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This is an open access article under the CC BY 4.0 license.
Background: Urological trauma is a dreaded complication of gynecological
or obstetrical surgery and its incidence is poorly documented in resource limited
settings can cause a major health problem. The objective of this study is to
determine the clinical, therapeutic and evolutionary aspects of iatrogenic
urological lesions in a low- and middle-income country (LMIC). Methods:
A retrospective, descriptive study conducted for 5 years at the obstetrics and
gynecology department of the university hospital of Cocody. It concerned all
gynecological surgery performed in the department. All Urinary Tract Injuries
(UTI) during surgery were recorded. UTI occurring outside this scenario were
excluded. The socio-demographic features, clinical data, intraoperative UTI
features, and treatment outcome parameters were studied. Statistical analysis was
carried out using Epi Info 3.5.1 2008 software. Results: We
recorded 46 cases of UTI (4.0%) including bladder (n = 33 or 71.7%), ureter (n
= 8 or 17.4%) and both bladder and ureteral lesions (n = 5 or 10.9%). The
average age of patients was 29 years. The UTI were suspected during the initial
surgery by hematuria (52.2%), or intraoperative visualization (23.07%).
Postoperative diagnosis of UTI was made in patients presenting with signs of
peritonitis (3.84%). The UTI were immediately repaired (96.16%) by simple
suturing of bladder or cystorraphy (84.64%), ureter: or ureterorraphy (4.3%),
ureterostomy (4.3%) and removal of ureteral strictures (4.3%). Postoperative complications (15.36%) included urogenital fistulae (50%),
urinary tract infection (25%) and acute peritonitis (25%). The average length
of stay in the urology department was 45