Outcome of surgical management of genital prolapse in the obstetric gynecology department of the Ignace Deen Hospital in Conakry, Guinea

Authors

  • Abdourahamane Diallo 1Department of Gynecology-Obstetrics of the Ignace Deen National Hospital of Conakry University Hospital, Guinea 2Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University of Conakry, Guinea
  • Telly Sy 1Department of Gynecology-Obstetrics of the Ignace Deen National Hospital of Conakry University Hospital, Guinea 2Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University of Conakry, Guinea
  • Ibrahima Sory Balde 1Department of Gynecology-Obstetrics of the Ignace Deen National Hospital of Conakry University Hospital, Guinea 2Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University of Conakry, Guinea
  • Ibrahima Koussy Bah 1Department of Gynecology-Obstetrics of the Ignace Deen National Hospital of Conakry University Hospital, Guinea 2Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University of Conakry, Guinea
  • Ibrahima Conte 1Department of Gynecology-Obstetrics of the Ignace Deen National Hospital of Conakry University Hospital, Guinea 2Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University of Conakry, Guinea
  • Ibrahima Amadou Diallo 1Department of Gynecology-Obstetrics of the Ignace Deen National Hospital of Conakry University Hospital, Guinea 2Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University of Conakry, Guinea
  • Namory Keita 2Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University of Conakry, Guinea 3Department of Gynecology-Obstetrics of the Donka National Hospital of Conakry University Hospital, Guinea

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20201818

Keywords:

Assessment, Ignace Deen, Prolapse, Surgical, Treatment

Abstract

Background: Each year several patients are operated on for genital prolapse in our department, but no study has yet been done to analyse the results. The objective of this study was to highlight the operating techniques used and to analyse the anatomical and functional outcomes.

Methods: It was an observational, longitudinal, prospective and descriptive study which took place over a period of 2 years in the department of obstetrics and gynecology of the Ignace Deen hospital de Conakry in Guinea. This study focused on patients operated on in the department for genital prolapse.

Results: During the study period, 67 patients underwent genital prolapse surgery in the department. The operating techniques used are the triple perineal operation or, associated with colposuspension and/or Richter or Mc Call, Richardson's operation, Rouhier's operation and promonto-fixation. This study recorded in the follow up a case of recurrence of hysterocele one year after a Richardson operation, a correction of all digestive and sexual functional disorders and a correction of 81.25% of functional urinary disorders. The intraoperative complications were a rectal wound, two bladder wounds and three cases of hemorrhage requiring blood transfusion. The post-operative results were good in 98.5% of the cases.

Conclusions: The lower approach is the main route used for surgical treatment of prolapse. The anatomical and functional results obtained are encouraging.

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Published

2020-04-28

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Original Research Articles