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|Title: ||Urological Complications from Obstetrics & Gynaecological Procedures in Ilorin, Nigeria — Case Series|
|Other Titles: ||Complications Urologiques Obstetriques & Procedures Gynecologiques a Ilorin, Nigeria - Le Cas Serie|
|Authors: ||Popoola, A. A.|
Ezeoke, S. O.
|Issue Date: ||2013|
|Publisher: ||Journal of West African College of Surgeons|
|Series/Report no.: ||Vol. 3;No. 4; Pp 99-109|
|Abstract: ||Background: Despite the advances and improvement in science and surgical skills, post-surgical operation
complications are oftentimes inevitable, although they could be minimized. Generally, complications occur
because of several reasons including patient factors, the disease condition, management option, skills and
expertise of the managing team as well as technical factors. Analysis of postoperative complications will help to
understand their pathogeneses and identify ways of preventing such complications in the future.
Aim & Objectives: To retrospectively analyse the urological complications arising from obstetrics and
gynaecological procedures atthe University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Methodology: Retrospective analysis of available records of patients with urological complications following either
obstetrics or gynaecological procedures between the year 2010 — 2012 managed by the urology unit of the
University of llorin Teaching Hospital, llorin, Nigeria. The patients were identified from the unit and theatre
records. From the patients‘ clinical records, the data retrieved included the biodata, presentation, details of the
gynaecological operations (calibre of surgeons, notable events at operations) and the complications that were
recorded.The urological interventions and outcomes were also recorded.
Results: There were 11 patients with urological complications during the three year period. Their ages ranged from
28 and 65years (mean 43.8 +/-0.05 years), about 60% had hysterectomy for uterine fibroids. Various complications
such as urinary fistulae (45.5%), ureteric obstructions (36.5%), retained surgical foreign bodies (9%) and ureteric
transection (9%) were recorded. Corrective urological interventions were successful in majority (72.7 %) of them.
Conclusion: Urological complications associated with gynaecological and obstetrics procedures are sometimes
inevitable but theiroccurrence could be reduced when standard practices are observed.|
|Appears in Collections:||Surgery|
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