Genital prolapse: urological manifestations and management in the urology department of Ignace Deen University Hospital

Abstract

Objective: The aim of this work was to contribute to the study of urological manifestations and the management of genital prolapse in Guinean urological settings. Material and methods: We conducted a retrospective descriptive study lasting 5 years (January 2016 to 31 December 2020). Our study concerned the records of patients treated for genital prolapse in the urology department during the study period. Results: Over a 5-year period, 3852 patients were hospitalised postoperatively, including 42 cases of urogenital prolapse, or 1.09%. This represents an average of 8 cases per year. The average age of the patients was 62 ±13.32 years, with extremes of 23 and 90 years. Hormonally, 88.1% of patients were menopausal. The sensation of an intravaginal ball was the main reason for consultation. Urinary dysuria was the main symptom. Diagnostically, isolated cystocele was the most common diagnosis, observed in 45.24% of patients, followed by combined cysto-rectocele in 12 (28.58%) patients. Anterior colporrhaphy, followed by combined anterior and posterior colporrhaphy were the main techniques used. After an average follow-up of 4 months (with extremes of 3 months and 7 months), the results were considered good in 76.19% (n=32) of our patients, with complete disappearance of urinary symptoms. Conclusion: Urogenital prolapses are relatively rare in Guinean urology, with approximately 8 cases per year. They may affect all pelvic stages in the same patient. The absence of a urodynamic assessment is the main limitation in the management of this condition in our context.