Introduction: Urethrocystoscopy is an examination of choice in the assessment of voiding disorders and especially macroscopic hematuria. The objective of this study was to analyze the indications and results of urethrocystoscopy in the urology department of the Ignace Deen National Hospital in Conakry. Material and Methods: We carried out a prospective descriptive study over 6 months, from 1st June to 30th November 2022, which included all patients who underwent urethrocystoscopy in the Urology Department of the Ignace Deen National Hospital in Conakry. We studied the following parameters: sex, age, indications and results of the examination, and complications. Results: 77 patients were included. The average age was 56.5 ± 19.5 years with extremes of [15 to 88 years]. The sex ratio was 2.9. Hematuria (50.7%) and lower urinary tract symptoms (32.4%) were the most frequent indications. Cystocystoscopy was normal in 14.3% of patients. Bladder tumors (29.9%) and prostatic hypertrophy (18.2%) were the most found lesions. Conclusion: Rigid urethrocystoscopy occupies an important place in the exploration of hematuria and lower urinary tract symptoms in our department. Bladder tumors and prostatic hypertrophy were the main lesions observed.
References
[1]
Martin, F., Bacle, J., Bigot, P., Mubarak, E., Riderau-Zins, C., Latteux, G., Chautard, D. and Azzouzi, A.-R. (2011) Endoscopic and Radiological Exploration of the Lower Urinary Tract. EMC-Urology, 4, 1-18. https://doi.org/10.1016/S1762-0953(11)50620-X
[2]
Coulange, C. (2010) Cystoscopy. Advances in Urology, 20, 822-826. https://doi.org/10.1016/j.purol.2010.07.003
[3]
Rouprêt, M., Pignota, G., Masson-Lecomte, A., Compérata, E., Audeneta, F. and Roumiguié, M. (2020) French Recommendations of the AFU Oncology Committee—2020-2022 Update: Bladder Tumors. Advances in Urology, 30, S78-S135. https://doi.org/10.1016/S1166-7087(20)30751-X
[4]
Edwards, T.J., Dickinson, A.J., Natale, S., Gosling, J. and McGrath, J.S. (2006) A Prospective Analysis of the Diagnostic Yield Resulting from the Attendance of 4020 Patients at a Protocol-Driven Haematuria Clinic. BJU International, 97, 301-305. https://doi.org/10.1111/j.1464-410X.2006.05976.x
[5]
Jalloh, M., Niang, L., Andjanga-Rapono, Y.E., Ndoye, M., Labou, I. and Gueye, S.M. (2016) Ambulatory Urethrocystoscopy in the Department of Urology Andrology at the General Hospital of Grand Yoff Dakar. African Journal of Urology, 22, 115-120. https://doi.org/10.1016/j.afju.2015.05.008
[6]
Le Duc, A., Desgrandchamps, F., Cortese, A., Cussenot, O. and Teillac, P. (2000) Fibroscopy in Urology. Encycl Med Chir, Surgical Techniques-Urology, 9 p.
[7]
Sow, O., Ndiath, A., Traore, A., Sarr, A., Sine, B., Ndiaye, M., et al. (2020) Diagnostic Rigid Urethrocystoscopy: Indications, Results and Pain Assessment. Open Journal of Urology, 10, 239-244. https://doi.org/10.4236/oju.2020.108028
[8]
Takure, A.O., Shittu, O.B., Adebayo, S.A., Olapade-Olaopa, E.O. and Okeke, L.I. (2012) Day Case Endourology in Surgical Outpatient Clinic at Ibadan: A 5 Years Review. African Journal of Urology, 18, 112-117. https://doi.org/10.1016/j.afju.2012.08.012
[9]
Larré, S., Leon, P. and El Bakri, A. (2016) Bladder Cancer: Diagnosis and Principles of Treatment. EMC-Urology, 9, 1-17. https://doi.org/10.1016/S1761-3310(16)80853-1
[10]
Raccurt, C.P., El Samad, Y., Chouaki, T., Borel, A., Agnamey, P., Totet, A. and Schmitt, J.L. (2007) Schistosoma mansoni Schistosomiasis on Return from Guinea: Failure of Serodiagnosis. Tropical Medicine, 67, 175-178.
[11]
Mianné, D., Perret, J.L. and Lavilledieu, S. (1998) Urogenital Schistosomiasis. Encycl Med Chir, Nephrology-Urology, 13 p.
[12]
Abdou, A., Tligui, M., Le Loup, G. and Raynal, G. (2012) Urinary Schistosomiasis: A French Series. Advances in Urology, 22, 598-601. https://doi.org/10.1016/j.purol.2012.03.004
[13]
Burke, D.M., Shackley, D.C. and O’Reilly, P.H. (2002) The Community Based Mor- bidity of Fexible Cystoscopy. BJU International, 89, 347-349. https://doi.org/10.1046/j.1464-4096.2001.01899.x
