hospital was 64.6%. The most common symptom was urine leakage and the most common surgery that exposed the patient to the urogenital fistula was total abdominal hysterectomy (60%) followed by caesarean section (35%). The different indications for these surgeries were mostly symptomatic leiomyoma (70.8 %) and prolonged labor (64.2%) respectively. The different types of fistula encountered were Vesicovaginal fistula (55%), Ureterovaginal fistula 40% and Vesicoutetrine fistula 5%. The different treatment modalities used were trans abdominal (77.5%) and transvaginal repair (22.5%). The overall repair success rate after one month was 85%. Conclusion: There is high burden of urogenital fistula post surgeries in our sett

关键词： Urogenital Fistula Obstetric surgery gynecologic surgery

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Importance of timely diagnosis and intervention in uterine artery pseudoaneurysm caused by hysteroscopic surgery

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World Journal of Clinical Cases 2024年第34期12卷 6740-6743页

作者： Uchenna E Okpete Haewon Byeon Department of Digital Anti-aging Healthcare(BK21) Inje UniversityGimhae 50834South Korea

This manuscript explores the case on the occurrence of uterine artery pseudoaneurysm(UAP)during hysteroscopy endometrial polypectomy and the subsequent successful treatment via uterine artery embolization(UAE).Moreover,we focus on the management and treatment options for UAP in patients of advanced maternal age.A pseudoaneurysm is an extraluminal blood collection with a disrupted flow that communicates with the parent vessel via a defect in the arterial *** reported case involved a 48-year-old primiparous woman who developed a UAP after uterine polyp *** study enhances the understanding of UAP,a rare but potentially life-threatening condition,by providing a detailed and well-documented account of the comprehensive case presentation,effective use of medical imaging techniques for diagnosis,successful postoperative patient management following UAE,and practical clinical recommendations for clinicians managing similar ***,this study highlights the importance of considering UAP as a differential diagnosis in patients with abnormal vaginal bleeding following hysteroscopic ***,this manuscript recommends that clinicians with a high index of suspicion for UAP promptly request ultrasonography and computed tomography to facilitate early *** is suggested as a primary treatment due to its effectiveness and safety,particularly in facilities capable of avoiding hysterectomy.

关键词： Genital bleeding gynecologic surgery Hemorrhagic complications Transvaginal ultrasonography Angiography Uterine artery embolization

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OVIDUCT OCCLUSION BY INTRALUMINAL THREAD AND SILVER CLIPS

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中华医学杂志(英文版) 1983年第8期96卷 606-606页

作者： Ding Sheng-ling Affiliated Hospital Shandong Medical College Jinan

This paper introduces the new method of intraluminal thread and silver clips to occlude the oviducts to produce female sterilization. On the basis of experimental studies, we designed some tools and improved the technic. Since December 1979, we have used this method clinically in 124 cases, the clinical observations of 100 cases are described.

关键词： Asia China Clinical Research Clips Eastern Asia Equipment And Supplies Family Planning Female Sterilization Follow-up Studies gynecologic surgery Ingredients And Chemicals Inorganic Chemicals Metals Research Methodology Reversibility Silver Sterilization, Sexual Studies surgery Treatment Tubal Occlusion Urogenital surgery Use-effectiveness

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