Epidemiological Aspect and Evaluation of the Management of Urologic Emergencies at the Urology Unit of Labe Regional Hospital

Kindy Diallo, Mamadou Madiou Barry, Aldoul Aziz Bah, Thierno Oumar Diallo, Mamadou Bissiriou Bah, Thierno Mamadou Oury Diallo, Abdoulaye Bobo Diallo, Oumar Raphiou Bah
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Abstract

Aim: To contribute to improving the management of urological emergencies at Labé Regional Hospital. Patients and Method: This was a dynamic, descriptive study lasting six months from July 1 to December 31, 2017. Results: Urological emergencies represented 45.14% (n = 218) of all admissions to the urology unit. The mean age of our patients was 56.60 years with extremes of fifteen days and 93 years. The 71 - 80 age group was the most represented with 28.03% (n = 61) followed by 61 - 70 years with 24.31% (n = 53). Our patients’ activities were dominated by agriculture, with 35.77% (n = 88), and the city center was most affected by urological emergencies, with 39.44% of cases (n = 86). 70.18% (n = 153) of our patients had bladder retention on admission, and 53.21% (n = 116) underwent urethral catheterization, including 3 women. The etiology of bladder retention in these 3 women was dominated by two cases of bladder lithiasis and one case of neurological bladder. Conclusion: The management of urological emergencies requires specific material and human resources. Their knowledge will enable us to better understand this problem and could serve as a basis for a broad reflection on the organization of the management of urological emergencies in our region.
拉贝地区医院泌尿外科急诊管理的流行病学分析与评价
目的:为提高劳勃地区医院泌尿外科急诊管理水平作出贡献。患者和方法:这是一项为期6个月的动态描述性研究,从2017年7月1日至12月31日。结果:泌尿外科急诊占所有泌尿科住院患者的45.14% (n = 218)。患者平均年龄56.60岁,极值15天,极值93岁。71 ~ 80岁以28.03% (n = 61)居多,其次是61 ~ 70岁,占24.31% (n = 53)。我们的患者活动以农业为主,占35.77% (n = 88),城市中心受泌尿外科急诊影响最大,占39.44% (n = 86)。70.18% (n = 153)患者入院时膀胱潴留,53.21% (n = 116)患者行导尿术,其中女性3例。3例患者膀胱潴留的病因以2例膀胱结石和1例神经性膀胱为主。结论:泌尿外科急诊的管理需要特定的物质和人力资源。他们的知识将使我们能够更好地理解这一问题,并可作为广泛反思本地区泌尿外科急诊管理组织的基础。
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