[HTML][HTML] Suprapubic cystostomy at urological emergency unit of CHU-YO, Ouagadougou, Burkina Faso: Indications, technique and complications

B Zango, FA Kaboré, M Kaboré, B Kirakoya… - Open Journal of …, 2016 - scirp.org
B Zango, FA Kaboré, M Kaboré, B Kirakoya, BD Ky, B Kabré, CAMKD Yameogo, A Ouattara
Open Journal of Urology, 2016scirp.org
Introduction: Cystostomy allows under certain circumstances deriving the urine. This is the
most performed surgery in uro-andrological emergencies. Complications can occur. We aim
to analyze the indications, technical aspects and complications of suprapubic cystostomies
in the urological emergency unit at CHU-YO. Patients and Methods: Between October 2013
and May 2014 we conducted a prospective study of all patients who underwent suprapubic
cystostomy. Results: 86 cases of cystostomy were noted or 77.5% of surgical procedures …
Introduction
Cystostomy allows under certain circumstances deriving the urine. This is the most performed surgery in uro-andrological emergencies. Complications can occur. We aim to analyze the indications, technical aspects and complications of suprapubic cystostomies in the urological emergency unit at CHU-YO.
Patients and Methods
Between October 2013 and May 2014 we conducted a prospective study of all patients who underwent suprapubic cystostomy.
Results
86 cases of cystostomy were noted or 77.5% of surgical procedures performed in uro-andrological emergency. All patients were male. The average age of patients was 52.5 years. The AUR represented 88.4% of indications. The prostate tumor represented 65.8% of the etiologies of AUR. The cystostomy was performed under local anesthesia in 87.2% of cases. Peritoneal gap was noted in 5.8%, parietal suppuration in 12.8%. A death by generalized acute peritonitis was noted in one case.
Conclusion
Suprapubic cystostomy presents a non-negligible morbidity and mortality and must be mastered.
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