全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Mucosal Prolapse of the Urethra in Little Girls about 11 Cases at the Urology Department of the Sino-Guinean Friendship Hospital in Conakry (Guinea)

DOI: 10.4236/oju.2025.151001, PP. 1-6

Keywords: Urethral Prolapse, Little Girl, Squamous Hyperplasia, Guinea, Conakry

Full-Text   Cite this paper   Add to My Lib

Abstract:

Introduction: Urethral prolapse, a rare benign lesion of the female urethra, is considered unusual in children, but it is far from exceptional in girls aged 18 to 24. African origin. The diagnosis is clinical but can be overlooked or confused with other pathologies. Treatment remains controversial. The aim of this work is to study the epidemiological, clinical and therapeutic data of urethral mucosal prolapse in young girls in our department. Materials and methods: Retrospective and descriptive study on urethral mucosal prolapse in little girls identified from the hospitalization records of the Sino-Guinean Friendship Hospital in Conakry. The study period was 5 years. Patients were selected randomly. Outcome assessment focused on the occurrence of recurrences and urinary incontinence. The mean follow-up duration was 24 months. The parameters studied were: Age, clinical and histological findings, therapeutic data and patient outcomes. Results: The incidence of urethral mucosal prolapse in girls in the urology department was 2.2 cases/year. The mean age of the patients was 6.7 years (with extremes of 5 months and 10 years). The age group of 7 to 10 years was the most represented, observed in 63.63% of patients. The most frequent reason for consultation was vulvar bleeding in 7 patients, or 63.63%. Malpighian hyperplasia with a congested chorion was the most observed histological type, in 4 patients. Surgical treatment consisting of complete excision of the prolapsed part had given excellent results. Conclusion: Urethral prolapse is a rare pathology, observed mainly in young black girls. Its diagnosis is based mainly on clinical examination. Surgical treatment gives satisfactory results, both clinically and aesthetically.

References

[1]  Sanda, G.O., Soumana, A. and Oumarou, H. (2012) Urethral Mucosal Prolapse in Girls: Report of 22 Cases Collected over Ten Years and Review of the Literature. African Journal of Urology, 18, 93-96.
[2]  Adesiyun, A. and Samaila, M. (2010) Childhood Urethral Mucosa Prolapse: Outcome of Surgical Treatment. Nigerian Journal of Surgical Research, 8, 63-66.
https://doi.org/10.4314/njsr.v8i1.54827
[3]  Mianne, D., Beatrix, O., Faure, J.M., Boyer, C., Altobelli, A. and Gatinois, Y. (1994) Strangulated Urethral Prolapse in Young Women: A Rare Urological Emergency. Progrès en Urologie, 4, 1022-1026.
[4]  Amadou, I., et al. (2019) Urethral prolapse in girls undergoing pediatric surgery at Gabriel Touré University Hospital. Mali Medical, 34, 15-17.
[5]  Fiogbe, M., Hounnou, G., Koura, A. and Agossou-Voyeme, K. (2011) Urethral Mucosal Prolapse in Young Girls: A Report of Nine Cases in Cotonou. African Journal of Paediatric Surgery, 8, 12-14.
https://doi.org/10.4103/0189-6725.78661
[6]  da Silva-Anoma, S., Dibi Bertin, K., Ossenou, O., Atafi Gaudens, D., Yao, D. and Roux, C. (2001) Mucous Prolapse of the Urethra in Girls in Ivory Coast. Annales dUrologie, 35, 60-63.
https://doi.org/10.1016/s0003-4401(01)80016-4
[7]  Kouassi Amenan-Kan Sophie-Dria, A., Rebecca-Obro, B., Kokoé-Gonébo, M., Jean-Jaurès, O.S. and Ello Nicolas, M. (2023) Mucous Prolapse of the Urethra in Young Girls: Diagnosis and Treatment. Revue Internationale des Sciences Médicales dAbidjan, 25, 44-48.
[8]  Falandry, L. (1996) Urethral Prolapse in Black Children. Apropos of 12 Cases. Progress in Urology, 6, 392-397.
[9]  Tavora Fernandes, E., Dekermacher, S., Sabadin, M.A. and Vaz, F. (1993) Urethral Prolapse in Children. Urology, 41, 240-242.
https://doi.org/10.1016/0090-4295(93)90565-r
[10]  Da Silva-Anoma, S., Aguehounde, C., Ouattara, O., Dieth, A., Keita, A. and Roux, C. (1994) Urethral Prolapse in Girls: A Rare Pathology in Pediatric Surgery. Our Experience with 22 Cases Observed at the University Hospital of Cocody and Yopougon in Ivory Coast. Journal of Urology, 100, 135-137.
[11]  Shurtleff, B.T. and Barone, J.G. (2002) Urethral Prolapsee: Four-Quadrant Excision Technique. Journal of Pediatric and Adolescent Gynecology, 15, 209-211.
https://doi.org/10.1016/s1083-3188(02)00157-2
[12]  Lin, H.Y., Lung, F.W., Huang, C.Y. and Yu, T.J. (2012) Strangulated Urethral Prolapse in Oriental Girls: A Rare Case Report and Literature Review. E-Da Medical Journal, 1, 38-40.
[13]  Ballouhey, Q., Abbo, O., Sanson, S., Cochet, T., Galinier, P. and Pienkowski, C. (2013) Hémorragie génitale de la petite fille: Penser au prolapsus urétral. Gynécologie Obstétrique & Fertilité, 41, 404-406.
https://doi.org/10.1016/j.gyobfe.2013.04.006
[14]  Ndour, O., Malle, K., Fall, A.L.F., Ndoye, N.A., Nibagora, J., Ngom, G., et al. (2017) Le prolapsus de la muqueuse urétrale chez la fillette: à propos de 12 cas et revue de la littérature. African Journal of Urology, 23, 359-363.
https://doi.org/10.1016/j.afju.2016.08.004
[15]  Kacimi, S.E.O., Aloulou, M., Naoum, R., Moumeni, M., Kaddour, A. and El-Sheemy, M.S. (2021) Conservative Approach for the Treatment of Urethral Prolapse in Children: Case Report and Literature Review of 278 Pediatric Cases. African Journal of Urology, 27, Article No. 153.
https://doi.org/10.1186/s12301-021-00256-5

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133